How to fix skin adhesions in neck after platysmaplasty?

Pictures would be helpful and also knowing how far out from the last surgery you are. Healing takes time, especially dyer the second surgery. Some techniques that are helpful are massage or ultrasound. Discuss your concerns with your surgeon. 

A neck lift or platysmaplasty can help sagging skin, loose muscle, or adhesions. Adhesions typically occur when too much fat is removed and the neck is skeletonized. A dermal matrix can be placed between the skin and the muscle to prevent recurrence. I would wait 6 months before undergoing a revision neck lift.

At this time I would give it at least 1 year to heal and during that time do botox/dysport and venus legacy treatments to the neck.  If there is induration sometimes 5fu/steroid injections help.  But I suggest speaking to your physician if you are concerned or seeing a neck surgeon for a second evaluation.  Best, Dr. Emer.

Hello, It would be very helpful if you posted a photo of your problem.  If the scar tissue (dermal adhesion sites) are not very extensive, there may be another technique to correct the area without making the submental incision.  By first injecting dilute local anesthetic into the scar band, subcision can be performed to free the dermis up from the underlying muscle and fat can then be grafted into the region.  It may require more than one treatment.  The larger the scarred area is, the less effective this technique will be.  If the area of concern is a fair distance away from the submental incision site, sometimes a small incision on the neck, next to the scarred area is reasonable to gain access to the area in order to correct the problem.  A well placed incision on the neck with meticulous closure will typically heal nicely given enough time and care.  

Without photo, it's impossible to know what you're precisely asking.  Do give some thought though to the reality that if something needs to be fixed, the surgeon has to somehow "get to" where the fix needs to be done.  To get there, one needs an incision.  The closest place to make a hidden incision is under the chin.

Without photos, it is impossible to assess your issues.  I would recommend that you contact your plastic surgeon and discuss your concerns with him or her.  Your surgeon wants you to have a great outcome and will do his or her best to ensure your satisfaction.