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Kim et al. Plast Aesthet Res 2016;3:384-9 Plastic and
DOI: 10.20517/2347-9264.2016.88
Aesthetic Research

www.parjournal.net
Original Article Open Access

Improvements in the cervical angle and

anthropometric distances using elasticum

suspension

Seong Kee Kim , Kun Hwang , Hun Kim , Young Rok Kim , Yeop Na 2
1,2
2
2
2
1 Dr Kim’s Aesthetic Surgical Plastic Clinic, Seoul 06025, South Korea.
2 Department of Plastic Surgery, Inha University School of Medicine, Incheon 22332, South Korea.
Correspondence to: Dr. Kun Hwang, Department of Plastic Surgery, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332,
South Korea. E-mail: jokerhg@inha.ac.kr
How to cite this article: Kim SK, Hwang K, Kim H, Kim YR, Na Y. Improvements in the cervical angle and anthropometric distances using
elasticum suspension. Plast Aesthet Res 2016;3:384-9.

Dr. Seong Kee Kim is a board certified plastic surgeon in South Korea. He is an owner of Kim Seong Kee Plastic
Surgery Clinic, and has been practicing in it for 30 years. In addition, currently, he is a Clinical Professor in the
Department of Plastic Surgery at Yonsei University and Inha University. He is widely recognized in South Korea as an
expert in less invasive face lift technique.

ABSTRACT
Article history: Aim: This study aims to characterize the effects of elastic facelifts using the elasticum
Received: 17-10-2016 suspension technique on the cervical angle and anthropometric distances. Methods: Forty-six
Accepted: 02-11-2016 patients underwent surgery. Two 4-5 mm incisions a few centimetres apart were made at
Published: 23-12-2016 sideburn. Through blunt dissection, the deep temporal fascia was approached. An elastic thread
(Elasticum ) was anchored to this fascia. A 1.0 cm incision was made just in front of the earlobe.
®
Key words: The elastic thread was anchored to the tympanoparotid fascia. Jano needle was passed under the
Rhytidoplasty, skin surface, as determined by the depth mark of the needle along the cervicomandibular angle,
rejuvenation, and the elastic threads were looped around the contralateral tympanoparotid fascia. Standard
anthropometry lateral photographs were taken and evaluated. Results: The elasticum suspension significantly
decreased the cervical angle (P < 0.001, -5.5 ± 9.8%). This procedure significantly decreased the
distance from the gonion-gnathion to the labiale inferioris (Gn-Li) (P < 0.001, -18.4 ± 25.5%).
The ratio of the distance from Gn to the cervical point (Gn-C) to Gn-Li increased significantly (P
< 0.001, 62.8 ± 85.8%) and the ratio of the distance from C to the visible thyroid cartilage (C-T)
to Gn-C decreased significantly (P = 0.007, -7.1 ± 45.2%). Conclusion: Elasticum suspension
may be a satisfactory minimally invasive method for facelifts, brow lifts, and neck lifts.

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