Neck Lift: Better to Cut over Active Platysma Band, or Tie Bands Together? Under the Chin?

Removing part of the platysma is never indicated.  In my practice it is not extremely common to manipulate the platysma any more than I do in my routine SMAS-platysma suspension laterally.  When it is indicated I prefer to tighten further at midline in a corset type manner and transcet th pltysma low to elevate the cerico mental angle,  excision of the medial edges may only be necessary to reduce bulk in cases of extreme laxity but cutting parts of bands out would likely result in contour deformity and unnecessary risk.

 

All the best,

 

Rian A. Maercks M.D.

Removing a part of the platysma bands and suturing the remainder with a back cut is the usual treatment of this problem. Since your's is a revision this may be different and without seeing you or a photo one can't give an accurate answer.