I had a face (deep plane)and neck-lift at 60 about 2 years ago. I’m self conscious of the playtsma bands under my neck and the lumpiness. My doctor doesn’t seem to think there’s any issue. Is this normal ? If not, what are my options. Also, I still have jowls, especially when looking down, is that to be expected? Dr says is due to my skins elasticity. Thoughts?
June 22, 2022
Answer: Visible neck bands and jowls after F/N lift Unfortunately, it is not unusual to see platysma muscle bands after face/neck lift. Platysma is working, functional muscle, that continues to contract even after significant portion of muscle is transected or removed. You may try Botox to diminish bands visibility. Jowls, which I do not see that clearly, may be addressed with liposuction with small cannula. Elasticity of your skin and deep skin creases also contribute to overall appearance. In person consultation with a board certified plastic surgeon, expert in face lifts, second opinion, is recommended. Good luck.
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June 22, 2022
Answer: Visible neck bands and jowls after F/N lift Unfortunately, it is not unusual to see platysma muscle bands after face/neck lift. Platysma is working, functional muscle, that continues to contract even after significant portion of muscle is transected or removed. You may try Botox to diminish bands visibility. Jowls, which I do not see that clearly, may be addressed with liposuction with small cannula. Elasticity of your skin and deep skin creases also contribute to overall appearance. In person consultation with a board certified plastic surgeon, expert in face lifts, second opinion, is recommended. Good luck.
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June 19, 2022
Answer: Facelift You have 2 widely spaced platysmal bands which cannot be remedied by a platysmaplasty. Jowls look worse when looking down. In the head neutral position, your neck profile is not bad, which is how results are evaluated (in the head neutral position). I don’t have any pre op photos so I can’t tell your starting point. It’s been two years and we hope lifts last many years. But your skin looks like it’s lost elasticity which the the main reason for loosening. A SMAS plication may not get your desired result on the platysmal bands but will help your jowls. Going back into a deep plane can be done but it depends on the surgeon, but your best bet with regard to those bands is a deep plane lift.
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June 19, 2022
Answer: Facelift You have 2 widely spaced platysmal bands which cannot be remedied by a platysmaplasty. Jowls look worse when looking down. In the head neutral position, your neck profile is not bad, which is how results are evaluated (in the head neutral position). I don’t have any pre op photos so I can’t tell your starting point. It’s been two years and we hope lifts last many years. But your skin looks like it’s lost elasticity which the the main reason for loosening. A SMAS plication may not get your desired result on the platysmal bands but will help your jowls. Going back into a deep plane can be done but it depends on the surgeon, but your best bet with regard to those bands is a deep plane lift.
Helpful