I'm 63. I have two vertical bands down the middle of my neck, however they are clearly loose skin and not the muscle protruding. This is NOT from weight loss, just laxity from age. I plan to get a deep plane neck/face lift, however I've heard too many problems with platysmaplasty, Longterm "choking" effect, as well as the fact that the bands can return within a year or so. If it's purely loose skin is it possible to just excise that instead of a platysmaplasty?
June 28, 2022
Answer: Platysmoplasty Only on the basis of in person evaluation, an experienced, board certified plastic surgeon with long experience in face/neck lift, can decide whether platysmoplasty is indicated or not. We open anterior neck in over 90% of face/neck lifts and perform platysmoplasty in most of them, but not all. Sometimes, decision to do platysmoplasty or not is made during surgery, when clinical situation dictates it. Hope this helps.
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June 28, 2022
Answer: Platysmoplasty Only on the basis of in person evaluation, an experienced, board certified plastic surgeon with long experience in face/neck lift, can decide whether platysmoplasty is indicated or not. We open anterior neck in over 90% of face/neck lifts and perform platysmoplasty in most of them, but not all. Sometimes, decision to do platysmoplasty or not is made during surgery, when clinical situation dictates it. Hope this helps.
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June 27, 2022
Answer: Need for Platysmaplasty in Necklift In each person's case, the surgical plan should be based on the anatomical causes of any aging changes found on examination. You should depend on the advice of a plastic surgeon experienced with necklift surgery. Keep in mind that what you see in the mirror may not accurately reflect the underlying anatomy. In my experience and that of many other surgeons, the addition of a platysmaplasty, with partial transection of the platysma borders, creates a smoother, more defined neck contour that lasts longer than just with skin tightening, in most cases. The lifting and suture support of the platysma has been found to be an important component of most necklifts. However, if the surgeon agrees that you don't have any muscle looseness, than perhaps just skin tightening and the lifting effect of the deep plane facelift will suffice.
Helpful
June 27, 2022
Answer: Need for Platysmaplasty in Necklift In each person's case, the surgical plan should be based on the anatomical causes of any aging changes found on examination. You should depend on the advice of a plastic surgeon experienced with necklift surgery. Keep in mind that what you see in the mirror may not accurately reflect the underlying anatomy. In my experience and that of many other surgeons, the addition of a platysmaplasty, with partial transection of the platysma borders, creates a smoother, more defined neck contour that lasts longer than just with skin tightening, in most cases. The lifting and suture support of the platysma has been found to be an important component of most necklifts. However, if the surgeon agrees that you don't have any muscle looseness, than perhaps just skin tightening and the lifting effect of the deep plane facelift will suffice.
Helpful
