What is the difference between a submentoplasty and platysmaplasty? Would filler be enough to resolve sad mouth area? (photos)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Platysmaplasty is tightening of the neck muscles.   Not sure about the other term, as it is not commonly used.   Fat transfer would be of benefit, but not completely correct the skin laxity of the neck and mouth.  You would do best with a secondary facelift with fat transfer.

After reviewing your photos, I feel that the best option for you would be a revision face and necklift, fat grafting to your midface and fractionated CO2 laser to improve your skin quality.  This will give you a natural appearance, longevity to the results and it will address ALL of the issues you may have.  I recommend seeking out a Board-Certified Plastic Surgeon who will accurately examine your face and neck, discuss the options and formulate a plan tailored to your specific needs.  Best wishes!

Thank you for your question about non surgical facelift.At age 66, a likely option would be full facelift with moderately aggressive fat transfer to fill in your volume loss.The platysma work can be done at the time of facelift.The submentoplasty is limited to under the chin and will likely fall short of what you want.



To be sure what is right for you, see two or more licensed
and board-certified providers in your area for a complete evaluation to make
sure you are a good candidate and that it is safe for you to have these
treatments.



I hope this helps.

Hi ChellamiaThe difference is more semantics.  Both procedures involve treating the neck area, with a platymaplsty involving suturing of the platyma muscle.  A submentoplasty can also include the treatment of the same muscles.  Based on your photos, fillers may be a temporizing measure that may not give you the results you are seeking.  You may benefit most from another lower facelift with fat grafting to the areas around your mouth.  I have included some before and after photos of lower facelift patients.  I would recommend consulting with an board certified plastic surgeon who is experienced in performing this procedure.  Inquire about their experience and look at their results.  Best of luck to you in your search.