Skin laxity of the neck is a primary concern of patients seeking facial rejuvenation. Traditional methods for redraping neck skin have well-described shortcomings.

The aim of this study was to optimize skin redraping after necklift surgery while reducing risk, and the Bolster Equalization Suture Technique (BEST).

At the conclusion of the facelift and necklift, 3 external quilting sutures are placed with protective bolsters.

The first suture is placed at the midline, advancing the skin posteriorly toward the hyoid and anchoring the skin to the platysma.

The second and third are placed in the cervicomandibular groove over the sternocleidomastoid muscle, advancing the skin posteriorly.

Complications such as skin necrosis, skin ischemia, dimpling, hypopigmentation, hyperpigmentation, and scarring were documented.