Protruding bands on neck 1-year post lower face and neck lift - what can I do? (photos)

Question

1 year after my lower face and neck lift this protruding band is irritating the heck out of me. My surgeon suggests Morpheus to tighten this part of my neck now. But my other doctors office ( for Botox) says neck lifts require addressing those muscles during surgery? I tried Botox to the band but it did not resolve it . Why can I do? What is this I'm so confused now ...

Philip S. Schoenfeld, MD, FACS · Answer

Recurrent neck bands following a lower face and neck lift, most likely the result of the platysma muscle, are perhaps the most common issue that we see,  There is a great deal of controversy even among the most experience surgeons on how to address these bands and prevent their recurrence.  The discussion of which is a little beyond the scope of your question.  What I will tell you is that other than Botox (or other neuromodulators) which is temporary, no non surgical intervention will address these bands and a short platysmaplasty procedure may make you very happy.

Gianfranco Frojo, MD · Answer

You are seeing the platysmal muscle that commonly forms a "band" in the neck. There are countless ways that have been described in the plastic surgery literature to address these during surgery. There are so many ways to address them; this reflects the complexity of adequately treating them and also preventing the recurrence. I recommend seeing a board-eligible or board-certified ACTUAL plastic surgeon with at least 6 years of integrated plastic surgery training (ideally followed by an aesthetic fellowship accredited by The Aesthetic Society).

Ronald J. Edelson, MD · Answer

Those are the platysma bands that may not have been addressed in the original surgery.  Can be corrected through incision under the chin by sewing the ten bands together

Randal Haworth, MD, FACS · Answer

It’s not uncommon for patients to experience concerns or changes after a lower face and neck lift. The protruding band you describe might be due to muscle activity or other factors. While neck lifts during surgery can address muscles, non-surgical treatments can also be considered for specific concerns.

It’s essential to have a thorough discussion with your surgeon.

Best of luck !

Adam Goodwin, MBBS, FRCS(Plast) · Answer

so the platysma is a hammock like muscle supporting the neck. As you get older it gets thinner. Tightening an already thinning muscle can lead to stripes like this which we call platysma bands.

Botox is an option, but even if you look at most celebrity facelifts, you will see some banding.

My best advice is to try and accept them for what they are. They can be treated, but it's quite a lot of work for a small amount of change.

I have a couple of videos on my YouTube channel about this subject. Please have a look at Adam goodwin surgery to see if you find that interesting. Best wishes, Adam, Goodwin.

Protruding bands on neck 1-year post lower face and neck lift - what can I do? (photos)

Answers (5)

Answer: Facelift

Answer: Facelift

Answer: Really common

Answer: Really common

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Protruding bands on neck 1-year post lower face and neck lift - what can I do? (photos)

Answers (5)

Answer: Facelift

Answer: Facelift

Answer: Really common

Answer: Really common

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Recommended reading

Everything you need to know about Facelift Revision

Our mission is to create a world where every investment in modern beauty is Worth It.