Platysmal bands showing after aggressive lipo. Is there a way to correct this with fat grafting? (Photo)

You might wish to explore the use of HA fillers for treating this problem. A robust HA filler can be used to lift and pull the bands laterally to smooth them and a low viscosity, cohesive, malleable HA filler can be used in boluses in the midline for further smoothing and the promotion of new collagen and elastic fiber synthesis. I gave up fat transfer many years ago. For one thing, the procedure is relatively expensive. For another, it is a two step, minimally invasive (means expect downtime and swelling) and usually requires the use of larger cannulas. For another, despite promises to the contrary, much of the transplanted fat, separated from its original blood supply does not survive in the new location, And finally, fat retains the characterisiics and properties of the area from which it is taken. So, if it is taken from the buttocks, thighs and belly, when these areas develop midriff bulge, so, too, may the fat transplanted into the neck. You would be wise to consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.

Delivering consistent quality, liposuction results is more difficult than most people realize. For this reason, I recommend patients be very selective about using providers. I recommend patients have multiple in person consultations before scheduling surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients in the past. And experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Liposuction should be viewed as a permanent and irreversible procedure. Collecting poor outcomes is difficult and grafting fat may be an option, but without having insufficient layer of fat to serve as host tissue, grafted fat is unlikely to survive well. This is a difficult situation to improve upon. If you opt for fat grafting, expect improvements to come after multiple sessions.
Revision Work is many times more difficult than Primary and Liposuction. The importance of finding is officially talented provider is more important for revision work then Primary procedures. For individuals who opt for fat grafting you need to not only vet providers for Liposuction, but also for fat grafting skills.
The process for finding providers for a vision work it’s more or less the same as finding the best providers for primary procedures with the exception that you also need to confirm, they have experience with fat grafting.
Restoration to normal may not be possible, but some improvements may be possible, especially if you’re willing to undergo a few sessions of revision work in the hands of someone with sufficient skill and experience.
Patients should be more selective, and they think necessary when it comes to choosing providers especially for Liposuction.
Best,
Mats Hagstrom, MD