I Second Platysmaplasty Done and I Still Have Prominent Banding, What Can I Do?

asked 4 months ago by Danielle1231 in California
Latest answer by Sam Naficy, MD
Question viewed 147 times
Tags: 5 months post-op, scarring

The 1st procedure was done with a LSL procedure(scars behind and around the ears),with the platysmaplasty scar under the chin. The 2nd procedure was done a year later it took about a half an hour to complete. The scar under the chin again. It has been 5 months since the surgery. I saw the PS a month ago he said there was nothing else that could be done other than botox.I had tried botox before surgery it did not work.It also occurs to me that botox relaxes the muscle and the platysmasty tightens

8 answers to I Second Platysmaplasty Done and I Still Have Prominent Banding, What Can I Do?

The platysma muscle may need to be cut to break the tension of the muscle band

Hi Danielle1231, Very strong platysmal bands ( the vertical muscle bands of the neck) can be difficult to treat. For people who are reading along, who don't understand what neck muscle bands are referring to the edge of the muscle in the neck (the platysma muscle) tents through the skin like a clotheline hidden under a bedsheet. As you pull the clothesline tight, the bedsheet appears to have a band running through it. In my experience, patients who have muscle bands... more

George Yang, MD
New York Facial Plastic Surgeon

Revising your neck bands.

Without seeing either a photo or having a physical exam, it is very hard to give you specific information. That said, it is unlikely that nothing else can be done. A revision, through your same incisions, with either further platysmal tightening from the sides and under the chin, or dividing of the platysma should help. Botox may relax the banding but is temporary. Another opinion may be of help to you. Be sure to see a board certified plastic surgeon. more

Jeffrey M. Darrow, MD
Boston Plastic Surgeon

Platysmaplasty

Without pictures or seeing you in person it is impossible to give you specific advice. However, if you continue to still have banding, you may need to have the muscle divided. This would require re-operating through your existing incisions. If you want a non-surgical option, then I would suggest Botox as your doctor has already suggested. Good luck.

David Shafer, MD
New York Plastic Surgeon

Prominent banding after platysmaplasty

It is very difficult to answer your question without seeing your pictures – you should consider posting images showing your areas of concern. Having said that you may need additional platysmal resection or myotomy

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Recurrent bands after platysmaplasty.

Recurrent bands after platysmaplasty is a complication that can happen when the scar from the surgery forms around the band even after a secondary surgery. I would need to see it to determine what type of surgery can be used if any to fix this. I don't think Botox helps this problem.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Revision Platysmaplasty

Botox works in the short term, but its effects can be pretty minor. Although we all use it for platysmal bands, keep expectations conservative. I would suggest you look at your persistent bands from two points of view. One is technical, in that it is likely that another surgery could help. Surgeons by their very nature are confident in their skills, so most of them would suggest that something more aggressive or different in technique would finally conquer those bands.... more