Platysma fat and digastric muscle removal

If there is a thickened layer of fat underneath the skin or excess fat beneath the chin, and underneath the platysma muscle, judicious trimming of this can help to restore an improved, youthful neck contour. The same applies for digastric muscles, which may be enlarged: partial resection of the digastric muscles can help to improve the area underneath the jawline. However, excessive removal of the digastric muscle, subplatysmal fat or the submandibular glands, can result in a hollowed out neck, which has very sharp, harsh features, and does not restore a youthful contour to the neck. Best wishes.

Only based on in-person evaluation an experienced board-certified plastic surgeon, an expert in face/neck lift, can determine whether deep, subplatysmal fat removal and digastric muscle debulking are necessary. These are not standard components of every face/neck lift and your surgeon should decide, usually in the surgery, whether debulking of these structures is necessary. Hope this helps.