How can I tell if my platysma was injured/torn/separated from liposuction under the chin?

Conservative liposuction of the submental and neck area can produce nice results in the right patient- an improved contour, reduction in a double chin.However we are seeing an alarming increase in patients with overly defatted necks.  Their appearance can appear stringy and hard, with scar tissue attaching skin to muscle.  The neck can appear older.One reason for this is increase in skeletonized necks is new technology:  laser liposuction, radiofrequency and ultrasound treatments used aggressively, removing too much fat from the neck.  Fat in excess causes a double chin but excessive removal of fat by any means causes the deeper structures to be exposed.  There's simply not enough covering left.These cases are difficult to revise.Several doctors have mentioned some conservative means of reducing the tightness.  I would avoid any treatment that further reduced subcutaneous fat.

Can you please post photos.  You may need RF treatments like venus legacy to loosen the tissue or steroid/5FU injections if there is scarring.  Most of the time this area gets better with time, massage, and botox injections.  I am sorry you are going through this.  Please speak to your physician if you are concerned.  Best, Dr. Emer.

Healing takes time.   You are very early.  I have done thousands of these neck lipo procedures and I have never seen an injured platysma muscle.  As swelling goes you will be fine and likely have a lovely result.   My Best,  Dr C