ArticleAesthetic surgery journal2026
Neck Lift After Nonsurgical Treatments: Fibrosis, Fat Loss, and Surgical Complexity.
Article in Aesthetic surgery journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Revision Neck Lift Surgery: A Systematic Review of Indications, Techniques, and Outcomes.Aesthetic plastic surgery · 2026Pooled it
- Non-ablative dermis layer targeted dielectric heating for facial rhytid improvement in Asian skin.JPRAS open · 2026Article
- Injection lipolysis in aesthetic medicine: mechanisms, clinical safety, and clinical applications.Frontiers in medicine · 2026Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNoninvasive neck treatments, including lipolysis injectables, cryolipolysis, and energy-based devices, have become popular alternatives to surgery. Although marketed as safe and effective, these procedures may induce fibrosis, tissue destruction, and anatomical changes that complicate secondary surgical interventions.
objectivesIn this study we aimed to assess the impact of previous noninvasive neck treatments on surgical complexity, intraoperative findings, and outcomes in secondary neck lift procedures.
methodsA retrospective review of 180 neck lift procedures performed in 2023 by a single surgeon was conducted. Patient demographics, previous treatments, intraoperative findings, and postoperative outcomes were analyzed.
resultsOf 180 patients, 123 (68%) had had previous neck treatments, including surgical neck lift and/or noninvasive therapies including chemolipolysis (Kybella), cryolipolysis (CoolSculpting), radiofrequency-assisted lipolysis (FaceTite, Morpheus8, SmartLipo, Ultherapy, Profound), and suture suspension (MyEllevate, PDO threads). Intraoperative findings in patients having undergone nonsurgical treatments revealed fibrosis, loss of normal tissue planes, platysma and deep fascia rigidity, and unpredictable fat distribution. A deep cervicoplasty with management of subplatysmal structures was required in 94% of the cases. Although no major complications occurred, nearly all patients exhibited contour irregularities postoperatively from the destruction of the supraplatysmal fat and platysma. In all cases there was an increased operative time.
conclusionsNoninvasive neck treatments significantly alter tissue architecture, increasing surgical complexity and impacting aesthetic outcomes. Surgeons should anticipate these challenges, modify techniques accordingly, and emphasize thorough preoperative evaluation and patient counseling to anticipate increased risk and optimize results. LEVEL OF EVIDENCE: 4:
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