Does the platsyma reattach after surgery?

Question

I had platysmaplasty and 6 months later I noticed the similar look prior to the surgery and I was told it grew back together. I have never heard of this.

Raymond E. Lee, MD · Answer

Hi, thanks for posting and I will try to interpret the question and answer it. The platysma muscle is actually a muscle sheet that separates in the midline as we age forming these two bands aka "turkey neck" or the "elevens."  A platysmaplasty is performed as part of a neck lift. It involves seeing these two muscle bands back together so they are no longer hanging.  It would be analogous to lacing a shoe and then pulling the laces tight.   Additionally, the platysmaplasty muscle bands can be "back cut" at the bottom in a way to relieve the tension akin to cutting a bowstring. Your surgeon may be referring to this cut muscle "reattaching" and appearing again. Also the tightened muscle  can "loosen up" just as a shoelace can loosen after wearing the shoe all day.  I like to use long lasting or permanent sutures to maintain long lasting results. Back cutting the muscle I do on occasion.  Every patient will continue to age at different paces and every surgeon has developed his own techniques to get the best platysmaplasty results.  Hope this explanation helps.

Larry Weinstein, MD · Answer

If it is your neck that is hanging, it is best to get a face lift with SMAS or a Z-lift. The key of this type of lift is to attach the platysma fibers to the periosteum of the mastoid process, the little bump behind your ear. Lifting the platysma which is one of the major parts of the SMAS and then fixating it with permanent sutures allows for a more lasting correction of platysmal bands then a simple platysmaplasty. It would help to see your photos and for you to be evaluated by a board certified plastic surgeon.

Jacques Haddad, MD · Answer

neck bands or platysmal bands are muscle bands that are very visible and distressing for the patients.platysma muscle  is a wide muscle and cover most of the neck.like a lot muscles involved the facial surgery, they are treated adequately but their activity may return at different degree.we, facial surgeon specialist still asking ourself what is the best method to treat them: cut them, paralyse them with botox or suture them ( platysmaplasty).there is no one right answer. it is a combination of those technics. if the patient had a very active muscle band in the neck. it has a higher chance of recurrence even if the adequate treatment has been done.botox can always help to decrease them.to answer your question, yes, what your are experiencing can happen unfortunately

Robert E. Zaworski, MD (retired) · Answer

There are many techniques for addressing the neck platysmal muscles in a face lift.Some Plastic Surgeons stitch the two muscles together in the middle of the neck. Some stitch and do partial cuts. Some divide the muscle low in the neck all the way across.I can't imagine the muscle growing back across a gap but a scar tissue band might have formed.

Does the platsyma reattach after surgery?

Answers (4)

Answer: Does the Platysma muscle grow back?

Answer: Does the Platysma muscle grow back?

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Does the platsyma reattach after surgery?

Answers (4)

Answer: Does the Platysma muscle grow back?

Answer: Does the Platysma muscle grow back?

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Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.