After a Face Lift and Platysmaplasty (3.5 Months Ago) I Have Very Prominent Platysmal Bands Which I Did Not Have Before?

Tags:

platysmal 4 months post-op

13 Doctor Answers | Asked by thomasina

Doctor Answers (13)
Community Comments (0)

Platysma bands after surgery

There are two types of platysmaplasty- anterior platysmaplasty or corset platysmaplasty which is performed to improve platysma bands, and posterior platysmaplasty which involves posterior retraction of the neck muscles. The latter surgery can help efface the bands but will not eliminate them. There are roles for each type of operation depending on the goals of the surgery. If you had a posterior retraction and not a corset platysmaplasty, combined with liposuction which... more

Platysmal bands

The platysmal bands are due to the aging , shortening and fibrosing of the neck muscles. In addition to tightening the bands under the submental region, some surgeons cut the leading bands over the thyroid area to prevent them from coming back

Platysmal bands following facelift and platysmaplasty

Hello, and sorry to hear about the appearance of new platysmal bands that were not present prior to your surgery. This could be due to a number of number of things, and I would really need to learn more about the details of your procedure and see before and after photos. In general, the side effects of a facelift can include the following: 1) Swelling 2) Bruising 3) Temporary numbness 4) Nerve injury that is usually temporary but can sometimes be permanent It is possible that... more

Platysma bands developing after a facelift will require revisional surgery.

Most facelift include tightening of the platysma which is meant to correct platysma bands. If the neck was defatted without repair of the platysma the bands would emerge as swelling subsided.

Facelift and neck bands

Sometimes with sculpting of the neck, neck bands become more apparent. Often when I do face lifts, I imbricate the muscle and usually divide it inferiorly to minimize the chance of neck bands to appear. Botox may help as well.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Platysmal Bands After Facelift

Was there a significant amount of defatting or liposuction performed? Some people with extremely fatty necks can mask platysmal bands. There are many possibilities here, so ask your plastic surgeon.

Platysmal banding after Facelift

Dear thomasina, although I cannot specifically comment about the appearance of your neck based on the lack of photos and an examination, it is not typical or normal for platysmal bands to show up at this time. The answer will most depend on what your Surgeon did or didn't do with your neck at the time of the procedure. At 3.5 months, there is still some degree of inflammation in your neck and several months may need to pass before this resolves.

Banding After Neck Lift

Thomasina, first of all platysmal banding 3 months after a platysmaplasty is distinctly abnormal. The most common reason for post- necklift banding is that the bands were not visable before surgery due to the fat content of the neck. It's only after the fat is removed that the bands are identified and should have been addressed with the platsymaplasty. Fairly often after platsymaplasty secondary bands can develope, usually a little more lateral than the primary bands. Photos would show... more

Paul S. Howard, MD

3 reviews

Birmingham Plastic Surgeon

Facelift and neck platysmal bands

Dear thomasina, I would bring this up to your PS so you can look at before and after pics together Without looking at your pre-op anatomy, it is hard to say exactly why this occurred Best regards, Nima Shemirani

Banding After Facelift

Dear Thomasina, If is a little difficult to give you an answer. A picture (before and after) would be helpful. This "band" may represent a scar band if any neck work was done or may represent a true platysmal band that is now revealed after the skin has be redraped. Dr. ES

Facelift and neck lift

Platysmal bands are what are usually corrected by a lower face and neck lift surgery. To effectively correct the platysmal bands, the entire neck skin has to be dissected off the underlying platysma muscle. A lot of times the fat behind the platysma and some fat in from of the platysma has to be contoured to give a nice deep neck line. The platysma muscles will then have to sutured together to varying degrees based on the patient. Failure of such maneuvers can often lead to... more

Why prominent platysma bands after face and neck lift surgery? Ask Dr Ellen

Hello Thomasina, TIPS TO KNOW ABOUT PLATYSMAPLASTY SURGERY: The visible "bands" of the neck are actually a combination of the muscles and the skin. Correction of the neck bands often requires tightening of both the muscles and the skin. There are different types of platysmaplasty surgery: 1. full front of the neck 2. partial front of the neck 3. both sides of the lateral neck 4. combinations of the front and lateral... more

After a Face Lift and Platysmaplasty (3.5 Months Ago) I Have Very Prominent Platysmal Bands Which I Did Not Have Before?

It's probably in your best interest to have this discussion with your Face Lift Surgeon as only he/she knows what was done during your Face Lift procedure. Hope this helps.