Platysmaplasty Involving Hyoid Bone?

Question

I recently got chin lipo and a corset platysmaplasty. I really like the results. Quite dramatic. But I still get a soft angle/sagging chin when I completely relax my tongue. When mewing or even slightly mewing, I have a perfect angle. I can't find a lot online about the hyo lift or platysmaplasty that involves stitching to the hyoid bone. I'm wondering if I should consider this at some point or just keep flexing my tongue.

Elie Ramly, MD · Answer

What you are describing makes anatomical sense. Tongue position, the floor-of-mouth muscles, suprahyoid muscles, and hyoid bone can all influence the cervicomental angle and jawline/neck definition. If your neck looks sharp with slight tongue elevation (“mewing”) but becomes softer when your tongue is completely relaxed, some of the remaining contour may relate to hyoid position or deeper neck anatomy, rather than residual submental fat or inadequate platysmaplasty.
Hyoid suspension (hyoid lift) and hyoid-related platysma fixation techniques do exist, although they are specialized procedures and are not necessary or appropriate for most neck lift patients. Some techniques involve fixation to the fascia around the hyoid rather than directly to the hyoid bone itself.
Thank you for your question. Since you already had chin liposuction and corset platysmaplasty with a dramatic improvement that you like, I would recommend allowing the result to fully heal and stabilize before considering additional surgery. Some change in the neck angle with tongue position is normal.
If the relaxed contour still bothers you once completely healed, an in-person examination by a plastic surgeon experienced in deep neck lift anatomy can determine whether the limiting factor is hyoid position, the suprahyoid muscles, digastric anatomy, residual deep fat, chin projection, or another structural feature - and whether additional treatment would provide enough improvement to justify it.

Platysmaplasty Involving Hyoid Bone?

Answers (1)

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