Platysmal bands post surgery caused by internal scar tissue or over-correction? (Photo)

Question

Platysmaplasty w/ lipo 5 months ago, still have a prominent band midline upon rest. 2 rounds of botox, silicone sheets and massage provide no improvement. PS thinks it's muscle scar tissue causing tenting (incision scar looks great.) Wants to f/u with steroid injection, I'm concerned with skin thinning. Band is more pliable than 2 months ago, still very tight. Is this a case of over-correction or over active scar tissue? 33yo non-smoker, these are obviously not the results I expected.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. It would be helpful for you to remain patient and allow your recent procedures time to take effect. It may be due to over-correction. Please remain patient and always consult with a board certified facial plastic surgeon.
Best wishes,

Brian K. Machida, MD, FACS · Answer

I would let this settle longer after which you might consider revision of the procedure. It's definitely caused by the muscle but I don't believe it's due to overcorrection.  Follow up with your surgeon on this concern.

Platysmal bands post surgery caused by internal scar tissue or over-correction? (Photo)

Answers (2)