SMAS Facelift: Q&A
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Still Have Plastyma Bands 4 Months After a SMAS with Submental Platysmaplasty?
I cannot use Botox . What other alternative are there to get rid of platysma banding? If Botox can be used to relax banding, then Is cutting them a possibility - Do they really serve any useful purpose? I'm sure there are a variety of reasons for the platysmaplasty failng, but can a repeat platysmaplasty be done successfully?
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7 Doctor Answers |
Asked by
Mal
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Platysma bands.
Complete removal of the platysma bands with surgery can be dificult. It is possible to go back into the neck for a revision but I would suggest you waitn at least 6 months. The Platysma muscle can be cut and brought together in the midline. This may have already been done at you initial surgery but in some cases may need to be revised despite your surgeons best efforts. Good Luck
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Platysma issue
If the bands did not improve then perhaps they need to be divided inferiorly as well. Best to be seen in person.
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Repeat Platysmaplasty
A platysmaplasty can be done again, and platysmal bands can be released. I would wait at least 6 months to determine if this will be necessary. Kenneth Hughes, MD facelift Los Angeles, CA
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Residual Banding following Platysmaplasty
Final Healing Following SMAS Facelift and Platysmaplasty is Progressive Over Many Months
Although 4 months have passed it is likely that it will improve at least somewhat over the next 6 months.Without seeing your photos or without an exam it would be impossible to tell, but a good question for your plastic surgeon. If it does not resolve by a year post op then it is likely to require a separate treatment option. Yes cutting the bands at their base may solve this problem and is an...
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Failed Treatment of the Neck
BOTOX has been described in the treatment of platysmal bands but I do not recommend it. Reoperation is a reasonable option. I would wait at least 2 additional months before considering that option. Lastly the many reasons for your first platysmaplasty failing (whatever they were) need to be corrected/addressed.
Dr. ES
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Still Have Platysmal Bands After Facelift
In my experience, there are a few options that can help with losseness under the skin after a facelift, the recurrence of platysmal bands, or residual fat that is left in the centeral neck space. I will list my experience with each option:
1. For extra loose skin in the submental space, the best non-surgical option for correction is Thermage or Ulthera. One can also use other RF devices or fractional lasers to some extend as well to tighten the last bit of skin in this space....
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Platymaplasty
A repeat platysmaplasty would probably improve your bands. However one need a good examination to dtermine the cause of your platysma bands. Occaisionaly fat grafting may be needed if the cause is skelotinizing the neck and removing too much fat
Baltimore Plastic Surgeon
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