Is there a surgery to correct my platysmal bands? (Photos)

Question

Ok, the aging of my face is relatively on par with my actual age. But I am SO self conscious about my neck. It looks aged and angry. Is there surgery to correct this? If so, what is it called? I have put a lot of Botox in them once or twice and loved the results, but honestly I cannot afford to sustain the cost (1) and (2), I'm always secretly scared because we hit so far down & close to the throat. I just want a permanent fix. :-(

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  The best treatment would be to pursue surgery to address the banding to not only repair any laxity along the midline of your neck but also to cut the bands to prevent them from being able to tighten and animate.  Based on the overall condition of your neck I would likely continue neuromodulators for now.  Hope this helps.

Alejandro J. Quiroz, MD · Answer

Thank you for your question.  Yes there is a surgery to correct the playsma banding and that is platysmaplasty,  The bands are cut and separate and sure in the center to correct the deformity

Zoran Potparic, MD · Answer

For someone who has such a thin neck that shows any irregularity, Botox may be better solution than neck lift. Unfortunately, these are two best solutions to treat neck bands like yours. Good luck.

Jason Emer, MD · Answer

yes neck bands are best treated with platysmaplasty but if you want "conservative" improvement botox and threads can help.

if you want a dramatic change necklift/facelift, Implants and fillers will give you that. noninvasive will improve the area and facetite, threads, morpheus, and fillers can be used.  start at home dermarolling to tighten you skin, see emeragecismetics.com where we do free skincare consults daily and recommend MTS roller with anteageMD ampules daily (see dermarolling package).

With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer

Michael Kulick, MD, DDS · Answer

Hello, looking at your pictures, you head positioning is making your sternocleidomastoid muscle appear very prominent. In the pictures you provided, the platysma muscles are not that prominent. You do not want the muscles that appear to be the most prominent impacted by any surgery. This is the value of a face to face consultation. This can be explained in greater detail. 
Any surgical cost for your platysma muscle banding would be more expensive than periodic use of neurotoxins. When the time is right, a surgical procedure would be the correct thing to do.

Hope this helps.
Sincerely,
Michael Kulick MD
San Francisco

George Orloff, MD, FACS · Answer

The issue after weight loss is sagging skin. The best option usually is surgery to lift and remove the excess skin. Surgeries after weight loss include neck lift, facelift and browlift. Which surgery will give you the best results is best determined during a consultation with an experienced surgeon. A neck lift will address the neck but you want to make sure that once the neck is lifted it matches the rest of your facial features. A neck lift alone may be sufficient but other procedures such as a facelift or browlift may be necessary, to get a natural harmonious beautiful result.

William Portuese, MD · Answer

A courset platysma-plasty with myotomy of the bands themselves can accomplish improvement. The skintone and the neck also need to be evaluated as to whether not a necklift procedure or a face and neck lift procedure can accomplish your goals.

Is there a surgery to correct my platysmal bands? (Photos)

Answers (7)

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