An anatomic approach to the rejuvenation of the neck

Rejuvenation of the neck is a difficult task. The two major factors deemed responsible for the pitfalls encountered when dealing with this anatomic ar ea are the thinness of the skin of the neck and the paucity of adnexal stru ctures of the neck skin as compared with facial skin. Another factor that a ffects the appearance of the neck and the outcome of procedures performed o n the neck is that its anatomic structures are continuously under gravitati onal influence with a very thin layer of muscular support, the platysma mus cle. The anatomic landmarks and the progressive signs of the aging neck are reviewed in this article. Several treatments are proposed as therapies tha t produce satisfactory to excellent results in neck rejuvenation.