Introduction: Introduction: Extended cervicoplasty is used to treat the aging stigmas of the lower third of the face, especially in cases of severe tissue sagging. However, the maintenance of its long-term results has been little studied in the literature. Objective: To assess the maintenance of the results of extended cervicoplasty in the long-term. Methods: Twenty-three patients with severe tissue sagging underwent extended cervicoplasty, having been followed up for five years. The postoperative results in the first and fifth year were evaluated by 8 plastic surgeons. The analysis of the results was performed using the McNemar and paired t-student tests. Results: In the first year, 12 (52.2%) patients had the outcome rated as very good, 9 (39.1%) as moderate and 2 (8.7%) as poor. In the fifth year, 9 (39.1%) had the outcome classified as very good, 11 (47.8%) as moderate and 3 (13.1%) as poor. None of the patients had the outcome rated as excellent or bad in any of the analyzed periods. There was no significant difference regarding the classification (p = 0.450); and the total score (p = 0.373) during the study period. Conclusion: Even in difficult cases, extended cervicoplasty provided good results that were maintained in the long-term.

Keywords: RHYTIDOPLASTY; CERVICOPLASTY; NECK

Introduction: Multiple approaches and the use of different surgical strategies seem to contribute to the goal of obtaining more satisfactory outcomes in rhytidoplasty. In light of this, liposculpture has been progressively becoming more relevant as an alternative to improve those outcomes, adding greater final aesthetic value to the procedure.
Objectives: To evaluate outcomes obtained in patients who underwent the association of rhytidoplasty and facial liposculpture.
Methods: Fourteen patients underwent classical Pitanguy rhytidectomy associated with liposuction in specific areas of the face, having been subsequently followed up for 12 months. Seventeen volunteers used the Antell & Orseck method to evaluate the postoperative outcomes.
Results: Of the 14 patients evaluated, 9 (64.2%) were classified as having experienced excellent outcomes, while 3 (21.4%) had moderate outcomes, and 2 (14.2%) had poor outcomes. None of the patients experienced outcomes rated as perfect or undesirable.
Conclusions: Rhytidoplasty associated with facial liposculpture is an important alternative for the treatment of facial aging, leading to satisfactory, safe and long lasting results.

Keywords: Cervicoplasty; Rejuvenation; Rhytidoplasty

Neck appearance is one of the indicators of a person's biological age. Conventional rhytidoplasty has been the standard treatment for correction of cervical aging. Some patients, especially men, show evident changes in the neck, with excess skin and/or fat in the anterior cervical region, but with little flaccidity of the face. Cervical facelift, combined with zetaplasty, is a surgical option for rhytidoplasty and treats excess skin, fat, and platysma bands. It can be performed under local anesthesia, presenting low morbidity, rapid recovery, and high level of satisfaction.

Keywords: Rhytidoplasty; Rejuvenation; Cervicoplasty; Neck