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Do I Need to Have the Corset Platysmaplasty Done with Facelift?

asked 1 year ago by girlygirl880 in Illinois
Latest answer by Sam Naficy, MD
Question viewed 988 times
Tags: neck

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?

23 answers to Do I Need to Have the Corset Platysmaplasty Done with Facelift?

+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.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+2

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... more
Joseph Rabson, MD

Philadelphia Plastic Surgeon
+1

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
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

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... more
Brooke R. Seckel, MD

Boston Plastic Surgeon

www.drseckel.com

+1

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
Luis A. Vinas, MD

West Palm Beach Plastic Surgeon
+1

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.  
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

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... more
Carey Nease, MD

Chattanooga Facial Plastic Surgeon
+1

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.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

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... more
Theda C. Kontis, MD

Baltimore Facial Plastic Surgeon
+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... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

+1

Corset platysmaplasty may be needed to rejuvenate the neck

A corset platysmaplasty is a procedure designed to smooth vertical bands caused by aging of the muscle directly beneath the skin called the platysma. If you don't have these bands you may not need this procedure done through a small incision under the chin. You should be able to discuss this question with your plastic surgeon so that you understand the indications for and risks of this surgery.
Elizabeth Lee, MD

Bay Area Plastic Surgeon
+1

Corset Platysmaplasty Done with Facelift

Get question that a few posted photos would have been so helpful. No it is not a requirement to have a "corset platysmaplasty" with a face lift but an option if needed. Either a doctor recommended it to you or you are reading too much. Seek in person evaluations from 3 boarded surgeons in your area. 
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Corset Platysmaplasty: is it needed to rejuvenate the neck?

The simple answer, is no. Although it is a complex question that relies on many variables.  Most cases in which neck laxity is present, a vertically oriented facelift can effectively tighten the platysma and correct any neck laxity.  However, this depends on your anatomy as well as the technique and vectors used by your surgeon.  I would first find an experienced facial lift  surgeon you trust, then have them give you their recommendation.  Some surgeons need to... more
Amir M. Karam, MD

San Diego Facial Plastic Surgeon

www.drkaram.com

+1

Neck lift with facelift can be a necessity

Very often when we look at the result of a facelift procedure our eye moves from the jowl to the neck, and indeed if the neck is not restored and smooth a facelift is unlikely to meet expectations. The neck is so important in facial rejuvenation that we consider it part of the package, and it is uncommon to see a neck lift as a stand alone procedure. Of course the procedure must match the problem at hand and there are many approaches from liposuction alone, SMAS style procedures, and central... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Corset Platysmaplasty with Facelift

A corset platysmaplasty is one way of dealing with a lax neck during facelift. Not everyone needs it even with a SMAS lift. I, however, almost never open the central neck since changing to a modified MACS Lift, and my necks are better than when I did frequent platysmaplasties. Lack of doing it when not needed will not reduce the effectiveness of the facelift, no matter the technique.  
Robert T. Buchanan, MD

Highlands Plastic Surgeon
+1

Platysmaplasty in conjunction with Facelift

Facelift surgery is individualized per patient. Some patients do need neck work which may include liposuction or platysma tightening as you describe. Other patients do not require a neck approach. If you are the right candidate for your proposed procedure, results or longevity do not depend on whether or not the neck muscles were tightened. A consultation with a board certified plastic surgeon should determine your candidacy and potential results without corset platysmaplasty.  more
Hayley Brown MD

Henderson Plastic Surgeon
+1

There are a number of ways to treat the neck to make it look younger

The treatment for fullness under the neck in anti-aging surgery ranges from simple to complex. What needs to be done really depends on what you need. Not everyone should be "plugged into" one specific treatment. For muscle banding alone without loose skin or jowls, Botox can relax those bands without surgery. For fullness without muscle banding, SmartLipo can remove extra fat and tighten the skin. When combined with a Facelift, I suggest a corset platysmaplasty when there is very... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon
+1

Platysmaplasty

Hi, Plastysmaplasty is usually reserved for patients that have plastymal banding. Otherwise the extra incisions and surgery is not worth the swelling and recovery. Also if you need a plastymalasty in the fuure , it may complicate matters. That said if I saw your pictures I could give you a better answer. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

www.facechange.org

+1

Neck procedures are an important part of a face lift

If you truly need a face lift, the neck laxity is not far behind.  Even if you do not see a lot of neck muscle banding it would be helpful to do some form of muscle tightening at this time.  There are so many types and techniques of face lifts that it is hard to decipher uless you are a surgeon.  If your face lift is going to address the deep supporting layers and not just the skin then the neck should be included.  If you are just doing some form of a mini face lift... more
Marcus L. Peterson, MD

Saint George Plastic Surgeon
+1

Faces can be done withour necks if the problem is only in the face.

The tests if you need a form of platysmaplasty, (and there are many) is if your neck bands are functionally together and if you have a submental collection of fat. This should be checked by your plastic surgeon. In addition, the major reason the "generic face-lifts" do not hold up is that the neck is not adequately addressed. Dr. Mayl Fort Lauderdale 
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon
+1

A much better question is: Should I bother with a facelift if I don't want my neck done?

Dear Girly Facelifts continue to be one of the most powerful cosmetic surgeries we have.  However most people who actually need a facelift need one because of yes, facial laxity, but also neck laxity.  It one does not have a neck cord, then work-around treatments with fillers or minimally invasive lower face and neck liposuction can effectively postpone the need to have a facelift.  However, when the neck cord develops, generally it is time to consider the facelift.... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Facelift with Platysmaplasty

Not every patient who has a Facelift needs a full corset platysmaplasty.  The decision is on a patient by patient basis as too what is right for them.  The neck always has some form of manipulation during a Facelift which could be liposuction, lipectomy, simple skin excision, or full plasysma tightening.  These decisions are made during your consultation with your surgeon.  Hope this was helpful.    Dr D
Louis M. DeJoseph, MD

Atlanta Facial Plastic Surgeon
+1

Neck lift in facelift

Not all patients need neck playtsma plications it really depends upon their anatomy.  An exam would be essential.
Steven Wallach, MD

Manhattan Plastic Surgeon

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