Plication/reefing of digastric muscle in neck lift surgery? (photos)

Question

I had a consultation with my plastic surgeon because I have some concerns involving all my neck area. I'm a 25 year old male and in spite of not being overweight I have a lot of fat and sagging skin (see pics). He gave me a budget for neck liposuction and "digastric muscle reefing", but I can't find any info about this procedure anywhere. I only found descriptions of platysma plication and digastric muscle removal. Can I trust this surgeon and this method? Thank you.

Alejandro J. Quiroz, MD · Answer

You are right.  Normally the digastric muscle is removed and is aproximase in the center.  Is also possible to use sutures in the center to unite the two bellies of the muscle together

Zoran Potparic, MD · Answer

Very likely that your problem can not be solved with liposuction only. It appears, based on these photos, that significant contribution to your neck fullness comes from deep fat underneath the platysma muscles. In some cases bulk of digastric muscles, which are even deeper, may contribute to submental fullness. Only on the basis of direct exploration and after partial removal of deep fat, a surgeon can evaluate size and contribution of digastric muscles to underlying condition and treat it with partial trimming/resection. Hope this helps. Good luck.

Plication/reefing of digastric muscle in neck lift surgery? (photos)

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