When and Why Do Platysmaplasties Fail?

asked 1 year ago by Danielle1231 in California
Latest answer by Steven Wallach, MD
Question viewed 319 times
Tags: age 45-54, causes, failure, neck bands

I had a platysmaplasty and lower facelift 3 weeks ago and I still have persistant bands showing. I am 46 yrs old, I do not smoke and have good skin elasticity. I feel very dissapointed,can anything be done to get rid of theses bands? Thank you

4 answers to When and Why Do Platysmaplasties Fail?

Management of plastysma bands "turkey neck" with face and/or neck lift

The management of platysma bands is controversial. Some surgeons advocate an anterior platysmaplasty or platysmorrhaphy while others prefer partial or even complete transection of the bands. Many surgeons favor complete abandonment of the anterior approach with a posterior approach as their preferred option. Failure can be due to a number of reasons ranging from technique, wound tension (too much or too little), animation tendencies, suture pull through or ("cheese wiriing) or... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Platysma bands after surgery

It is difficult to say why you have platysma banding three weeks after surgery. It is always key to knwo what was done in surgery to attempt to eliminate the bands first and then one can go from there.

Steven Wallach, MD
Manhattan Plastic Surgeon

When and Why Do Platysmaplasties Fail

Persistent bands 3 weeks after surgery are almost always due to the surgeon having not sutured the platysma muscle together in the midline. It is most commenly the result of fat on top of the muscle which obscures the surgeons view of the muscle. If you did not have an incision under your chin, you likely did not have a platysmaplasty. In my opinion, medial bands can not be reliably and significantly corrected without suturing the muscle together via the incision under your chin.... more