Can a platysmaplasty make neck banding worse in the future? (Photo)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Thank you for your question. When done by an experienced facial plastic surgeon, neck lift procedures can produce favorable, natural-looking results. During a neck lift, platysmaplasty is performed to tighten the neck muscles in addition to repositioning tissue and removing any excess skin for the optimal contour. This should not negatively impact the aging process on the neck, including horizontal banding.
Lifting the deeper tissues that can cause horizontal banding prior to excising loose skin can produce results that are firm, smooth, and long-lasting. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can answer any questions you may have and help you decide on how to move forward.

It is very difficult to answer so many questions without any information about your problem. Series of good photos and/or in person evaluation would be much better way to start this discussion. Good luck.

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.