How safe is a level myotomy?

A mooting means the platysma will be cut. There are several different ways to do this but it is a well accepted procedure

Platysmal bands can recur after a platysmaplasty. For this reason, surgeons advocate transecting the platysma for some distance on each side. This can avoid relapse of a band. This can be done under local anesthesia via a small submental incision.

When patients have significant plasma bands, we perform a routine myotomy on those bands when we're doing a neck lift, or a lower face and neck lift procedure. For best results, it's also advantageous to place Botox in those active muscle bands about a week prior to the myotomy.