Muscle remain swollen, painful and keep getting thicker 2 years after platysmaplasty. Any suggestions on why and traetment?

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.

It would be very difficult to give you a meaningful answer without in person consultation. Consultation with a board certified plastic surgeon with good reputation in face lifts is recommended. Good luck.

If you're experiencing persistent swelling, pain, and thickening of the muscles two years after a platysmaplasty procedure, it's important to consult with your surgeon or a qualified medical professional who can evaluate your specific situation and provide appropriate advice.


In some cases, an infection or ongoing inflammation can cause persistent symptoms. It's important to rule out any underlying infections or inflammatory conditions that may be contributing to your symptoms.

Excessive scar tissue formation or the development of fibrosis could also potentially lead to ongoing swelling, pain, and thickening of the muscles. Nerves in the area could be irritated or damaged during the surgery, which may lead to ongoing pain and muscle dysfunction. It's also possible that the platysmaplasty procedure may have resulted in muscle imbalances or abnormalities, leading to ongoing symptoms.

Treatment options for your condition will depend on the underlying cause. It's crucial to consult with your surgeon or seek a second opinion from another qualified medical professional. They will be able to assess your specific situation, perform any necessary examinations or tests, and provide appropriate recommendations for further evaluation or treatment.

I hope this helps,
best of luck !

You did not post photos, so I cannot be specific. I would suspect you may be having issues with a submandibular gland. Go back to your surgeon and discuss your concerns. External ultrasound treatment might be helpful.