I had a lower facelift done 15 months ago. 8 months after the surgery I noticed that my platysmal bands are becoming visible again. I discussed this with my surgeon, he suggested Dysport treatment. It is only temporary and barely lasts 3 months. Also spending $300 every 3 months on injectables gets expensive. Should I ask the doctor to do the revision platysmaplasty? Should this be covered under the original facelift cost? I am unsure if there is any "warranty" when it comes to facelift surgery.
Answer: Platysma bands after facelift Thank you for your question. It appears from your photo that you have platysma bands but a proper assessment requires an in person examination. I think it is reasonable to expect that a facelift would address platysmal banding on a long term basis (at least several years if not permanent). I would suggest discussing your original goals and expectations with your surgeon. Correction might require an incision below the chin depending on their preferred technique. They may have taken a more conservative approach with the initial surgery to spare you this incision but looking back they may agree that more work could have been done on the platysma.
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Answer: Platysma bands after facelift Thank you for your question. It appears from your photo that you have platysma bands but a proper assessment requires an in person examination. I think it is reasonable to expect that a facelift would address platysmal banding on a long term basis (at least several years if not permanent). I would suggest discussing your original goals and expectations with your surgeon. Correction might require an incision below the chin depending on their preferred technique. They may have taken a more conservative approach with the initial surgery to spare you this incision but looking back they may agree that more work could have been done on the platysma.
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Answer: Neck Lift Revision Neck lift surgery can be somewhat unpredictable at times. My guess is that your surgeon used a lateral approach to resolve the excess skin/muscle laxity, which worked for a few months but then the platysmal bands reappeared. At this stage, you would benefit most from a submental approach +/- lateral approach with a thorough platysmaplasty to reduce the chance that the bands will return. Prolonged neuromodulator use is not a great strategy. As for cost, patient would pay for facility +/-anesthesia but not for my time.
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Answer: Neck Lift Revision Neck lift surgery can be somewhat unpredictable at times. My guess is that your surgeon used a lateral approach to resolve the excess skin/muscle laxity, which worked for a few months but then the platysmal bands reappeared. At this stage, you would benefit most from a submental approach +/- lateral approach with a thorough platysmaplasty to reduce the chance that the bands will return. Prolonged neuromodulator use is not a great strategy. As for cost, patient would pay for facility +/-anesthesia but not for my time.
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August 8, 2019
Answer: A platysmaplasty would sure be nice. Some docs don't do a platysmaplasty when they do their lower facelifts. You may not have had it done before. I always do and it makes such a big improvement. Since everyone sags and ages differently, the platysmaplasty is going to cost you 1 yr later so don't be surprised but it will be so worth it. Unfortunately, there are no guarentees in cosmetic surgery.
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August 8, 2019
Answer: A platysmaplasty would sure be nice. Some docs don't do a platysmaplasty when they do their lower facelifts. You may not have had it done before. I always do and it makes such a big improvement. Since everyone sags and ages differently, the platysmaplasty is going to cost you 1 yr later so don't be surprised but it will be so worth it. Unfortunately, there are no guarentees in cosmetic surgery.
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August 1, 2019
Answer: Platysma bands Thank yo for your question. What you have in the neck is a platysma band. The patysma band con be treated nonsurgical by injecting botox and it will help for about tree months but is not going to be perfect and need to be re-injected. If your intention is a more permanent solution surgery is the answer and that will give you a more permanent solution of your condition.
Helpful 1 person found this helpful
August 1, 2019
Answer: Platysma bands Thank yo for your question. What you have in the neck is a platysma band. The patysma band con be treated nonsurgical by injecting botox and it will help for about tree months but is not going to be perfect and need to be re-injected. If your intention is a more permanent solution surgery is the answer and that will give you a more permanent solution of your condition.
Helpful 1 person found this helpful
July 30, 2019
Answer: Options for platysmal bands 1. Midline platysmaplasty through submental incision2. Revision facelift with lateral pulling and tightening of platysma3. Thermitight In terms of financing it should be discussed with your surgeon as all surgeons have personalized policies on how to handle any revisions. RegardsDr. J
Helpful 1 person found this helpful
July 30, 2019
Answer: Options for platysmal bands 1. Midline platysmaplasty through submental incision2. Revision facelift with lateral pulling and tightening of platysma3. Thermitight In terms of financing it should be discussed with your surgeon as all surgeons have personalized policies on how to handle any revisions. RegardsDr. J
Helpful 1 person found this helpful
