I have 2 neck bands that are limited to just under chin. What is the best option?

Thank you for your question about #necklift.



I have seen several younger patients, in the 20s and 30s
in whom I saw premature separation of their neck muscles (platysma). Those can easily be repaired with a
small under-the-chin incision and muscle repair. Assuming your skin is healthy and still have some elasticity,
this might be the only thing needed.



A small chin implant can also help defining the lower face. Chin and nose are studied together when
evaluating the need for a chin surgery so an in-person consultation with a
board-certified plastic surgeon would likely provide you with quality
informations about your options.



Hope this helps!



Best regards,



#DrMarcDuPere, #Toronto #plasticsurgeon

Hi there.  Certainly an examination would be helpful to assess the overall laxity of your lower face and neck. However, based on the information given, there may be a few options.  One would be to perform a minimal platysmaplasty to tighten the muscles underneath the chin.  Secondly, a chin implant may help provide a stronger profile (with our without tightening the muscles under the chin).  Lastly, a mini necklift may also be beneficial if the skin needs some tightening as well as the muscles on the sides of the face.  

I treat this everyday in my practice. You may be a surgical candidate but you do not need surgery for improvement. Properly performed liposuction with energy based devices and physical fat removal will do fantastic to remove the fat, lift the skin, and contour the jawline. I pretreat everyone with Botox 1-2 weeks before surgery to relax the neck muscles, allowing for better retraction of the skin after surgery. Then after treatment we do skin tightening with Venus Legacy to improve the results and decrease the neck swelling. I suggest you only see an expert for treatment of this area as a meticulous surgeon is required to get great results and complications in this area can be devastating both medically and cosmetically. A new medication that is used to remove chin fat with injections called Kybella may also be an option, as it secondarily allows for skin tightening/lifting as well. TheriRF can be used for just neck bands and has almost no downtime. A formal consultation is needed to determine what are the best options for you. Best, Dr. Emer. 

Thanks for sharing. In general, current neck and lower face rejuvenation treatments include:Surgical Neck lift* with a Lower Facelift would be the gold standard and gets the best overall results in the jowls and neckSurgical Neck lift* which removes skin would be the next best procedureNeck liposuction and/or laser lipolysis if only fat removal is required, typically in a younger patient. (A platysmaplasty can be added for further muscle tightening)Ultherapy is an FDA approved non invasive tightening using ultrasound technologyKybella is a new FDA approved injection that melts fat under the chinBotox to the platysma bands to decrease their activity and show*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles. Based on your description, i feel you may be a good candidate for a platysmaplasty or just botox to address the platysma muscle edges you are likely describing. Talk to several board certified surgeons experienced in face and neck rejuvenation to discuss your options.

By the time someone has neck bands present they usually have excess skin in their cheeks as well. Therefore the best treatment is a full facelift. A neck lift usually does not address the cheek which will have to be done shortly there after. Make sure you see a very experienced facelift surgeon on produces natural results and not the pulled look

The bands that you see are the edges of a muscle called the platysma (pla-tis-mah). There may be some lax skin too.  If the prominence of this muscle is limited then Botox or Ultherapy are effective options.  If the condition progresses then a surgical neck lift may be indicated but much depends on your age, the severity of the bands, and what your overall goal is for your neck.The attached link and website provides more information.I hope this helps.

Their is no "correct" answer to this question.  An examination could help define the possibilities.  In a simple analysis there are 3 components- excess skin, excess fatty tissue, and separated platysma muscles. It is unusual to have separated muscles as an isolated problem but in that situation simple suturing them is effective. More commonly some type of neck lift to remove the excess skin and any fat is preferable.

Without photos, it is difficult to make realistic recommendations.  In general deformities of the neck can be any combination of loose skin, loose muscles, and fat deposits.  Depending upon the diagnosis, each of these can be treated.  I would recommend that you see a board certified plastic surgeon for evaluation and presentation of your options.  Best wishes to you.  

 When the two platysmal bands are present in the neck, the platysma muscle Must be tightened to remove them with a platysma plasty. Loose skin in the neck  is treated with a facelift to remove the excess skin.

  Photos of the nec non-smilaing front and side would help in the evaluation.  I have performed man Neck Lifts and Facelifts for 30 years and it's very unusual to have just neck bands with skin laxity as well.  Botox can be inbjected into the bands to lessen their appearance but other than that, some form of neck lift would be required.