Background: Rejuvenation of the cervical region remains a significant challenge in facial plastic surgery. Traditional approaches often fail to address structural laxity, leading to the recurrence of platysmal bands and suboptimal definition of the mandibular border. This study presents a novel surgical technique designed to treat deep neck structures and the platysma comprehensively, ensuring improved contour and stability.

Methods: The author describes a universal approach to cervical lifting that integrates precise management of deep neck compartments with a distinct platysmal manipulation strategy. The technique focuses on anterior partial square platysmal resection and combined posterior traction. Following the release of retaining ligaments and the reduction of subplatysmal fat and glands, specific suture placement facilitates the redraping of the cervical skin and muscle. A retrospective review was conducted on 60 patients who underwent this procedure between October 2024 and October 2025.

Results: Post-operative analysis demonstrated significant improvement in the cervicomental angle and jawline definition across the cohort. The technique effectively addressed deep cervical structures and muscular laxity. Crucially, the recurrence of visible platysmal bands was not observed, with follow-up ranging from 3 to 12 months. Patient satisfaction rates were high, and no major complications were reported.

Conclusions: The described technique offers a reliable and reproducible solution for neck rejuvenation. By targeting the deep anatomical causes of cervical aging and employing a specific platysmal strategy, this "universal approach" successfully restores a youthful neck contour while preventing the formation of platysmal bands.