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.
Answer: Plastysmal bands A neck lift procedure includes tightening of the skin and also a platysmaplasty, which means repairing the platysma muscle in the midline to get rid of platysmal bands. You have prominent platysmal bands and a platysmaplasty should have been part of the operative planning for your neck lift. It doesn't look like you had one. I would discuss your concern with your surgeon. Best!
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CONTACT NOW Answer: Plastysmal bands A neck lift procedure includes tightening of the skin and also a platysmaplasty, which means repairing the platysma muscle in the midline to get rid of platysmal bands. You have prominent platysmal bands and a platysmaplasty should have been part of the operative planning for your neck lift. It doesn't look like you had one. I would discuss your concern with your surgeon. Best!
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CONTACT NOW Answer: My platysma bands seem more prominent after my lower neck lift including a platysma plasty, what should I do The platysma bands can be treated with Botox injections, however it is cost prohibitive, and only temporary. A platysma plasty with transection of the bands is performed during a routine face and neck lift procedure. For many examples and more information, please see the link and the video below
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CONTACT NOW Answer: My platysma bands seem more prominent after my lower neck lift including a platysma plasty, what should I do The platysma bands can be treated with Botox injections, however it is cost prohibitive, and only temporary. A platysma plasty with transection of the bands is performed during a routine face and neck lift procedure. For many examples and more information, please see the link and the video below
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September 17, 2017
Answer: Platysmaplasty Thank you for the sending in your question. If appears your platysma muscles have separated. You would require a secondary platysmaplasty which can be done with local anesthetic.
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Answer: Platysmaplasty Thank you for the sending in your question. If appears your platysma muscles have separated. You would require a secondary platysmaplasty which can be done with local anesthetic.
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January 10, 2020
Answer: Persistent plastysmal bands after a neck lift Any experienced facelift surgeon will appreciate that effective and long term correction of platysmal bands is difficult and often frustrating. It is difficult to know from your photos what procedure you have undergone. Some surgeons will tighten the platysma using a lateral approach via a facelift incision. Others may use a submental incision ( small scar under the chin) to sew the muscles together in the midline. With either approach persistent bands or early recurrences can be seen.It is also the case that if aggressive liposuction of the neck has been carried out the platysmal bands can become more noticeable post surgery. However,your photos indicate that the platysmal bands are quite strong and it would seem that if you were to pursue this, the bands need to be addressed via a submental approach using a small incision under the chin by sewing the two bands together. Given that the bands are very strong it is usual to divide or transect the platysma muscle to some degree. Some surgeons advocate a partial division of the muscle and some advocate a complete transection of the muscle. I would advise discussing this with your surgeon in the context of the surgery which has already been undertaken. All the best
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Answer: Persistent plastysmal bands after a neck lift Any experienced facelift surgeon will appreciate that effective and long term correction of platysmal bands is difficult and often frustrating. It is difficult to know from your photos what procedure you have undergone. Some surgeons will tighten the platysma using a lateral approach via a facelift incision. Others may use a submental incision ( small scar under the chin) to sew the muscles together in the midline. With either approach persistent bands or early recurrences can be seen.It is also the case that if aggressive liposuction of the neck has been carried out the platysmal bands can become more noticeable post surgery. However,your photos indicate that the platysmal bands are quite strong and it would seem that if you were to pursue this, the bands need to be addressed via a submental approach using a small incision under the chin by sewing the two bands together. Given that the bands are very strong it is usual to divide or transect the platysma muscle to some degree. Some surgeons advocate a partial division of the muscle and some advocate a complete transection of the muscle. I would advise discussing this with your surgeon in the context of the surgery which has already been undertaken. All the best
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September 15, 2017
Answer: My platysmal bands seem more prominent AFTER my lower neck lift including a platysmaplasty. What should I do? It is possible that the platysma bands were not repaired were sewn together far enough down in the neck. However the platysma plasty can only be performed down to about the level of the hyoid bone just above the thyroid cartilage. Some surgeons deal with this problem by transecting the platysma muscle and a lower level. However it is best to discuss all of this with your surgeon and follow your surgeon's advice.
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Answer: My platysmal bands seem more prominent AFTER my lower neck lift including a platysmaplasty. What should I do? It is possible that the platysma bands were not repaired were sewn together far enough down in the neck. However the platysma plasty can only be performed down to about the level of the hyoid bone just above the thyroid cartilage. Some surgeons deal with this problem by transecting the platysma muscle and a lower level. However it is best to discuss all of this with your surgeon and follow your surgeon's advice.
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