I've had two Facelifts and Platysmaplasty, one year apart. First was a complete failure. 2nd went to a new surgeon and had a complete re-do. Its been 4 months from the 2nd surgery, face and jaw line turned out fabulous, but my neck bands have returned, after the 1st month, the doctor said was too early to tell, but now at 4 months they are still there. How do I approach my doctor about this and is there a fix or am I just destined to always have these aging bands? I do not want Botox.
Answer: Persistent Bands In the Platysma Persistent neck banding post facelift and platysmalplasty can be very frustrating and here is how we handle it:1. We use radiogrequency immediately on the skin to get the skin to tighten. Often there is little separation between the muscle and the dermis in thin skinned individuals, and getting the skin to tighten will help reset the muscle more laterally. Here weakening the muscle a but with the Botox can help get a better long term result. 2. There is a technology called I Guide where you can selectively cut the bands through the skin as an office based procedure. Often in these cases the back cuts during the surgery may not have been done, leading to persistent banding.3. Unfortunately in my experience, many of these cases end in revision. We are happy to consult with you regarding this issue.
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Answer: Persistent Bands In the Platysma Persistent neck banding post facelift and platysmalplasty can be very frustrating and here is how we handle it:1. We use radiogrequency immediately on the skin to get the skin to tighten. Often there is little separation between the muscle and the dermis in thin skinned individuals, and getting the skin to tighten will help reset the muscle more laterally. Here weakening the muscle a but with the Botox can help get a better long term result. 2. There is a technology called I Guide where you can selectively cut the bands through the skin as an office based procedure. Often in these cases the back cuts during the surgery may not have been done, leading to persistent banding.3. Unfortunately in my experience, many of these cases end in revision. We are happy to consult with you regarding this issue.
Helpful 3 people found this helpful
Answer: Bands There are potential solutions for this issue. This is one of the most common recurring issues after necklift surgery. One option would be due performing a revision necklift. Another option would be to perform Morpheus with fat grafting. You need a VERY confident and experienced board-certified plastic surgeon with extensive experience in the face/neck. Ideally this surgeon completed 6 years of integrated plastic surgery training followed by a 1 year aesthetic fellowship endorsed by the Aesthetic Society.
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Answer: Bands There are potential solutions for this issue. This is one of the most common recurring issues after necklift surgery. One option would be due performing a revision necklift. Another option would be to perform Morpheus with fat grafting. You need a VERY confident and experienced board-certified plastic surgeon with extensive experience in the face/neck. Ideally this surgeon completed 6 years of integrated plastic surgery training followed by a 1 year aesthetic fellowship endorsed by the Aesthetic Society.
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February 23, 2019
Answer: Recurrent platysma bands Unfortunately in skinny necks like yours platysma muscle bands are relatively frequent postoperative problem. Since it is too early to see final result of your recent surgery this deformity may be treated with Botox. It will paralyze visible muscle bands and diminish current "deformity" possibly create better healing by eliminating muscle activity and pull? It would be wise to wait at least 1 year or longer before doing anything new. Patience. Good luck.
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February 23, 2019
Answer: Recurrent platysma bands Unfortunately in skinny necks like yours platysma muscle bands are relatively frequent postoperative problem. Since it is too early to see final result of your recent surgery this deformity may be treated with Botox. It will paralyze visible muscle bands and diminish current "deformity" possibly create better healing by eliminating muscle activity and pull? It would be wise to wait at least 1 year or longer before doing anything new. Patience. Good luck.
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July 10, 2020
Answer: Platysmal banding must be corrected surgically The key to correction of platysmal banding is identification preoperatively. These areas can then be marked and a proper corset platysma plasty performed in surgery via a submental or under the chin incision. Over the years, I have become more aggressive in management of the neck and correcting platysmal bands is both highly satisfying for the patient and rewarding for the surgeon. I would seek out a surgeon who has experience in correcting this condition and has photographs to support it. Botox will only temporarily mitigate the problem and laser treatments or Ultherapy have minimal impact and are therefore not recommended in our practice. Best,
Helpful 2 people found this helpful
July 10, 2020
Answer: Platysmal banding must be corrected surgically The key to correction of platysmal banding is identification preoperatively. These areas can then be marked and a proper corset platysma plasty performed in surgery via a submental or under the chin incision. Over the years, I have become more aggressive in management of the neck and correcting platysmal bands is both highly satisfying for the patient and rewarding for the surgeon. I would seek out a surgeon who has experience in correcting this condition and has photographs to support it. Botox will only temporarily mitigate the problem and laser treatments or Ultherapy have minimal impact and are therefore not recommended in our practice. Best,
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January 27, 2019
Answer: Neck Thank you for your question. I am sorry about your disappointment after surgery. Fist able the SMAS facelift will not treat those bands the platismaplasty will but there are different techniques to correct the bands and I believe you need a transection combined with middle suture of the muscle and to my experience is the most reliable procedure.
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January 27, 2019
Answer: Neck Thank you for your question. I am sorry about your disappointment after surgery. Fist able the SMAS facelift will not treat those bands the platismaplasty will but there are different techniques to correct the bands and I believe you need a transection combined with middle suture of the muscle and to my experience is the most reliable procedure.
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