Are platysmal bands hard? These feel soft just like skin not firm and show from underneath or when moving my head to the side. I have tried Botox a few times with no effect on the area also tried radiofrequency to tighten skin which made no difference possibly I worse. Thinking of a mini neck lift in office? Would that resolve the problem? Sick of spending money on less invasive procedures that don't work and are still expensive .
December 3, 2019
Answer: How can you tell the difference between excess skin and platysmal bands? Thank you for your pictures and questions. From the basic appearance in the photos, and without the luxury of a physical exam to watch you animate, I would say that these are early and mild plastysmal bands. For this type of thing, my first treatment option would certainly be neurotoxin (Botox). If you have tried this before with absolutely no improvement, I would suggest that the injection technique or the dose has been off and I would consider having an injection done with a board certified plastic surgeon or another reputable injector with good experience and results with this type of thing. If you are sure that you have given Botox the best try and still not getting the results you want, then I would suggest you discuss with a plastic surgeon who is board certified by the American Board of Plastic Surgery a neck procedure to release the muscle and tighten the neck. But be aware of procedures sold as "mini" or "under local" or "minimally invasive." These are often designed to take your money and deliver less than impressive results and treating the neck is an area that seems to be flush with these scams. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
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December 3, 2019
Answer: How can you tell the difference between excess skin and platysmal bands? Thank you for your pictures and questions. From the basic appearance in the photos, and without the luxury of a physical exam to watch you animate, I would say that these are early and mild plastysmal bands. For this type of thing, my first treatment option would certainly be neurotoxin (Botox). If you have tried this before with absolutely no improvement, I would suggest that the injection technique or the dose has been off and I would consider having an injection done with a board certified plastic surgeon or another reputable injector with good experience and results with this type of thing. If you are sure that you have given Botox the best try and still not getting the results you want, then I would suggest you discuss with a plastic surgeon who is board certified by the American Board of Plastic Surgery a neck procedure to release the muscle and tighten the neck. But be aware of procedures sold as "mini" or "under local" or "minimally invasive." These are often designed to take your money and deliver less than impressive results and treating the neck is an area that seems to be flush with these scams. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
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December 1, 2019
Answer: Neck muscles or loose skin ? Great question. Its hard to tell from your limited picture. However, those two bands that are prominent at the base of your neck, above your voice box, are the platysma muscle bands that have separated. The amount of loose skin that you have is hard to assess based on the photo you have sent. You are a candidate for some type of neck rejuvenation- it sound like you have tried non invasive options to help and have not seen the desired results. Yes, you are a candidate for a surgical procedure, however, more pictures or an in person consultation would be best to evaluate and suggest options.
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December 1, 2019
Answer: Neck muscles or loose skin ? Great question. Its hard to tell from your limited picture. However, those two bands that are prominent at the base of your neck, above your voice box, are the platysma muscle bands that have separated. The amount of loose skin that you have is hard to assess based on the photo you have sent. You are a candidate for some type of neck rejuvenation- it sound like you have tried non invasive options to help and have not seen the desired results. Yes, you are a candidate for a surgical procedure, however, more pictures or an in person consultation would be best to evaluate and suggest options.
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