Do I have procedure options 6 months after platysmaplasty? Cobra neck and wrinkles worsening, unsure how to proceed. (photos)

Question

6 months after platysmaplasty to fix bands left by lipo (no new lipo, no skin or submental fat removal, no ear incisions, just front corset and hyoid fixation) I have Adam’s apple (I’m a woman), cobra neck (hollow where platysma fixated to hyoid, bands pull forward on either side), and wrinkles when I turn my head. What can be done? See other posts for more detail. Doc says will go away but has gotten worse and I’m not sure if I should trust him again. I’m only 32, neck now looks like old lady.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Brian K. Machida, MD, FACS · Answer

You appear to have a dehiscence in your corsette because I can see the edges of your medial platysma but appear to have been resected and are now open. You have pictures of skin irritation but these are not close to the hyoid and typically not the location for any sutures. Even though there was no new Lipo, with each skin elevation from surgery the layer gets thinner and skin gets fixated to the muscle(reason why it wrinkles with head turning but this can happen with any liposuction above the muscle). Plus your submandibular glands are visible.

Solution: you are not going to like. Bands need to be pulled laterally and up over the jawline with a deep plane face and neck lift. Medial compartment needs to be revisited and work must be done under the platysma and to revise the hyoid fixation and reapproximate the platysma. Paramedian bands are addressed with a deep plane lateral pulls    with a face and neck lift. Best of luck

Zoran Potparic, MD · Answer

Based on these photos and ongoing infection (suture granuloma?) it would be in your best interest to wait until process has settled. It may take good year or so. Only after result is stable, one could make dacision what to do by means of revision. Be patient. Good luck.

Darryl J. Blinski, MD · Answer

Appears you are deficient in sub dermal fat from over lipo or excision plus need MyElevate neck suture technique 
Fee $10,000
Best yo virtual consult with

Do I have procedure options 6 months after platysmaplasty? Cobra neck and wrinkles worsening, unsure how to proceed. (photos)

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