I am 60 years old and ever since a lipo procedure under my chin about 6 years ago my neck has looked worse snd my platysmal bands show. What can I do to help the appearance of my neck? Thank you!
February 14, 2022
Answer: Necklift with corset Platysmaplasty and lower facelift Hi Nursedebbie, neck/chin liposuction for a double chin often times deflates the double chin, but results in vertical muscle bands (clench your jaw to show all your lower teeth and you will see two vertical neck muscles protruding through the neck skin) and loose skin. It is not unlike a person who loses an extreme amount of weight then left with a lot of loose skin which can only be “tailored” out with a tummy tuck. If we had clothes which we wore when we are heavier then lose weight/fat then our clothes won’t fit nicely. The clothes can be take to a tailor to make them fit nicely without making it look like we are swimming in the clothes. The platysma muscle is the like the liner of a sport coat. To do the job right, both the skin and the platysma muscle needs to be tailor fitted. In the past, some surgeons would try to do a facelift to pull up the excess skin on the sides of the face and neck but it would leave the excess/stretched platysma muscle untreated/tailored. To prove this try lifting the cheeks and sides of the face while looking at your profile in a bathroom mirror. Note the loose muscle bands and neck skin is never smooth out out enough. The profile view doesn’t get the loose skin under the chin smooth and flat just by pulling on the cheeks and temple. After adding the Corset Platysmaplasty to my “toolbox” back in 2006, which sutures the muscle bands at the front of the neck together, my results became much more consistent. Lifting from the sides with a facelift alone would help remove some excessneck skin but would not change the muscle bands since they were essentially untreated. Many lower facelift and mini facelifts, are simply operations on the sides of the face rearranging the SMAS tissue, but less to nothing was done on the front the neck. Maybe some liposuction which may help remove fat, but sometimes only reveals the muscle bands which in some ways makes the neck look older than just having a double chin which just looks like the person is heavier, but not older. Hope this provides some value to you. Keep doing your research and good luck in your neck rejuvenation journey. Best, Dr. Yang
Helpful
February 14, 2022
Answer: Necklift with corset Platysmaplasty and lower facelift Hi Nursedebbie, neck/chin liposuction for a double chin often times deflates the double chin, but results in vertical muscle bands (clench your jaw to show all your lower teeth and you will see two vertical neck muscles protruding through the neck skin) and loose skin. It is not unlike a person who loses an extreme amount of weight then left with a lot of loose skin which can only be “tailored” out with a tummy tuck. If we had clothes which we wore when we are heavier then lose weight/fat then our clothes won’t fit nicely. The clothes can be take to a tailor to make them fit nicely without making it look like we are swimming in the clothes. The platysma muscle is the like the liner of a sport coat. To do the job right, both the skin and the platysma muscle needs to be tailor fitted. In the past, some surgeons would try to do a facelift to pull up the excess skin on the sides of the face and neck but it would leave the excess/stretched platysma muscle untreated/tailored. To prove this try lifting the cheeks and sides of the face while looking at your profile in a bathroom mirror. Note the loose muscle bands and neck skin is never smooth out out enough. The profile view doesn’t get the loose skin under the chin smooth and flat just by pulling on the cheeks and temple. After adding the Corset Platysmaplasty to my “toolbox” back in 2006, which sutures the muscle bands at the front of the neck together, my results became much more consistent. Lifting from the sides with a facelift alone would help remove some excessneck skin but would not change the muscle bands since they were essentially untreated. Many lower facelift and mini facelifts, are simply operations on the sides of the face rearranging the SMAS tissue, but less to nothing was done on the front the neck. Maybe some liposuction which may help remove fat, but sometimes only reveals the muscle bands which in some ways makes the neck look older than just having a double chin which just looks like the person is heavier, but not older. Hope this provides some value to you. Keep doing your research and good luck in your neck rejuvenation journey. Best, Dr. Yang
Helpful
February 6, 2022
Answer: Lower face and neck lift... Based on your photos, you are a great candidate for necklift along with the jawline lift. This will tighten the muscle and lift up the skin, making it appear much more youthful. Be sure to see a facial specialist for consultation.
Helpful
February 6, 2022
Answer: Lower face and neck lift... Based on your photos, you are a great candidate for necklift along with the jawline lift. This will tighten the muscle and lift up the skin, making it appear much more youthful. Be sure to see a facial specialist for consultation.
Helpful