Platysmaplasty or Neck lift - which option is best for addressing my platysma bands and weak chin?

I would recommend a deep plane neck lift to sculpt the structures below the platysma muscle and release the platysmal bands (also perform a platysmaplasty). This will help reduce the volume below the jawline and provide better contour. You need to cut the bands directly and release the posterior cervical fascia (this is where the platysma muscle inserts into the neck and causes the linear bands). Despite this, there is still a chance of platysmal band recurrence (up to 50%) chance. You need to find an American Board of Plastic Surgery certified surgeon; ideally, this surgeon has also completed an aesthetic fellowship accredited by the Aesthetic Society.

Based on your photos and your age I would start with some Botox for the bands and maybe RF microneedling for the skin laxity. If your chin bothers you then a chin implant works very well to add projection, and this also help with the appearance of skin laxity under your chin and jaw line. A surgical neck lift would be a bit too much for your concerns! Hope that helps!

Hello bg116209,
Thanks for your question. Looking at the photos you've provided, I have a sneaky suspicion that your best option would a proper necklift with platysmaplasty and placement of a subtle chin implant to vertically lengthen and project your somewhat turned up chin on profile view. When expertly performed, this will create better jawline shadows and give your face more balance than if you were to perform a platysmaplasty alone or platysmaplasty with chin implant. The patient in my link below has had this exact procedure.
I hope this helps?
Dr. Shah