I thought that when your neck bands got cut and sewn together, Platysmaplasty, that was it and you would start aging from that point on. I had no idea they could come undone. How is it corrected? I've heard it's an easy in office procedure but the thought is frightening to me. Thank you
November 22, 2019
Answer: Banding back after Platysmaplasty Unfortunately, it is difficult to advise you without a few photos and with the limited information you have provided. I recommend that you schedule a consultation with a board-certified plastic surgeon who can examine you in person and determine why the bands have reappeared. In some cases, an in-office procedure may be appropriate to make a correction. Other times, you may need to undergo a second surgery to retighten the platysma and address any subsequent skin sagging. A qualified surgeon should be able to determine the right course of action for you.
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November 22, 2019
Answer: Banding back after Platysmaplasty Unfortunately, it is difficult to advise you without a few photos and with the limited information you have provided. I recommend that you schedule a consultation with a board-certified plastic surgeon who can examine you in person and determine why the bands have reappeared. In some cases, an in-office procedure may be appropriate to make a correction. Other times, you may need to undergo a second surgery to retighten the platysma and address any subsequent skin sagging. A qualified surgeon should be able to determine the right course of action for you.
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November 22, 2019
Answer: Depends In order to better evaluate the neck, photos should be attached. That being said, the answer will depend on many factors. How far along post procedure are you? If you are a long time after procedure, tissue may have relaxed and the bands could recur. This will also occur with poor elasticity of the skin and tissue. Are the muscle bands thick or thin and atrophic? In either case, the muscles can overcome the suturing or the tissues are not strong enough to hold suture. Are you noting recurrence of the bands in the lower third of the neck, close to the chest? Typically these bands low in the neck are not sutured due to limited access. The last is a question of technique, which may or may not be important and you may not know the answer...what a permanent or absorbable suture used? Although you may focus on this point, it is one of many factors and not the sole determining factor.At this point, you may need a platysmaplasty as well as lateral pulls on the neck to be effective. It depends how far post op you are. Although some doctors require a general anesthetic, I typically do these under local anesthesia in my office operating room.
Helpful 1 person found this helpful
November 22, 2019
Answer: Depends In order to better evaluate the neck, photos should be attached. That being said, the answer will depend on many factors. How far along post procedure are you? If you are a long time after procedure, tissue may have relaxed and the bands could recur. This will also occur with poor elasticity of the skin and tissue. Are the muscle bands thick or thin and atrophic? In either case, the muscles can overcome the suturing or the tissues are not strong enough to hold suture. Are you noting recurrence of the bands in the lower third of the neck, close to the chest? Typically these bands low in the neck are not sutured due to limited access. The last is a question of technique, which may or may not be important and you may not know the answer...what a permanent or absorbable suture used? Although you may focus on this point, it is one of many factors and not the sole determining factor.At this point, you may need a platysmaplasty as well as lateral pulls on the neck to be effective. It depends how far post op you are. Although some doctors require a general anesthetic, I typically do these under local anesthesia in my office operating room.
Helpful 1 person found this helpful
