Do Platysmal bands always come back?

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!

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.