Do Platysmal bands always come back?

Question

I had a doctor tell me that the muscle often grows back so my question is if it’s worth the extra cost of a platysmaplasty? I don’t want to do it if in a year, it’s back.

Carey Nease, MD · Answer

This is a good question! Platysmal bands are tough to get rid of permanently. If they are prominent pre-op then I usually recommend sewing them together with a corset suture. If they are not very noticeable before surgery then I just release them and pull side to side with the neck lift. Either way, those muscle bands will likely come back at some point in the future. Hopefully it's 10 years and not 6 months. Hope that helps!

Bora Ok, MD · Answer

Hi from Istanbul. Great question! Even after surgery, platysma bands can reappear for various reasons. While certain techniques during the procedure can reduce the chance of recurrence, they don't eliminate the possibility entirely. However, the overall result would still be much improved compared to the original state. If the bands do reappear, less invasive treatments can be used to address them, such as targeted cuts or Botox to weaken the muscle. Hope this helps, best of luck to you!

Thanapoom Boonipat, MD · Answer

yes they very often come back. A very aggressive sectional cut of the muscle is needed. Depends on the exact procedure details weather it comes back. There are also anatomical risks with being aggressive. So if it doesn't bother you that much, i would say don't do it---you can always just do some botox to help soften the bands.

Do Platysmal bands always come back?

Answers (3)

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