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Surgical Anatomy of the
Neck
Gregory H. Branham, MD
Professor and Chief
Facial Plastic and Reconstructive Surgery
Washington University In Saint Louis
The Facial Plastic Surgery Center
I have no financial disclosures
Overview
Ramirez. Clin Plastic Surg 35 (2008) 679–690
Subcutaneous Fat
Ramirez. Clin Plastic Surg 35 (2008) 679–690
Superficial Anatomy of the Neck
Ramirez. Clin Plastic Surg 35 (2008) 679–690
Superficial Musculoaponeurotic
System (SMAS) Distinct from underlying parotidomasseteric fascia
Continuous with temporoparietal fascia of scalp and platysma of neck
Fibrous adhesions to skin allowchanges in skin with tension on SMAS
Platysma
Ramirez. Clin Plastic Surg 35 (2008) 679–690
Platysma Types
Type 1
75%
Type 2
15%
Type 3
10%
Castro. Clin Plastic Surg 35 (2008) 625–642
Deep Cervical Fat
Ramirez. Clin Plastic Surg 35 (2008) 679–690
Deep Cervical Musculature
Ramirez. Clin Plastic Surg 35 (2008) 679–690
Sensory Innervation
Great Auricular Nerve
Facial Nerve
Marginal Mandibular Nerve