Is it normal for your platysmaplasty to come undone?

Question

7 months out from surgery and I can see the platysmaplasty had come undone? How common is this and is it a easy fix? I had lipo under my chin years ago st 25 that caused them early on and they were pretty bad by 39 when I got it fixed. Can this be a reason why it came undone from the botched, aggressive liposuction I had done to that areaand make it harder it fix, ormaybe impossible?

Zoran Potparic, MD · Answer

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.

Richard G. Schwartz, MD · Answer

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.

Randal Haworth, MD, FACS · Answer

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 !

Sean T. Lille, MD · Answer

It is not common to need a revision in 7 months. See your surgeon for advice on what is going on and why.

Connie Hiers, MD, FACS · Answer

Your muscle can be tightened again and perhaps mesh may be needed or permanent sutures for a better hold.  Please discuss this with your surgeon. However, if you only had a chin tuck and not the facelift, you actually may need the rest if the facelift for a better hold.

Is it normal for your platysmaplasty to come undone?

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Answer: What does "undone" mean?

Answer: What does "undone" mean?

Answer: Chin

Answer: Chin

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Is it normal for your platysmaplasty to come undone?

Answers (5)

Answer: What does "undone" mean?

Answer: What does "undone" mean?

Answer: Chin

Answer: Chin

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Recommended reading

Everything you need to know about Neck Lift

Our mission is to create a world where every investment in modern beauty is Worth It.