Neck bands present at rest. No extreme weight loss/gain, no previous procedures. Just unlucky and so self conscious. My goal would be to have a procedure that smooths my neck line and eliminates neck bands. Is this possible, a realistic expectation? What procedure is recommended? Cost in DC area? Complications/liklihood? Recovery time? Scaring? How long will results last? When/if the bands return, will they be worse than if I had nothing done? Please help!!! I'm miserable.
August 19, 2016
Answer: 36yo neck bands Hello Me x 3-You are young and look youthful. Please try botox in these neck bands but make sure the enough of the medial edge of the platysmal band is injected. This is your best option currently.A conservative anterior neck dissection with approximation of the medial bands and back-cutting of the platysmal muscle may be option, but understand the risks. Good luck.
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August 19, 2016
Answer: 36yo neck bands Hello Me x 3-You are young and look youthful. Please try botox in these neck bands but make sure the enough of the medial edge of the platysmal band is injected. This is your best option currently.A conservative anterior neck dissection with approximation of the medial bands and back-cutting of the platysmal muscle may be option, but understand the risks. Good luck.
Helpful
August 31, 2014
Answer: Neck bands Dear Me x 3, Thanks for submitting your pictures. From the pictures it appears that you have very little skin laxity and mainly sub mental and lateral platysma muscles bands. Since you are so young, you have few options : 1. Botox injections - They need to be repeated every 3 -4 months and will eliminate or significantly reduce the bands. There is no surgery and no down time. 2. Platysmorrhaphy - Small incision under the chin. Undernining the skin and exposing the platysma muscles that are being undermined too, subsequently. If there is fat under the muscles centrally , it is removed and the muscles are being plicated and the excess muscle is excised. 3. Neck lift - This option appears to be excessive in your case because it's done to tighten excess skin and muscles laterally and the incision goes around the lower ear , extending into the hairline. 4. MACS face lift - This option is good if you have deep naso labial folds, tear trough deformity and jowls. This surgery is the most comprehensive and improves on the face and neck, including the bands. The incision goes from the pre temple hairline ( the incision here is beveled and allows hair to grow through it and camouflage it ), continuing downward and ending around the ear lobes. In summary, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, make sure that the surgeons show you many before and after pictures that are consistent and attractive. Discuss cost issues with the surgeons, because as you can see, there are few treatment options and there is the additional time element that is dependent on the complexity of the procedure. The cost of Botox in my practice is $12 per unit. Best of luck, Dr Widder
Helpful
August 31, 2014
Answer: Neck bands Dear Me x 3, Thanks for submitting your pictures. From the pictures it appears that you have very little skin laxity and mainly sub mental and lateral platysma muscles bands. Since you are so young, you have few options : 1. Botox injections - They need to be repeated every 3 -4 months and will eliminate or significantly reduce the bands. There is no surgery and no down time. 2. Platysmorrhaphy - Small incision under the chin. Undernining the skin and exposing the platysma muscles that are being undermined too, subsequently. If there is fat under the muscles centrally , it is removed and the muscles are being plicated and the excess muscle is excised. 3. Neck lift - This option appears to be excessive in your case because it's done to tighten excess skin and muscles laterally and the incision goes around the lower ear , extending into the hairline. 4. MACS face lift - This option is good if you have deep naso labial folds, tear trough deformity and jowls. This surgery is the most comprehensive and improves on the face and neck, including the bands. The incision goes from the pre temple hairline ( the incision here is beveled and allows hair to grow through it and camouflage it ), continuing downward and ending around the ear lobes. In summary, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, make sure that the surgeons show you many before and after pictures that are consistent and attractive. Discuss cost issues with the surgeons, because as you can see, there are few treatment options and there is the additional time element that is dependent on the complexity of the procedure. The cost of Botox in my practice is $12 per unit. Best of luck, Dr Widder
Helpful
