Answer:
In the referenced article, Joel Feldman describes a plastysmaplasty that involves plication of the full length of the plastyma, from the submental area to the level of the cricoid. This is done in several layers with a continous suture to smooth out the contour. Additional plication sutures can be placed under the submental glands for further tightening of the muscle corset. This technique was designed to correct two of the shortcomings of other types of plastysmaplasty. One is the recurrence of medial plastysma bands, and the other are the submental gland bulges.