DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Platysmal banding of the neck and facial elastosis.
POSTOPERATIVE DIAGNOSIS: Platysmal banding of the neck and facial elastosis.
OPERATION PERFORMED: Platysmaplasty with liposculpturing of the neck.
SURGEON: John Doe, MD
ASSISTANT: Jane Doe, MD
ANESTHESIA: General.
DESCRIPTION OF OPERATION: With the patient positioned in supine position on the operating room table, satisfactory level of general endotracheal anesthesia was obtained. Attention was turned to injecting the neck with 0.5% lidocaine with adrenaline. As hemostasis was being obtained, attention was turned to scrubbing the neck and supraclavicular area with Betadine gel and draped in sterile manner.
Attention was then turned to submental incision, which was carried down to the level of the subcutaneous fat. The platysmal muscle was identified. Facelift incisions were used to dissect the skin off the platysma muscle to the lateral markings on each side. After this was completed, the medial aspects of the platysmal bands, which have been previously marked, were identified. At the cricoid cartilage, the platysmal bands were back cut for approximately 3 cm, and hemostasis was obtained. The wound was irrigated with bacitracin solution.
Attention was turned to creating platysmaplasty by suturing the platysma to the midline with interrupted 3-0 Vicryl. Once this was completed in double layer fashion, attention was turned to irrigating the wound again with bacitracin solution. After this was completed, the liposculpturing cannula was used to liposculpture the underside of the skin to stimulate the skin for contraction purposes, and after this was completed, the skin was redraped and a small amount of skin in submental region was resected. Hemostasis was obtained.
The incisions of the ear were closed with 5-0 nylon. The incision in the submental area was closed with 5-0 Vicryl and 5-0 nylon. Half-inch Steri-Strips were applied. All areas were cleansed. The patient was placed in compression garment and tolerated the procedure extremely well and returned to the recovery room in excellent condition. Her husband was given homecare instructions. The patient was discharged in good condition and will follow up in the office in a week’s time and will call for any problems.
