Facelift: Q&A
Ask a QuestionDo I Need to Have the Corset Platysmaplasty Done with Facelift?
Do you need to have the corset platysmaplasty done when getting a full facelift if you dont have platysmal banding? Will your facelift fall if you dont?
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23 Doctor Answers |
Asked by
girlygirl880
in Illinois
+1
Platysma Plastic Surgery to Improve Neck During Facelift
Hi girlygirl880 in Illinois,
Good plastic surgeons tailor facelift surgery for the needs of each patient, as everyone is unique. Facial aging results not only from skin sagging and volume loss, but also neck muscle sagging. The platysma is a neck muscle which sags with age, and contribute to the neck banding or "turkey neck" appearance. Corset platysmaplasty, plastic surgery of the platysma muscle, can improve the appearance of the neck.
Patients who are younger with...
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+2
Platysmaplasty in a facelift
Most patients I oprate on need a platysmaplasty to get the tightest neck and the best angularity between the chin and the chest. I do one in 99% of mine.
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Neck lift techniques including corset playsmaplasty
Hi,
There are several techniques to improve the contour of the neck. They include liposuction alone if the problem is chiefly one of excessive fat. This can produce a great result especially in younger patients, without much extra skin. But in your case, where the surgeon is recommending a full facelift, there are other techniques involving skin removal and tightening the internal neck muscle (platysma). Tightening can be towards the center or pulled back...
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Corset Platysmaplasty
Whether or not this neck lift technique is needed or not depends on the level or neck laxity and banding present. I do this on the majority of my face & neck lifts
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Platysmaplasty, Corset or other, usually improves facelift results
Most patients that I see in consultation for facelift have some neck laxity which can be improved with Platysmaplasty. Even patients who do not have neck bands or Platysmal Bands, but do have lax neck skin, can have a better facelift and especially jaw line result if a platysmaplasty is done.
It is heartbreaking for surgeon and patient to have a beautiful facelift result only to see neck laxity compared to a freshly tightened upper face-this can be avoided by doing the platysmaplasty...
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Not all face lifts are the same
Not all facelifts need a platysma plication. Many patients only need a small amount of neck lifting. That can be done without a platysma plication with great results. You do have to plicate the SMAS and platysma laterally to get a great neck
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Platysmaplasty is needed for neck with aging issues
Platysmaplasty is a procedure whereby the anterior platysmal bands are tightened together when there are two cords present in the anterior portion of the neck. At the same time, fat is removed in the submental area both above and below the muscle. If there are no aging issues in the neck, platysmaplasty does not need to be performed. At that point, you could probably just get by with doing a tuck facelift or a mini lift rather than involving the neck.
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Platysmaplasty with face lift
You definitely do not have to have a plastysmaplasty with a face lift if there is not a significant problem with banding or skin excess on your neck. It is a very common procedure when doing a face lift, but each patient is different and some will not benefit from suturing the platysmal bands together. I probably perform a platysmaplasty 80% of the time when doing a face and neck lift, but certainly not in all patients, and less often in younger patients desiring facial...
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Corset Platysmaplaty with Facelift
All surgery should be individualized. You and your surgeon should review alternative techniques in facial rejuvenation, discussing the advantages of each depending on your needs and goals. It is not appropriate to generalize about what should be done in every facelift operation.
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Corset platysmaplasty tightens the sling
No, you don't absolutely have to undergo corset platysmaplasty with a facelift. You are correct in understanding this procedure. It re-connects the splayed muscle bands under the neck and tightens the sling under your jaw. It really depends on the amount of aging in your face. Your surgeon may have noted laxity in this area, and recommended tightening the sling. It will probably improve your results and keep you looking better for a longer period of time. If your surgeon recommended...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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