Neck muscle falling after deep plane facelift - what corrective options do I have? (photo)

Did you also get a necklift at that time? A necklift involves a separate incision under the chin, and it ties the platysmal bands together, those are the bands that you are seeing in your neck.

if you did have one performed, then consider some botox in the platysma muscle, as in some patinets, its very strong and needs some relaxing after surgery.

otherwise, sometimes patients need touchups after surgery to improve on whats already been done, so pls have that conversation with your surgeon.

Good morning from Washington DC,Thank you for your question and the photo. It appears as if we are seeing something called a platysmal band. The platysma is a sheet of muscle in the neck and lower face that is released during surgery and resuspended back and up. Sometimes during a deep plane facelift, surgeons may perform platysmaplasty from an incision under your chin to put that muscle back together in the midline. If they performed that procedure, some of the sutures to put that muscle back together could have split or your muscles were just too strong for the surgical correction. Even with surgery, it is very difficult to get those platysmal bands to go away forever. Thankfully, some botox/neuromodulator can be used to relax the muscle and decrease it's visibility. Should be a quick and easy fix. Best of luck and I hope this helps!Jigar Sitapara, MDChevy Chase Facial Plastic Surgery