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.