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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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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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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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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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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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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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.
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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.
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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
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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
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