Is it possible to use fat to actually cover platysma bands on upper neck?

Over aggressive liposuction of the neck during face and neck lift procedures can lead to unmasking other irregularities that are more difficult to correct.  I would suggest trying Botox to these prominent platysma bands to see if this softens their appearance.  A formal platysmaplasty may be required if the bands are very noticeable and separation of the muscle is apparent.  I do not feel that fat grafting is going to be of much benefit in this scenario.

Fat injections to the neck is only useful if a special technique of nanofat injections is used.  Otherwise traditional approaches will be useless and give poor outcomes.  Best, Dr. Emer.

Hello and thank you for your question. Based on your description, you will likely do better with a plastysmaplasty.  The best advice you can receive would be from an in-person consultation.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon