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 .
Answer: Necklift vs. Platysmal Bands Platysmal bands are the visible expression of muscular activity underneath the skin of the neck, and they become more protrusive as we grow older. They are somewhere between soft and hard, depending on how muscularly engaged they are. In general, one has varying degrees of excess skin that overlies the platysmal bands as one ages. The evidence of this is clearly evident when you look at a child’s neck, as there are no visible platysmal bands and of course there is no overlying loose skin. In my patients from approximately age 40 on, I frequently address platysmal-band issues in my practice during neck-lift procedures. By addressing both the excess skin and the platysmal bands, results can be produced that lead to a beautifully defined jawline and snug neck reflective of youth.
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Answer: Necklift vs. Platysmal Bands Platysmal bands are the visible expression of muscular activity underneath the skin of the neck, and they become more protrusive as we grow older. They are somewhere between soft and hard, depending on how muscularly engaged they are. In general, one has varying degrees of excess skin that overlies the platysmal bands as one ages. The evidence of this is clearly evident when you look at a child’s neck, as there are no visible platysmal bands and of course there is no overlying loose skin. In my patients from approximately age 40 on, I frequently address platysmal-band issues in my practice during neck-lift procedures. By addressing both the excess skin and the platysmal bands, results can be produced that lead to a beautifully defined jawline and snug neck reflective of youth.
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December 4, 2019
Answer: Platysma bands Thank you for your question. After reviewing your pictures, I believe the problem is Playtisma muscle banding. This condition will no improve with non surgical treatments including radiofrecuency. If you pinch the bands they feel soft just like skin because the muscle has the same filing as the skin and the treatment is surgical
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December 4, 2019
Answer: Platysma bands Thank you for your question. After reviewing your pictures, I believe the problem is Playtisma muscle banding. This condition will no improve with non surgical treatments including radiofrecuency. If you pinch the bands they feel soft just like skin because the muscle has the same filing as the skin and the treatment is surgical
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December 4, 2019
Answer: Platysmal Muscle Bands vs Loose Skin Your photo shows visible platysma muscle fibers of short length in a basically slender neck. Although I would need to examine you to be sure, it seems to me that your skin has pretty good elasticity. Platysma muscle bands can be active due to increased tone where they push forward on the skin, or more commonly passive where they loosen and sag down and forward. Only the active bands would respond to Botox. Passive bands require surgical correction. Since your skin looks pretty healthy, I think you might see improvement just from tightening the muscles through an incision under your chin crease. However, be aware that with a slender neck, without much fat padding between the muscles and skin, any active or passive muscle movement out of normal position will be more visible, as opposed to someone with more fat that camouflages the muscle fibers.
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December 4, 2019
Answer: Platysmal Muscle Bands vs Loose Skin Your photo shows visible platysma muscle fibers of short length in a basically slender neck. Although I would need to examine you to be sure, it seems to me that your skin has pretty good elasticity. Platysma muscle bands can be active due to increased tone where they push forward on the skin, or more commonly passive where they loosen and sag down and forward. Only the active bands would respond to Botox. Passive bands require surgical correction. Since your skin looks pretty healthy, I think you might see improvement just from tightening the muscles through an incision under your chin crease. However, be aware that with a slender neck, without much fat padding between the muscles and skin, any active or passive muscle movement out of normal position will be more visible, as opposed to someone with more fat that camouflages the muscle fibers.
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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 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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