Correction of Facial and Neck Excessive Laxity
Pp. 140-147 (8)
Mutaz B. Habal
The face is the window of the person to the surrounding world and the eyes are the avenue to
his soul. Having started with this concept that we have in craniofacial surgery, we can look then at the
patients in our daily practice and see how this part of the body presents the most important aesthetic
unit that needs to be corrected especially after bariatric surgery and massive weight loss. As more
patients become aware of the obesity issues, they will seek more help to put them. Their psyche and
their bodies on track by cutting off the fat, they have accumulated over the years some from teen years.
After the loss of adipose tissue, patients focus on the remaining excessive skin they have developed
over the obese years. The part that people look at especially in a conservative society is the face and
secondarily the neck when they are well dressed and mingling with friends and acquaintances. The face
is divided into the upper components and the lower components engulfing the neck and jaws. The face
is the first to show the reflection of obesity and the last to show the effect of changes in body fat
composition. Contouring the face is part of the plastic surgery principles to complete the changes after
the patient departs from the obesity stigma. Complications are minimal when the surgeon abides by the
basic principles and rules of plastic surgery.
Face and neck in morbid obesity, face deformity, counter plasty, neck plasty.
Tampa Bay Craniofacial & Plastic Surgery Center/USF, Tampa, Florida 33647- 1164, USA.