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

Thank you for coming

Contact me for any questions

branhamg@wustl.edu