Neck platysmal bands at age 29 - who is the best person to consult for this? (photos)

Hello! It is a platysmal band, which is a muscle in the neck that can become more visible and prominent as we age, due to certain medical conditions or genetics. In some cases, platysmal bands can be present from a young age, as you've mentioned.

If you're unsure about the cause of your platysmal band, it would be best to consult with a board-certified plastic surgeon or a facial plastic surgeon. They can examine your neck and determine if the band is due to muscle laxity or excess skin, and then recommend appropriate treatment options.

Treatment options may include Botox injections to relax the muscle, surgery to tighten the muscle, or a combination of both. Your surgeon will be able to discuss these options with you and help you determine the best approach for your individual needs.

It's important to choose a surgeon with experience in neck rejuvenation procedures to ensure that you receive safe and effective treatment.

The visible platysmal band you're referring to is a common concern and, as you've mentioned, not necessarily age-related. Platysmal bands can appear in younger individuals due to genetic predisposition or specific muscle anatomy.

A non-surgical approach could work well for your situation. Botox or similar neuromodulators are an effective first-line treatment for softening the appearance of platysmal bands. By relaxing the muscle, the bands become less prominent, and results typically last three to four months. This treatment is quick, minimally invasive, and performed in-office with no downtime.

For longer-lasting results and additional tightening, you may want to explore low-intensity extracorporeal shock wave therapy (LI-ESWT) or PRP therapy combined with microneedling. These treatments stimulate collagen production, improve skin elasticity, and enhance overall skin tone, addressing mild laxity around the neck.

If the concern persists or you're looking for more dramatic results, a thread lift could be an option. This minimally invasive procedure involves inserting absorbable threads under the skin to physically lift and support sagging areas, while stimulating collagen for longer-term improvements.

Ultimately, a tailored approach is best. Consulting with an experienced practitioner, ideally someone skilled in both non-surgical and minimally invasive treatments, will help determine the right solution for your unique anatomy and goals. I hope this information helps, and I’d encourage you to schedule a consultation to explore these options further!