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Neck Band Re-do After Submentoplasty?

I am 47, someone thin, really good skin tone. In June, I had submentoplasty without the skin incision to remove banding. It looks a lot better than before but I still have two small bands located right at the junction of the cervicomental angle. They do not extend down my neck, they are just in the angled area, maybe about 3/4 inch long. When I clench my teeth, everything flattens out nicely. But when I am relaxed, they are visible. Should I redo the bands, skin incision, fat added? What is the best remedy? Thanks.

Asked 35 months ago by tina0098 in Newport Beach, Ca

It depends on the cause.

If they are truly small bands(muscle) they can be excised. I doubt that these are bands. It t is probably a pseudo-band caused by excess skin which would be best handled by a mini lift with fixation of the muscle behind the ear.

Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

May not be muscle bands, but "imprinted" neck skin still holding the shape from the prior neck bands.

Hi Tina, I read your description carefully, and the one unusual thing that you described was that the two little bands flatten out when you clench your teeth. This is different from what normally happens when someone already has platysmal muscle bands. If the person has very small platysmal muscle bands when they are relaxed, the bands can get thicker and longer when the person clenches their jaw/teeth. This is different from what you have described,... more

George Yang, MD

New York Facial Plastic Surgeon

Botox

I have done botox to this for my patients directly into the bands. It has been very helpful. The surgical option is to sew the neck muscles together, which is called a platysmaplasty.

Andrew T. Cohen, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Persistent neck bands

Persistent neck bands after surgery can be treated surgically by imbricating them or sometimes dividing them. A non-surgical treatment is using botox.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Persistent neck bands after submentoplasty

The bands in your picture can be addressed in several ways. If they are muscle bands, you can try some botox as a nonsurgical treatment that might help to diminish their appearance. Alternatively through a submental incision they can be either incised and removed or then can be sutured together. However, I caution you that sometimes suturing them in the midline can result in one hanging band especially if there is loose skin contributing to the cause. You might need some skin removal as... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

Corset platysmaplasty is different!

Many doctors resuture the medial edges of the platysma together to eliminate these bands. The majority only tighten the bads to the anfgle of the neck, but no further. This gives some people the look you show. A corset platysmaplasty will tighten these bands all the way down your neck, giving a nicer and more durable results. Lesser options include: Botox, needle transection fof the bands or filling the srea with fat to camouflage the bands.

Robert M. Freund, MD

New York Plastic Surgeon

ASPS

There are 3 options.

To tina0098, Hi! Here are some suggestion: 1) Botox will erase these bands, but you have to do it three times a year. 2) With an isolated neck lift through a short incision under the chin, the muscles can be sutured together to create a sling and eliminate the bands. 3) The bands can actually be cut out through a half inch incision right over each band. The scars usually fade nicely and look like a natural fold low in the neck.