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Second Failed Platysmaplasty What Can I Do Now?

asked 6 months ago by Gabrielle100 in Portland,Oregon
Latest answer by Sam Naficy, MD
Question viewed 135 times
Tags: 1 year post-op, neck bands, options, revision, unsatisfied

I had my first failed platysmaplasty 1 year ago, my second was done 9 weeks ago(10 months after the first). I am a 47 yr old female,non smoker with decent skin elasticity. I do however have very prominent platysma bands. I am wondering if there is anything that can be done to impove my neck at this point. The first platysmplasty was done with under the chin and behind the ear incisions. The second was done with an under the chin incision only.Each done by 2 different doctors at the same practice

5 answers to Second Failed Platysmaplasty What Can I Do Now?

+2

2 failed platysmaplasties

Sorry to hear of your experience Having treated many such patients, I can tell you that you are not alone. Open "carpet" suction on the surface of the muscle and careful preoperative marking of the band on the skin preoperatively, is important. The surgeon must clearly see the edge of the muscle at the time of surgery. You will want to ask your surgeon if the muscle was resected or sutured together in what is commonly called a corset. Revisional surgery after... more
Richard Sadove, MD

Gainesville Plastic Surgeon

www.sadovecosmeticsurgery.com

+1

Unsuccessful platysmaplasty

At this point it's important to diagnose why you have the prominent band as that dictates the correct remedy. The typical causes are: Redundant (loose and excess) muscle Hyperactive (tense) muscle Scar tissue
Sam Naficy, MD

Seattle Facial Plastic Surgeon

seattleface.com

+1

Second Failed Platysmaplasty What Can I Do Now?

Sorry for your issues. But need posted photos to see the defect. Full incision of the bands can be accomplished by open neck/submental technique.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Second Failed Platysmaplasty What Can I Do Now?

The evaluation would be better with photos of your neck before and after the Neck Lift and revision procedure. IMHO, you might want to get several second opinions at this point if for no other eeason but peace of mind. I have performed Neck Lifts, for over 20 years, and IMHO patients should be able to get a pretty smooth, tight neck with a formal Neck Lift.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Failed Surgery

Without seeing pictures (before and after) or seeing you in person, it is impossible to comment specifically on what is going on in your case. 2 failed surgeries sounds very unusual and uncommon. If you have vertical bands, then you may want to consider Botox injections into the bands. Without further information, we really are limited in the advice that we can give. Good Luck.
David Shafer, MD

New York Plastic Surgeon

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