Is it normal for your platysmaplasty to come undone?

It is hard to discuss this issue without any photos and/or in person exam. It does not have to be "undone platysmoplasty"; it is very rare. Issues like residual deep fat, submaxillary glands, large digastic muscles, may also be considered? In person or telemedicine consultation with a board certified plastic surgeon with good reputation in face/neck lifts, is recommended. Good luck.

A liposuction would unmask the platysma muscles and make the fibers more visible, but not actually create muscle bands or make a platysmaplasty more prone to come undone. Unfortunately, the suturing together of the 2 platysma muscle borders occasionally fails, with the muscles separating, It is thought to be caused by natural muscular tension and movement. That is why some surgeons remove a wedge of muscle below the level of suture plication, to release tension and hopefully avoid recurrence. Also, if the 2 bands were far apart to begin with, there would be more tension on the platysmaplasty stitching, thus increasing the odds of separation. Fortunately, it is relatively easy to resuture the muscles under local anesthesia through the original incision below the chin.

Hi. What do specifically mean when you say the platymaplasty came undone ?

Did you bands recur and/or your neckskin become loose ?

It could be a number of reasons for this including :

- genetics can account for pretty mature recurrent skin laxity if your neck
- a dissolving suture or broken one could be responsible for early recurrence of your neck bands
- or/and the surgery may have been « underdone » without sufficient muscle tightening or skin resection.

Make sure you address your concerns with your original surgeon.

I hope this helps, good luck !