What procedure would best address loose left platysma? (Photo)

Question

I am 13 mos post FL/NL. An anterior platysmaplasty was done using dissolvable sutures. The right and left platysmal edges have separated. The platysma on the left is observable and bothersome; the right side (though separated) seems fine. Would re-suturing the left and right platysma medially take care of what bothers me most – ie, the lateral banding on the left? If not, what technique do you recommend to fix the lateral banding? (The band is platysma – it’s not loose skin.)

Jason Emer, MD · Answer

I would consider thermi as a permanent solution or botox for something less permanent but much less non invasive.  Best, Dr. Emer.

Jason S. Cooper, MD · Answer

To start, I recommend a proper exam and a review of the operative note to determine the degree of excess skin versus a true platysma separation following your face and neck lift. What you are suggesting is logical although pre-op photos, post op photos taken at 3, 6 and 12 months and a complete exam would provide a much clearer understanding of the problem as well as the best approach (submental vs. ear incision- skin excision vs. platysma tightening) to improve the left neck appearance.   In my opinion trying to answer your question based on 2 photos taken a one point in time 13 months after surgery is very challenging. It is usually best to first discuss with the operating plastic surgeon if you feel comfortable.  Otherwise, I recommend you find a well regarded board certified plastic surgeon in your area to discuss and review.

Todd C. Miller, MD · Answer

Hi Chessmom, from the pictures you have provided, you appear to have some recurrent banding. This would need to be fixed by doing a revision platysmaplasty. It could likely be fixed through a single incision under the chin. The muscle could then be isolated, divided, and re-sutured in order to tighten it and restore contour.

What procedure would best address loose left platysma? (Photo)

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What procedure would best address loose left platysma? (Photo)

Answers (3)

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Everything you need to know about Neck Lift

Our mission is to create a world where every investment in modern beauty is Worth It.