Abstract
Direct excision of the "turkey neck" skin fold with Z-plasty closure was introduced in the 1970s, but it has fallen out of favor in an era in which much emphasis is placed on minimizing visible scars. Although the newer techniques may effectively improve the aesthetic contour of the neck without leaving visible scars, they may not be optimal for selected patients who want a quick, "no-hassle" correction of their neck contour without changing the overall appearance of their face. We conducted a retrospective study of 50 patients--47 men and 3 women, aged 59 to 80 years (mean: 70)--who had undergone cosmetic Z-plasty performed by the senior author (A.N.L.) over a 9-year period. These patients either did not want or were not candidates for a face-lift or other procedure. Patients' charts were examined for demographic data, complications, and overall satisfaction with the procedure. In 46 of the 50 cases, the initial cosmetic result was acceptable to both the patient and the surgeon. The only complications were recurrent or residual areas of skin redundancy or dissatisfaction with the scar, but these were easily corrected with a second procedure using local anesthesia in the office setting. We conclude that cosmetic Z-plasty is a safe and effective means of correcting turkey neck deformity in patients who desire a procedure with a short operating time, a brief recovery period, a low complication rate, and a minimal effect on the overall appearance of their face. Although cosmetic Z-plasty is frequently considered to be antiquated, we believe refined versions of this procedure can still be of value to the plastic surgeon. In addition to describing our study results, we also describe in detail our surgical technique, including several contemporary refinements.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E55-E59 |
| Journal | Ear, nose, & throat journal |
| Volume | 93 |
| Issue number | 4-5 |
| State | Published - Apr 1 2014 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
The cosmetic Z-plasty : restoring and refining an old technique for neck rejuvenation. / Vendemia, Nicholas; Rosow, David; Labruna, Anthony N.
In: Ear, nose, & throat journal, Vol. 93, No. 4-5, 01.04.2014, p. E55-E59.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The cosmetic Z-plasty
T2 - restoring and refining an old technique for neck rejuvenation
AU - Vendemia, Nicholas
AU - Rosow, David
AU - Labruna, Anthony N.
PY - 2014/4/1
Y1 - 2014/4/1
N2 - Direct excision of the "turkey neck" skin fold with Z-plasty closure was introduced in the 1970s, but it has fallen out of favor in an era in which much emphasis is placed on minimizing visible scars. Although the newer techniques may effectively improve the aesthetic contour of the neck without leaving visible scars, they may not be optimal for selected patients who want a quick, "no-hassle" correction of their neck contour without changing the overall appearance of their face. We conducted a retrospective study of 50 patients--47 men and 3 women, aged 59 to 80 years (mean: 70)--who had undergone cosmetic Z-plasty performed by the senior author (A.N.L.) over a 9-year period. These patients either did not want or were not candidates for a face-lift or other procedure. Patients' charts were examined for demographic data, complications, and overall satisfaction with the procedure. In 46 of the 50 cases, the initial cosmetic result was acceptable to both the patient and the surgeon. The only complications were recurrent or residual areas of skin redundancy or dissatisfaction with the scar, but these were easily corrected with a second procedure using local anesthesia in the office setting. We conclude that cosmetic Z-plasty is a safe and effective means of correcting turkey neck deformity in patients who desire a procedure with a short operating time, a brief recovery period, a low complication rate, and a minimal effect on the overall appearance of their face. Although cosmetic Z-plasty is frequently considered to be antiquated, we believe refined versions of this procedure can still be of value to the plastic surgeon. In addition to describing our study results, we also describe in detail our surgical technique, including several contemporary refinements.
AB - Direct excision of the "turkey neck" skin fold with Z-plasty closure was introduced in the 1970s, but it has fallen out of favor in an era in which much emphasis is placed on minimizing visible scars. Although the newer techniques may effectively improve the aesthetic contour of the neck without leaving visible scars, they may not be optimal for selected patients who want a quick, "no-hassle" correction of their neck contour without changing the overall appearance of their face. We conducted a retrospective study of 50 patients--47 men and 3 women, aged 59 to 80 years (mean: 70)--who had undergone cosmetic Z-plasty performed by the senior author (A.N.L.) over a 9-year period. These patients either did not want or were not candidates for a face-lift or other procedure. Patients' charts were examined for demographic data, complications, and overall satisfaction with the procedure. In 46 of the 50 cases, the initial cosmetic result was acceptable to both the patient and the surgeon. The only complications were recurrent or residual areas of skin redundancy or dissatisfaction with the scar, but these were easily corrected with a second procedure using local anesthesia in the office setting. We conclude that cosmetic Z-plasty is a safe and effective means of correcting turkey neck deformity in patients who desire a procedure with a short operating time, a brief recovery period, a low complication rate, and a minimal effect on the overall appearance of their face. Although cosmetic Z-plasty is frequently considered to be antiquated, we believe refined versions of this procedure can still be of value to the plastic surgeon. In addition to describing our study results, we also describe in detail our surgical technique, including several contemporary refinements.
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UR - http://www.scopus.com/inward/citedby.url?scp=84927169926&partnerID=8YFLogxK
M3 - Article
C2 - 24817243
AN - SCOPUS:84927169926
VL - 93
SP - E55-E59
JO - Ear, Nose and Throat Journal
JF - Ear, Nose and Throat Journal
SN - 0145-5613
IS - 4-5
ER -