The platysmaplasty still feels uncomfortably tight in a vertical direction, & there are a few areas where the skin seems to be tethered, which looks very ugly, especially when I swallow. Surgeon says to wait & see how it heals, but if it doesn't resolve then re-opening incisions to repair is risky as it will create more scar tissue. I can't bear to think that I'll have to live with this deformity. Is tethering a difficult/risky thing to fix, & is it caused by too much fat removal (I had lipo)?
April 27, 2016
Answer: Tethering of skin after platysma plasty Tethering of the skin can be corrected very easily through an incision under the chin. After platysma plasty there can be abnormal movement of the platysma at times. The area off abnormal movement can also be cut through the same incision to improve the overall appearance. The existing scar tissue should not be any hindrance and revision surgery.RegardsDr. J
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April 27, 2016
Answer: Tethering of skin after platysma plasty Tethering of the skin can be corrected very easily through an incision under the chin. After platysma plasty there can be abnormal movement of the platysma at times. The area off abnormal movement can also be cut through the same incision to improve the overall appearance. The existing scar tissue should not be any hindrance and revision surgery.RegardsDr. J
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April 26, 2016
Answer: Tethering Of Neck Skin After Platysmaplasty A question such as yours should always be accompanied by photographs so that we can have a more clear idea of the deformity you are trying to describe. However, with that said, since you mention that fat removal was performed in the neck by liposuction, it is possible that too much subcutaneous fat was removed in some areas, causing direct attachment of the deep dermis to the underlying platysma muscle. This can cause deformities that may be similar to what you are trying to describe. Unfortunately, if this is the case, it is a very difficult thing to fix, and the treatment plan would be based on the quality and tightness of your tissues, which we cannot see. In this particular case, it may indeed be advisable to wait up to a year after your initial surgery to allow all the tissues to heal and relax before deciding to embark on a definitive repair, if it is necessary.
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April 26, 2016
Answer: Tethering Of Neck Skin After Platysmaplasty A question such as yours should always be accompanied by photographs so that we can have a more clear idea of the deformity you are trying to describe. However, with that said, since you mention that fat removal was performed in the neck by liposuction, it is possible that too much subcutaneous fat was removed in some areas, causing direct attachment of the deep dermis to the underlying platysma muscle. This can cause deformities that may be similar to what you are trying to describe. Unfortunately, if this is the case, it is a very difficult thing to fix, and the treatment plan would be based on the quality and tightness of your tissues, which we cannot see. In this particular case, it may indeed be advisable to wait up to a year after your initial surgery to allow all the tissues to heal and relax before deciding to embark on a definitive repair, if it is necessary.
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