Direct excision of the turkey jowl deformity: A review of 100 consecutive cases

Document Type

Journal Article

Publication Date

1-1-2007

Journal

Archives of Facial Plastic Surgery

Volume

9

Issue

1

DOI

10.1001/archfaci.9.1.56

Abstract

Objective: The aging of the neck is a combination of accumulated submental fat, platysmal banding, and redundant skin. Traditional face- and neck-lifting procedures successfully address these components. Unfortunately, the cost, both in terms of downtime and expense, often becomes prohibitive for a large section of the interested patient population. For select male patients, direct excision of the turkey jowl deformity with a straight-line closure offers a novel alternative. Design: A review of 100 consecutive cases of direct excision of turkey jowl deformity procedures was performed. Minimal follow-up was 1 year. All surgical procedures were performed in the office setting with local anesthesia. Results: Eight patients had extrusions of suture without recurrence of banding. Four patients required steroid injections for mild scar hypertrophy; 2 of these patients requested minor scar revisions 1 year later. There were no cases of postoperative bleeding, infection, or nerve injury. All 100 patients were satisfied with the overall cosmesis, and none had revision jowl surgery. Conclusion: Direct excision of the turkey jowl with a straight-line closure offers a major improvement in the aging neck with minimal downtime, expense, and complication rate. This procedure can be easily accomplished and safely performed in an office environment.

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