I am interested in a neck lift. I don't have much sagging skin but enough to bother me. Is platysma surgery a must to fix under the chin for a neck lift? I was told by my dr who will perform the surgery that now a days they prefer to lift the platysma side ways instead of doing the corset . Would like to have your opinion please , i dont want to end up looking the same after surgery if i dont have the corset done , Thank you
Answer: Is the corset platysma muscle surgery the only way to fix a neck lift? = no necessarily #necklift #platysmaplasty Correction of the laxity of the neck muscle ( platysmaplasty) could be performed in multiple forms. When the muscle is tightened in the center of the neck that is called corset platysmaplasty ( medial platysmaplasty)Then the muscle is tightened only from the sides of the neck. that is called medial platysmaplasty.Generally, small neck laxity could be corrected with either corset or lateral plastysmaplasty. When the neck is very lax, usually both the medial and the lateral plastysmaplasty may be performed.Therefore, the type of platysmaplasty to be performed on a patient depends on the neck physical findings.
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Answer: Is the corset platysma muscle surgery the only way to fix a neck lift? = no necessarily #necklift #platysmaplasty Correction of the laxity of the neck muscle ( platysmaplasty) could be performed in multiple forms. When the muscle is tightened in the center of the neck that is called corset platysmaplasty ( medial platysmaplasty)Then the muscle is tightened only from the sides of the neck. that is called medial platysmaplasty.Generally, small neck laxity could be corrected with either corset or lateral plastysmaplasty. When the neck is very lax, usually both the medial and the lateral plastysmaplasty may be performed.Therefore, the type of platysmaplasty to be performed on a patient depends on the neck physical findings.
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February 9, 2017
Answer: During a neck lift is the corset platysma muscle surgery the only way to fix and improve the contour of a neck? The neck is the most common concern for the majority of my patients. There are multiple less invasive treatments to treat other parts of the face, however excess skin of the neck or prominent platysma muscles are difficult to treat without surgery.
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February 9, 2017
Answer: During a neck lift is the corset platysma muscle surgery the only way to fix and improve the contour of a neck? The neck is the most common concern for the majority of my patients. There are multiple less invasive treatments to treat other parts of the face, however excess skin of the neck or prominent platysma muscles are difficult to treat without surgery.
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January 19, 2018
Answer: A minimal incision neck lift approach with muscle tightening gives results that last Hello,Many patients considering neck lift surgery ask this very question. The short answer is yes: the platysma muscle must be tightened to create a beautiful contour that lasts many years. A 'skin only' lift may look good for a few months but inevitably the neck tissues stretch and sag. I see many patients for corrective work who have this exact complaint following a 'skin-only' neck lift. When there's not much sagging skin, my preferred technique is a minimal incision approach (I call this a 'closed neck lift'): I make 3 short (~1.5 inch) hidden incisions, 1 behind each ear and 1 under the chin. Following liposuction, I separate skin from underlying platysma muscle, and then I suspend the platysma muscle with multiple permanent sutures anchored to the very strong tissue behind the ear (called the 'mastoid fascia'). Sometimes tightening of the muscle in the midline (a 'corset platysmaplasty') is needed to prevent central sagging. Scars are virtually invisible, the neck contour is lifted and contoured, and the results last for many years. Recovery is about a week and my patients have been very satisfied with this approach. All my best in your search!Dr. Rad
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January 19, 2018
Answer: A minimal incision neck lift approach with muscle tightening gives results that last Hello,Many patients considering neck lift surgery ask this very question. The short answer is yes: the platysma muscle must be tightened to create a beautiful contour that lasts many years. A 'skin only' lift may look good for a few months but inevitably the neck tissues stretch and sag. I see many patients for corrective work who have this exact complaint following a 'skin-only' neck lift. When there's not much sagging skin, my preferred technique is a minimal incision approach (I call this a 'closed neck lift'): I make 3 short (~1.5 inch) hidden incisions, 1 behind each ear and 1 under the chin. Following liposuction, I separate skin from underlying platysma muscle, and then I suspend the platysma muscle with multiple permanent sutures anchored to the very strong tissue behind the ear (called the 'mastoid fascia'). Sometimes tightening of the muscle in the midline (a 'corset platysmaplasty') is needed to prevent central sagging. Scars are virtually invisible, the neck contour is lifted and contoured, and the results last for many years. Recovery is about a week and my patients have been very satisfied with this approach. All my best in your search!Dr. Rad
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February 4, 2017
Answer: Seek another personal consultation You may not need a platysmaplasty and in certain cases, it is not necessary. But this needs to be decided before surgery, because platysmaplasty often needs to be done in conjunction with a lift. Seek another personal evaluation if you are not satisfied.
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February 4, 2017
Answer: Seek another personal consultation You may not need a platysmaplasty and in certain cases, it is not necessary. But this needs to be decided before surgery, because platysmaplasty often needs to be done in conjunction with a lift. Seek another personal evaluation if you are not satisfied.
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June 1, 2017
Answer: Is there more than 1 way to address the neck? Thank you for the question. The answer is yes. A one size fits all approach does not apply facial rejuvenation of the neck and face. There are several ways to address the central neck (submentum) during rejuvenation depending on your needs. In many patients with early aging changes, a limited sideways/ lateral elevation and resuspension of the platysma is adequate. For patients, with excess skin laxity and heavy necks, this can be inadequate and usually lead to early failure. The weight of the tissue causes relaxation and the muscles again splay and or the face to have a windswept look. However, if an extended SMAS (the strength layer under the skin) or deep plane dissection is utilized to allow adequate movement of SMAS/skin flap in a true vertical manner then this can sometimes eliminate then need for a corsette platysmaplasty. This is not the same as removing a little SMAS and closing the edges together or just placing sutures to tighten the SMAS. Managing the central neck directly allows both the muscle edges and selective fat to be removed under the platysma prior to creating a stable corsette to sharpen the neckline and decrease the chance the muscles will splay. Ultimately, a corsette platysmaplasty in combination with an extended SMAS correction can give a reliable, long lasting result even in the toughest necks when other techniques tend to fail. I hope this helps and your surgery goes well. Take care.
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June 1, 2017
Answer: Is there more than 1 way to address the neck? Thank you for the question. The answer is yes. A one size fits all approach does not apply facial rejuvenation of the neck and face. There are several ways to address the central neck (submentum) during rejuvenation depending on your needs. In many patients with early aging changes, a limited sideways/ lateral elevation and resuspension of the platysma is adequate. For patients, with excess skin laxity and heavy necks, this can be inadequate and usually lead to early failure. The weight of the tissue causes relaxation and the muscles again splay and or the face to have a windswept look. However, if an extended SMAS (the strength layer under the skin) or deep plane dissection is utilized to allow adequate movement of SMAS/skin flap in a true vertical manner then this can sometimes eliminate then need for a corsette platysmaplasty. This is not the same as removing a little SMAS and closing the edges together or just placing sutures to tighten the SMAS. Managing the central neck directly allows both the muscle edges and selective fat to be removed under the platysma prior to creating a stable corsette to sharpen the neckline and decrease the chance the muscles will splay. Ultimately, a corsette platysmaplasty in combination with an extended SMAS correction can give a reliable, long lasting result even in the toughest necks when other techniques tend to fail. I hope this helps and your surgery goes well. Take care.
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