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What’s the best course of action to treat my platysmal bands? (Photo)

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TrishalishAug 31, 2023
I am 52, I’ve been using Botox on my neck for the last 8 years to stop the platysmal bands from showing. The last time I went, I didn’t feel like they gave me any real difference. It’s been 1 month since the tox. My questions are: Is there something I can tell the injector to get a better result? Would I be a candidate for a mini neck lift? Can I just get a corset platysmal band procedure? Is there any doctor in Florida that performs the corset Platysmal band precedure?

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Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
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Dr. William Portuese, MD
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Dr. Darryl J. Blinski, MD
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Lexie Wang, MD

Hi! The answer to this question depends on what bothers you about your neck. If it is primarily skin laxity, you could always try ultherapy again. However, from what I see in your photos, you also have platysmal bands (the two vertical lines under your chin in photos 2-3). Neurotoxin can soften...

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Brian K. Machida, MD, FACS

It looks like either the platysmal sutures were dehiscent or possible resection of midline fat under the platysma or prominent anterior digastric muscles. This cannot be corrected by more of the same technique. A routine platysmaplasty with a SMAS lift may not correct your problem. For this,...

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Jeffrey H. Spiegel, MD

A facelift would be a good option (this is a neck lift that will also address some of the jowling. But, there is an office procedure (necktite plus morpheus) which is called "embrace" and it really works. Look for information and watch our videos. It's an office procedure and you'd be great for...

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William Portuese, MD

A mini necklift will give mini results, and will not address your concerns. Consider a lower face and neck lift which will accomplish tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing residual fat deposits in the neck which also...

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William Portuese, MD

Yes, a mini necklift would involve performing a platysma-plasty to help improve those two platysma muscle cords located in your neck. To accomplish this, there's a small incision located underneath the chin crease. Alternatively you can also try Botox in the muscle cords first, and then if that...

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Brian K. Machida, MD, FACS

Another set of problems has developed with your approach. Your platysmal bands have been exposed now that your fat has been removed. A mini-lift does not address this problem because it is too close to the middle. Mini lifts do not address the submental neck well. At this point, you can try...

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