Hi! How to avoid that "chin strap" feeling after SMAS lift with Submental Platysmaplasty? Is it better to minimally tighten laterally and then concentrate on the submental portion of the neck? I am really afraid of having that feeling.....it scares me more than anything else in regards to a SMAS and neck lift. Please advise!!!!
February 25, 2014
Answer: Submental platysmaplasty This sensation is nothing to be afraid of. What you are most likely concerned about is the sensation of it being tight and restricting breathing. It does not in any way constrict breathing and it is nothing to be worried about. Without it you most likely will be disappointed in your neck although I see no photos not I can be for sure. Approximately 20% of my patients do not need it. However, even in the ones that do, I have never had a patient uncomfortable in any significant manner. I feel you have taken some peoples anecdotal comments and blown them out of proportion to reality. You will be fine and sensation of tightness is not bothersome to such an extent.
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February 25, 2014
Answer: Submental platysmaplasty This sensation is nothing to be afraid of. What you are most likely concerned about is the sensation of it being tight and restricting breathing. It does not in any way constrict breathing and it is nothing to be worried about. Without it you most likely will be disappointed in your neck although I see no photos not I can be for sure. Approximately 20% of my patients do not need it. However, even in the ones that do, I have never had a patient uncomfortable in any significant manner. I feel you have taken some peoples anecdotal comments and blown them out of proportion to reality. You will be fine and sensation of tightness is not bothersome to such an extent.
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Answer: "Noose-like" sensation after neck lift is avoidable Tightness of the neck is desirable in the first week or so after neck lift because the tissues always relax and if you do not feel tight in the beginning your result will be compromised and the neck will re-sag and the platysma bands reappear.However it is a general feeling of tightness and does not feel like a Noose.There is however a suture method that uses a permanent suspension suture placed from the ear to ear across the neck, often called the Giampappa suture or neck suspension suture which can create thisNoose like feeling. Ask your surgeon not to use this suture.
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Answer: "Noose-like" sensation after neck lift is avoidable Tightness of the neck is desirable in the first week or so after neck lift because the tissues always relax and if you do not feel tight in the beginning your result will be compromised and the neck will re-sag and the platysma bands reappear.However it is a general feeling of tightness and does not feel like a Noose.There is however a suture method that uses a permanent suspension suture placed from the ear to ear across the neck, often called the Giampappa suture or neck suspension suture which can create thisNoose like feeling. Ask your surgeon not to use this suture.
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