Neck Lift Complication - Submental Scar Tissue Causing Platysmal Rupture. Is This Common?

It certainly is possible to have multiple different problems after face or neck lift surgery. Although small hematomas, infection and salivary gland infection are rare, you are the evidence that they can happen in one patient.

I certainly would not jump to the conclusion that this is your surgeon's fault - both of you had rather bad luck.

In terms of rupture of the platysma, I am not quite sure what you are describing. The platysma is a very pliably broad sheet of muscle. If you do not have an incision under the chin, then lifting is usually accomplished from the sides making breakage of the muscle under chin highly unlikely. I would suggest to have your facelift surgeon explain to you how he got to his diagnosis.

A platysma rupture is not a true diagnosis and I can't even imagine what that means. In some instances, plastic surgeons practice complete transection of the platysma muscle. Hematomas tend to occur in patients with hypertension or on antocoagulants.