Thin vertical cord down front of neck. Any suggestions?

Question

About 6 wks ago I developed a thin vertical cord down the front of my neck in midline. It’s very pronounced when I tilt my head back, otherwise not so much. My surgeon says it’s scar tissue from a platysmaplasty performed 11 mos ago. He says it may go away, it may not. He’s reluctant to inject it w/ steroids. I also had FT to neck area 4 mos ago to fix hollowness left after too much lipo. My surgeon says cord and FT are not related. Have you seen this before? Any advice?

Jed H. Horowitz, MD, FACS · Answer

Without before, and, after or current photos, it's difficult to access the additional options that may benefit you. If you are not satisfied with the results at  this point in time, it's best to discuss such with your doctor. Typically, it's best to wait 6  to 12 months depending on the reason for #revision. Depending on the severity, non-surgical treatments may also be an option. If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.

Jason Emer, MD · Answer

To avoid any surgical correction you can try a combination of non surgical options.  This should be performed by a well trained cosmetic dermatologist with expertise in neck rejuvenation.  Best, Dr. Emer.

Mark Glasgold, MD, FACS · Answer

thin vertical cords can occur after facelifting.  there is usually some degree of tightening of the platysma muscle that contributes to this, think of a rubber band being stretched down the neck.  I have my patients stretch out the band.  this will not make the neck sag.  start by placing both thumbs together at about the mid point of the band and then spread them apart to stretch out the band - do this a few times a day and it should relax

Todd C. Miller, MD · Answer

Hi Chessmom, it's possible that you may have some recurrent platysmal banding. Unfortunately, this can happen following a neck lift and occasionally needs a revison procedure in order to tighten it. Without pictures it is difficult to say exactly what it is. Steroid injections, Botox, and Ultherapy are all minimally invasive options that may be appropriate. Make sure that you keep in touch with your surgeon who can give you guidance as to your best option.

Thin vertical cord down front of neck. Any suggestions?

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