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What is Platysmal Suspension?

I've had my neck liposuctioned yet my neck still lies well under my chin. Doctors and others have said that I have a weak chin profile. I'd rather not get a chin implant though. I've heard of this platysmal suspension. Is it a permanent sling?

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4 Doctor Answers | Asked by mbalta in tucson, az

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Platysmaplasty works

Liposuction alone does not address one of the major changes that occurs to the neck/facial complex with aging. The platysma, which is considered one of the muscles of facial expression, loses tone and literally becomes looser over time. We refer to the cords that form below the chin as "platysmal bands". A platysmaplasty, which can be performed in isolation, or in combination with a Facelift, tightens and re suspends this muscle. A "Giampapa" suture, which is an... more

Platysma suspension

There are many different techniques for platysma suspension. Dr. Giampapa popularized the suture chin/neck sling. His technique is performed from an anterior AND posterior approach. Other techniques just rely on the posterior (behind the ear) technique with stitches placed to lift and secure the frontalis muscle. Some techniques utilize skin resection but this depends on the amount of skin laxity.

Chin augmentation can help, but a good Neck Lift can tighten the loose neck

A chin implant and augmentation can improve the lax tissue under the chin by pulling up the tissues that are causing the sagging double chin. It can improve the neck lift even more than when a neck lift is done alone. A neck lift done well though can significantly tighten the neck. The key is how the platysma muscle is treated. This muscle is essential to how the neck looks. When doing a neck lift, the platysma must be tightened from just under the chin to the bottom of the neck area. This... more

Philip Young, MD

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Bellevue Facial Plastic Surgeon

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Submental Platysmaplasty and Chin Implant

After a certain age, submental liposuction can be counterproductive making the laxity under the chin worse. The platysma and neck skin sag together. In most cases, submental platysmaplasty is the best way to approach this problem. This procedure creates a muscle sling which will lift the neck. This will produce a long lasting jaw neck line without redundancy. However, if there is a true skeletal deficiency causing a weak chin, then a chin or mandibular implant is extremely helpful in... more

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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.

Chin Surgery: Q&A