5 months post op deep plane facelift, platysma muscle is TOO tight. Suggestions?

I'm really sorry about your discomfort. This can be rather common with aggressive platysma redraping, but typically resolves with frequent massage and time. Injections often help but, again, take time to work. You are still relatively early in the healing period so try to stay patient and best of luck. 

If the platysma feels tight, and it is not significantly improving, one additional option is to release the platysma sutures that are placed in the mastoid region behind the ears.  

I agree with Dr. Stevens.  IA big question...how does it look?  If there is no cobra-necking/banding, etc. I would do intensive massage and physical therapy before undergoing a surgical procedure.

Deep plane face lift is the best procedure to have a great result. Regarding the tightening of the neck is normal since in neck lift we do platysmaplasty with suturing and that cause the first year a bit feeling tighten but it relapse a bit with time and with some physical movement and stretching. It would be great if we can see in pictures or feel it to see if there is other option could help. 
Best regards

Prior to releasing sutures I would certainly try physical therapy techniques on the neck including ultrasound, massage, stretching in addition to the injections.  If a failure of these conservative, non surgical techniques fail then the sutures can be released through very small incisions.   I

Massage, exercise and time should help a lot. Absolutely discuss with your surgeon. but try to get active, and do neck stretching and exercise to loosen tight deep scar tissue. Warm compresses can help as well. Good luck!

I would have a honest and complete conversation with your plastic surgeon. I am certain he / she will be happy to help you understand the long term results associated with this surgery. I am also certain he /  she will be happy to do what is necessary to improve your quality of lift. Good luck Stephen M. Davis, MD, FACS
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