V-Excision Modification for Direct Necklift

Abstract

The occasional patient who desires solely aesthetic correction of a neck deformity, but refuses to undergo a classical rhytidectomy, might be a candidate for direct neck skin excision. Eight such patients underwent a V-excision modification with Z-plasty for direct necklift with reasonable results achieved in six (75%). All complications (25%) including hypertrophic scarring and vertical neck contracture occurred in females. All scars, however inconspicuous, were still apparent upon close inspection. Appropriate awareness of these sequelae must be acceptable to any candidate before embarking on this unconventional approach to improvement of neck contour.