A Systematic Review and Meta-Analysis of the Role of Open Platysmaplasty in Facelift and Necklift Surgery…

ReviewAesthetic surgery journal. Open forum· 2026

A Systematic Review and Meta-Analysis of the Role of Open Platysmaplasty in Facelift and Necklift Surgery: Comparative Outcomes of Closed- vs Open-Neck Rejuvenation With Liposuction Using FACE-Q Scales.

Giuseppe Fiore, Naghmeh Naderi, Benedict Reed … Rana Das-Gupta

Aesthetic & Cosmetic SurgeryReviewTreatmentQ1IF 2.7

With liposuction, open neck lifts beat closed technique on patient-reported neck satisfaction.

A Systematic Review and Meta-Analysis of the Role of Open Platysmaplasty in Facelift and Necklift Surgery: Comparative Outcomes of Closed- vs Open-Neck Rejuvenation With Liposuction Using FACE-Q Scales.

Giuseppe Fiore … Rana Das-Gupta

Aesthetic surgery journal · 2026 · Q1 in Surgery

Background

Facial and neck rejuvenation techniques have evolved significantly, aiming to achieve optimal patient satisfaction with minimal invasiveness.

Methods

This systematic review and meta-analysis assessed patient-reported outcomes (FACE-Q Aesthetic Module scores) comparing open- vs closed-neck rejuvenation techniques, with and without liposuction.

n = 847 patients

Results

open technique with liposuction gave higher neck satisfaction than closed

81.5FACE-Q

Open (with liposuction

77.5FACE-Q

Closed (with liposucti

More results

There remains uncertainty regarding patient-reported outcomes between these approaches.

Closed techniques without liposuction yielded the highest satisfaction scores for both chin (mean FACE-Q = 86.4) and neck (mean FACE-Q = 86.6), significantly exceeding open techniques with liposuction ( P < .01).

More results

Open techniques retain significant value for patients requiring more extensive anatomical correction.

“

Conclusion

Level of Evidence: 4 (Therapeutic).

A Systematic Review and Meta-Analysis of the Role of Open Platysmaplasty in Facelift and Necklift Surgery: Comparative Outcomes of Closed- vs Open-Neck Rejuvenation With Liposuction Using FACE-Q Scales.

A Systematic Review and Meta-Analysis of the Role of Open Platysmaplasty in Facelift and Necklift Surgery: Comparative Outcomes of Closed- vs Open-Neck Rejuvenation With Liposuction Using FACE-Q Scales.

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