Careful preoperative evaluation of the patient's anatomy dictates the most appropriate procedure, ranging from laser skin resurfacing to sub-superficial muscular aponeurotic system (sub-SMAS) rhytidectomy with an extended
platysmaplasty.
Joel Feldman's corset
platysmaplasty technique for counteracting gravitational changes in the mid to lower face and neck.
Excessive midline submental laxity can be problematic following rhytidectomy with
platysmaplasty in patients with features of rhytidosis facialis with extreme midline submental laxity and moderate submental fat (figure 1).