Neck Bands After Face Lift/neck Lift(?)

I had a SMAS face lift 5 weeks ago and I have scars on my tragus, behind my ears and under my chin. However I now have very visible strong banding in my neck which I did not have any of prior to the surgery and I cannot lift my head up with out quite bad pain. I went back to my surgeon and he put many botox injections in the bands which has helped slightly. What could be the cause of this? I should be looking better, not worse! I had a 5 hour operation under GA

Doctor Answers 6

Neck band

A painful neck band may be part of a neck plication or a platysma band that was not treated.  You will have to follow with your doctor.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Painful neck band after facelift and neck lift may be contracture and may require revision

The surgeon most likely performed a Platysmaplasty through the incision beneath your chin. This procedure involves placing sutures in the two platrysmal bands to tighten the neck. The scarring from the Platysmaplasty may be tightening or contracting causing the band-the fact that Botox helped supports this possibility. Vigorous massage and warm packs should help soften the contracture.

If the suturing of the Platymal bands was too aggressive, shortening or tightening the muscles too severlely, then a release of the contratcure and removal of the sutures (if they were permanent sutures) may be required.

Tight painful neck after facelift

You might be experiencing pain from the muscle tightening or have early vigorous scar tissue forming.  Go back to your doctor to sort this out.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

What to do with neck bands after a facelift!!

Dear Sally,
The appearance of a strong band after your face and neck lift that you did not have before is most likely caused by two factors:
1- Platysmal muscle contracture due to irritation and inflammation after your surgery, in this case warm pad, massage, and Botox should help.
2- If you had a neck with moderate to severe fatty deposit and just liposuction was performed in the neck area without tightening of the neck bands. The under lying neck band now is more prominent and showing. In that case a platysmaplasty in needed to correct the bands.  Wish you well.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

Stron bands under the neck after face lift

Sounds like the central muscle bands were plicated but not resescted in the lower half which can exacerbate and scar leading to the described deformity.

If you were my patient I would resect the lower portion of the bands and tighten the upper pertion.

All the best,

Talmage Raine MD FACS

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 9 reviews

Neck Bands After Facelift

It is not uncommon to see some neck bands or tightness after facelift. This usually resolves with massage and/or intermittent early Botox will help resolve this over 3-6 months.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 64 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.