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
Neck Bands After Face Lift/neck Lift(?)
Doctor Answers 6
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.
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.
What to do with neck bands after a facelift!!
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.
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Stron bands under the neck after face lift
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
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.