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Abstract. Many patients emphatically refuse a face lift to improve the shape of the cervico-mandibular angle, but are nevertheless not prepared to put up with ugly skin folds and the platysma bands. As an alternative we can offer a platysmaplasty in combination with a submental skin excision, often used with liposuction in the chin and cheek area. From December 1995 to April 1999, 20 patients between...