After my platysmaplasty, I still have vertical lines down my neck. They appear to be the same ones, or new ones next to the old.

Recurrence of vertical lines down the neck (platysma bands) after a platysmaplasty could occur in some patients. Recurrence or appearance of new platysma bands could be improved temporarily and non-surgically with Botox application. More definitive long term management requires re-operation with revision platysmaplasty. Sometimes, in very selected patients, neck bands could be addressed with percutaneous platysmotomy, a minimally invasive procedure that addressed the neck bands

It is rare for patients to have neck lines reappear after receiving platysmaplasty. I would point you towards more long-term solutions. The Laser-Assisted Weekend Necklift is a surgical procedure that provides long-term results and the benefit of a short recovery of only a few days. Kybella is a new injectable that can address your neck in multiple 15-20 minute in-office treatments that, akin to the Laser-Assisted Weekend Necklift, will be more permanent and will provide a short recovery.

The neck bands can re-appear after a platysmaplasty, especially in patients with thin necks. For the time being, Botox can help. Speak to your surgeon to see if he thinks it worth going back in again.