Correction of webbed neck defects.

The posterior approach for correction of the webbed neck defect involves wide anterolateral skin undermining and skin resections from the nape of the neck. The redundant tissue and the underlying defect are corrected and the resultant scar is hidden in the scalp rather than being exposed on the lateral aspect of the neck or shoulder as would be the case with a Z-plasty procedure. In addition, the hairline remains smooth and in a relatively natural position. The surgical dissection is not difficult, and few anatomical structures are involved. The procedure has been employed in 4 patients and has proved to be effective and safe, with long-lasting improvement and acceptable aesthetic results.