I believe that my doctor was brilliant in the neck lift he performed, however I'm concerned that the bands are now more prominent possibly because of the procedure. Could these platysmal bands have been cut too short ? I tried Botox but that is short term remedy. Now I'm considering surgery again but I'm wondering if that will cause more damage? I will meet with my doctor in two weeks but I thought that I would get some more opinions.
January 10, 2020
Answer: Platysmal bands seem more prominent AFTER Platysma bands are the inside edge of the right and left platysma muscle which are bow stringing at the angle of the neck and the under surface of the chin. Not everybody has these visible bands. They can be more prominent in someone with a center neck strains there neck muscles frequently. When we repair the bands, we are usually repairing just the upper part of the bands, that is, the area in the under surface of the chin and at the angle of the neck and the under surface of the chin. This is most commonly done with sutures and there are several techniques for this. It is normal on the lower portion of the neck for the bands to be prominent in someone with a thin neck who is straining. Botox can help soften this. There is no good surgical solution for prominent bands the lower part of the neck. This bands are persisting or appear to have returned at the first neck and under the chin, it is possible that sutures have pulled through the muscle. This is not an infrequent finding as muscles do not hold sutures well. Often, when bands are repaired your surgeon will also partially cut the muscle to decrease the tension on the sutures. However this is not a foolproof method. Discuss your concerns with your surgeon and possible options.
Helpful 2 people found this helpful
January 10, 2020
Answer: Platysmal bands seem more prominent AFTER Platysma bands are the inside edge of the right and left platysma muscle which are bow stringing at the angle of the neck and the under surface of the chin. Not everybody has these visible bands. They can be more prominent in someone with a center neck strains there neck muscles frequently. When we repair the bands, we are usually repairing just the upper part of the bands, that is, the area in the under surface of the chin and at the angle of the neck and the under surface of the chin. This is most commonly done with sutures and there are several techniques for this. It is normal on the lower portion of the neck for the bands to be prominent in someone with a thin neck who is straining. Botox can help soften this. There is no good surgical solution for prominent bands the lower part of the neck. This bands are persisting or appear to have returned at the first neck and under the chin, it is possible that sutures have pulled through the muscle. This is not an infrequent finding as muscles do not hold sutures well. Often, when bands are repaired your surgeon will also partially cut the muscle to decrease the tension on the sutures. However this is not a foolproof method. Discuss your concerns with your surgeon and possible options.
Helpful 2 people found this helpful
September 13, 2017
Answer: Neck Lift Results--Add thermage, venus legacy, kybella, ultherapy for improvement I recommend getting a formal evaluation with your Doctor to go over your desired results and concerns. There are non invasive alternatives which can give improvement. These options can help give improvement: thermage/venus legacy and Kybella/Ultherapy. See an expert. Best, Dr. Emer
Helpful
September 13, 2017
Answer: Neck Lift Results--Add thermage, venus legacy, kybella, ultherapy for improvement I recommend getting a formal evaluation with your Doctor to go over your desired results and concerns. There are non invasive alternatives which can give improvement. These options can help give improvement: thermage/venus legacy and Kybella/Ultherapy. See an expert. Best, Dr. Emer
Helpful
