Does having a neck lift compromise the underlying structure of the neck and potentially increase the likelihood of noticeable banding in subsequent years? Can sutures fail? I see a lot of women with tight faces and prominent neckbands. I do not want that outcome. Years ago, when I had implants, doctors minimized the number of issues that could arise years after the procedure. I rarely saw implants without an issue requiring a revision. I do not want the same outcome with my face.
October 7, 2022
Answer: Loong Term Effects of Platysmaplasty Having a platysmaplasty in which the anterior borders of the platysma muscles are sutured together and upward in the front of the neck, and often with removal of a small wedge of muscle below the suturing, should not compromise the underlying neck structure or predispose you to neck band recurrence in the future. However, be aware that there is no absolutely 100% solution for neck bands. Every surgeon has occasionally had a patient who developed bands again some time in the future despite what seemed like a well-done platysmaplasty. This topic has been discussed at national meetings for years. Some surgeons advocate cutting the entire width of the muscle horizontally to prevent band recurrence, but this has risks and isn't frequently done. Also, be aware that significant fat removal along the surface of the platysma muscle may "unmask" muscle fibers and make muscle bands more visible.
Helpful
October 7, 2022
Answer: Loong Term Effects of Platysmaplasty Having a platysmaplasty in which the anterior borders of the platysma muscles are sutured together and upward in the front of the neck, and often with removal of a small wedge of muscle below the suturing, should not compromise the underlying neck structure or predispose you to neck band recurrence in the future. However, be aware that there is no absolutely 100% solution for neck bands. Every surgeon has occasionally had a patient who developed bands again some time in the future despite what seemed like a well-done platysmaplasty. This topic has been discussed at national meetings for years. Some surgeons advocate cutting the entire width of the muscle horizontally to prevent band recurrence, but this has risks and isn't frequently done. Also, be aware that significant fat removal along the surface of the platysma muscle may "unmask" muscle fibers and make muscle bands more visible.
Helpful