I feel that the platysma bands are showing (more than pre-surgery) & that there is still some loose skin under chin (I had corset platysmaplasty & full FL/NL 7 months ago). Many surgeons on realself seem to say that this is a relatively common result, and that a "touch-up" procedure will correct it. However, I am worried that my board-certified surgeon thinks I am being neurotic (I am rational & polite) and will refuse to do the corrective procedure. Under what circumstances would he refuse?
January 31, 2019
Answer: Not unusual so platysmal bands recurring after face lift surgery are a common problem. I have been to a number of meetings were surgeons have claimed to have found the answer to this particular problem only to see five years later they have gone back on their ideas and suggested that platysma bands recur no matter what technique you use. Certainly most surgeons would describe platysmal band recurrence at somewhere between 30 and 50%, especially in the prone neck. There are some procedures that can address these including Botox across the entire neck area to paralyse the entire platysma. Speak to your operating surgeon and ask what their best advice would be. Unfortunately further surgery and thinning of the muscle is likely to perpetuate the problem. Hope that helps. Regards, Adam Goodwin.
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January 31, 2019
Answer: Not unusual so platysmal bands recurring after face lift surgery are a common problem. I have been to a number of meetings were surgeons have claimed to have found the answer to this particular problem only to see five years later they have gone back on their ideas and suggested that platysma bands recur no matter what technique you use. Certainly most surgeons would describe platysmal band recurrence at somewhere between 30 and 50%, especially in the prone neck. There are some procedures that can address these including Botox across the entire neck area to paralyse the entire platysma. Speak to your operating surgeon and ask what their best advice would be. Unfortunately further surgery and thinning of the muscle is likely to perpetuate the problem. Hope that helps. Regards, Adam Goodwin.
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July 26, 2016
Answer: Platysmal bands and loose skin Both of the above problems can be difficult areas to obtain a very consistent result or improvement. I think the only real reason most surgeons will refuse is if they believe the revision or "touch up" will not correct the problem or will make only a minimal improvement that is not worth the risk of a revision. If there is little fat covering the platysma muscle, even mild banding may be visible and hard to treat. If the platysma was not divided along the cord with the first operation then doing this with a revision would likely make a significant improvement. Speaking with your surgery about all these factors would be the best place to start.
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July 26, 2016
Answer: Platysmal bands and loose skin Both of the above problems can be difficult areas to obtain a very consistent result or improvement. I think the only real reason most surgeons will refuse is if they believe the revision or "touch up" will not correct the problem or will make only a minimal improvement that is not worth the risk of a revision. If there is little fat covering the platysma muscle, even mild banding may be visible and hard to treat. If the platysma was not divided along the cord with the first operation then doing this with a revision would likely make a significant improvement. Speaking with your surgery about all these factors would be the best place to start.
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