2 months post op Facelift/necklift with platysmaplasty. Platysma bands clearly coming back. (Photos)

Hello.  Thank you for your question.  It certainly appears that you have some recurrence of platysmal bands in the neck.  Unfortunately, this can occur in the hands of any facelift surgeon, and can be quite frustrating for both the patient and the physician.  The best way to prevent recurrence of platysmal bands, in my opinion, is to perform a midline platysmaplasty at the same time as the facelift with complete undermining of the cervical (neck) skin flap so that the skin can be properly redraped over the recontoured neck and jawline.  A lot of surgeons these days are performing less invasive "minilift" procedures that don't involve the work in the neck and can result in disappointing outcomes in patients with significant neck laxity and platysmal bands.  However, platysmal bands can also recur, even in patients where a platysmaplasty was performed.  A revision platysmaplasty procedure can be performed through a small incision under the chin, which should be helpful in resolving this issue for you.  This procedure can easily be performed in an office based setting using local anesthesia with, or without, light sedation using oral medications.  General anesthesia is not necessary for this type of procedure.  I would suggest waiting until you are at least 6 months postop prior to performing any revision procedure.  I wish you the best in achieving your aesthetic goals.

The key component to prevent or minimize any platysmal band recurrence is to open the neck with a submental incision and plicate or suture the muscle together and release it inferiorly .  However, even in the best of skilled hands, one can have a occasional  recurrence so you need to wait for at least 6 months before considering an operative revision    Make sure you select a board certified Plastic Surgeon with expertise and skill in the modern concepts of  facelift surgery 

Hello and thank you for the question. You benefit from platysmaplasty, which can be done under local anesthesia with or without sedation. It's best to wait a little longer prior to having a revision surgery. Your surgeon is the best resource to guide your through this process. Best,Pejman Aflaki, M.D.Johns Hopkins-trained plastic surgeon