fig1

Figure 1. Digital palpation and pre-operative markings in a 60-year-old woman with moderate ageing in the mid and lower face. The "x" marks the mandibular angle. The cervical line joining the mandibular angles is marked supine. Once supine the neck is digitally tightened to ensure the "x" marks correspond to the correct area for platysma plication. Otherwise if mal-placed anterior or posterior to this line, a neck deformity will ensue.