Looking for a ballpark idea of cost for 2nd neck lift revision involving digastric muscle shaving and corset platysmaplasty?

Question

After revision necklift failed to fix contour deformity, I was referred to a top PS's who routinely performs resection of bulging digastric muscle which I confirmed is my problem. My current PS thinks corset platysmaplasty might also be needed. I'll see expert at 6-9 mos postop for eval, but hoped for input from RS dr's who've done it, what this can cost and how difficult recovery is. It's clear the deformity requires surgery and I'm hoping a conservative approach will yield good results.

Brian K. Machida, MD, FACS · Answer

Based on your previous posts and if I recall your case correctly, your neck seems skeletonized and everything which is done will be visible through the skin. In order to avoid this, the outer fascial layer over the platysma preferentially is kept intact and all the work being done is subplatysmal. “Shaving” the digastic by going through the platysma from the outside will likely result in contour irregularities because you have little subdermal fat to camouflage it. A platysmaplasty will almost always be required as well as wide skin undermining of the neck through a post auricilar approach in addition to the submental incision, which will likely result in a better result. A limited conservative approach will likely have limited results and I would be ready for wide exposure of the problem. Because of these factors, expense will be high and I would ask to  examine you and see all previous op notes and post op notes and all pre/post op photos before even proceeding.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. The best advice you can receive is from an in-person consultation. It would be helpful to view pictures of your neck in order to determine the best approach for your revision. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Cost varies based on geographic region and surgeon expertise. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.

Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon

Farhad Rafizadeh, MD · Answer

In principle any revision work is more complicated than a first time procedure, but rarely a small revision can take care of the problem. It is not clear if you already had your digastric muscles trimed. It is also not clear if you already had corset platysmorrhaphy during your first procedure. If you want to get a valid answer to your question, you will need to be seen. You would also need to bring with you the operative notes from previous procedures so that the plastic surgeon who sees you can have a clear idea of what was done to you. Ideally you would bring pictures of you prior to the first neck procedure. After this visit the plastic surgeon can give you a clear idea of what needs to be done and the cost. In general any time I do any type of sub platysmal work, I do a corset platymorrhaphy. This would be necessary after removing subplatysmal fat or trimming the digastic muscle bulge.

David Hansen, MD · Answer

A midline corset platysmaplasty usually runs roughly $6500 under local and helps improve most necks in men very well .

William Portuese, MD · Answer

The cost of a neck lift is determined by surgeon's fee, anesthesia fee, and operating room time. A full set of pictures and an in-person examination going to be required to make a determination about performing  a revision necklift procedure. If there is any excess skin tone, then a lower face and neck lift will be required. A neck lift alone  can accomplish resection of  A portion of the digastric muscles and a corset  platysma-plasty. For our current price list and many before-and-after examples, please see the video and the link below

Looking for a ballpark idea of cost for 2nd neck lift revision involving digastric muscle shaving and corset platysmaplasty?

Answers (5)

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