When I was 36 I had a neck and facelift done with a platysmaplasty….a previous laser treatment left my a mess and this was my only choice to fix it:( After the surgery this lump remained, and the platysma muscles almost looked unstiched pretty soon after. I’m not 43 and can bare to wear a scarf every day or hide it with my hair! I’m getting married in November 2024 and I just want some nice side angle pics of me:( I’m so embarrassed as the rest of my face is mistaken for in my early 30!
August 9, 2023
Answer: Improving neck contour after surgery The platysma muscle is a challenging muscle to treat in the anterior neck because it has no significant attachment to the underlying structures. This can sometimes result is return of laxity after a neck lift. The muscle. can also become more visible in patients with thin skin or if too much fat is removed at the time of surgery. It is difficult to fully assess your contour concerns in the photographs alone without a physical exam. However, there appears to be midline fullness due to platysma muscle relaxation or mild redundancy with a depression adjacent to the midline (which could be due to dermal scarring vs loss of subcutaneous fat. In addition, platysma hyperactivity can result in excessive platysma banding (corrected with Botox). Platysma relaxation/redundancy can often times be treated with a neck lift revision (additional tightening/removal of excess platysma). The adjacent depression may be able to be addressed with dermal fillers in the office or nanofat grafting to the underlying dermis to eliminate the depression. I would recommend evaluation with a facial plastic surgeon/plastic surgeon who specializes in deep plane face/neck lifts for a complete examination and discussion of best treatment options.
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August 9, 2023
Answer: Improving neck contour after surgery The platysma muscle is a challenging muscle to treat in the anterior neck because it has no significant attachment to the underlying structures. This can sometimes result is return of laxity after a neck lift. The muscle. can also become more visible in patients with thin skin or if too much fat is removed at the time of surgery. It is difficult to fully assess your contour concerns in the photographs alone without a physical exam. However, there appears to be midline fullness due to platysma muscle relaxation or mild redundancy with a depression adjacent to the midline (which could be due to dermal scarring vs loss of subcutaneous fat. In addition, platysma hyperactivity can result in excessive platysma banding (corrected with Botox). Platysma relaxation/redundancy can often times be treated with a neck lift revision (additional tightening/removal of excess platysma). The adjacent depression may be able to be addressed with dermal fillers in the office or nanofat grafting to the underlying dermis to eliminate the depression. I would recommend evaluation with a facial plastic surgeon/plastic surgeon who specializes in deep plane face/neck lifts for a complete examination and discussion of best treatment options.
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