Treatment of the full obtuse neck

Timothy J. Marten; James A. Feldman; Bruce F. Connell; W.J. Little

doi:10.1016/j.asj.2005.04.005

July 1, 2005Aesthetic Surgery JournalOpen Access

Treatment of the full obtuse neck

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Key Points

To review underlying anatomical contributors to the full, obtuse neck deformity and evaluate surgical strategies across varying patient presentations.
Expert aesthetic plastic surgeons analyzed multiple patient cases with longstanding neck fullness, obtuse cervicomental angles, and varied surgical histories.
The panel compared techniques including subcutaneous lipectomy, deep subplatysmal fat excision, anterior digastric muscle modification, submandibular gland repositioning or resection, and corset platysmaplasty.
Fullness causing an obtuse neck frequently stems from deep structural components—including subplatysmal fat, hypertrophic anterior digastric muscles, and prominent submandibular glands—rather than superficial subcutaneous fat alone.
Superficial liposuction without deep cervical tissue modification often yields inadequate contouring and can create contour irregularities or reveal deeper structural abnormalities.
Surgical correction requires layered anatomical assessment, with interventions such as perihyoid fascia release, digastric reduction, and corset platysmaplasty tailored to individual patient anatomy without always requiring skin excision.

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Implication

Expert panel discussion evaluates surgical approaches for the full obtuse neck, highlighting deep structural modifications, gland management, and tailored platysmaplasty techniques.

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Marten et al. (2005) studied this question.

synapsesocial.com/papers/6a933053e865bb6a6b78d57f https://doi.org/10.1016/j.asj.2005.04.005

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Treatment of the full obtuse neck

Key Points

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Implication

Discussion

Cite This Study

Treatment of the full obtuse neck

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Implication

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Cite This Study

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