Any success with isolated closed platysmotomy? (photos)

Thanks for sharing a great question.  In the younger patient lipo with a platysmaplasty is an option to treat bands when there is minimal redundant skin.  Typically, patients in their 30-early40's may benefit from this isolated procedure. The procedure involves suturing the loose bands together show they are not so droopy. From the early 40's and on, the skin has enough laxity where a neck lift or lower facelift is needed in combination with the platysmaplasty.  Combinging there procedures help to remove the lax skin. From what can be seen here, this would be the ideal treatment in my opinion.  Consult with a few experienced facelift surgeons to discuss your options in person.  

If you only address the central neck banding, you will likely be dissatisfied because of the excess skin that exists in the neck.  The best treatment would be to have the bands addressed and then to tighten the muscle from the sides as well.  Then the skin can be trimmed appropriately for a smooth and rejuvenated neck.  Best Regards.

Best procedure for neck bands with excess skin? The best procedure is a facelift! However, a platysma plasty as an isolated procedure can be done if you do not mind limited success. Where does the extra loose skin go? That is the problem with only trying to do the bands without removing the excess skin. See an experienced facelift surgeon for the best approach.

Performing just a platysmaplasty alone is an option based on your picture presentation.  Just a platysmaplasty from an under chin incision approach should provide decent improvement, but this would be less successful than a standard face and neck lift.  The loose neck skin can fall back onto the underlying deeper tighten muscle after a platysmaplasty but there is a risk that it will sag a certain undetermined degree.  So there is a trade off of less surgery for possible less successful tightening.

Good questionShort of a full necklift, the best way to deal with the BANDS is to use a small incision under the chin and repair the muscle [called a PLATYSMAPLASTY] Anything LESS may not give a good result and will likely RECUR early

 The photos demonstrate elastic skin the neck, and platysmal bands.  Very limited success can be obtained by performing an isolated platysma plasty to sew the two bands together. This will only cure the muscle banding problem, not the excess skin. In order to perform a isolated platysma plasty, a one-inch incision underneath the chin needs to be performed and complete undermining of the neck skin to gain access to the muscle. This is not a closed procedure. The best option would be to perform a lower face and neck lift which addresses tightening loose facial and neck skin, tightening loose facial and neck muscles, and removal of any fatty deposits in the neck.  For many examples and more information, please see the link and the video below

Any Success with Isolated Closed Platysmaplasty. Limited success can be achieved with removal of lax platyma bands in a man you age because of the overlying excess skin. In addition to treating the platysma bands at least a neck lift should be done to remove excess skin.

Yes, it is a valid procedure but with less than expected results many times. I doubt there would be anything wrong with trying it if you like, but be realistic in what you expect as an outcome.

Thank you for your question.  It is difficult to recommended any isolated neck lift without seeing complete  photos of your face . This is essential in order to give you the best advice.  It looks as though an isolated platysmal plasty without addressing the laxity of the skin would not give you the best result .  Everyone wants the least invasive procedure but it is most important to achieve a natural appearance.David F LaPatka,M.D.,F.A.C.S.