Noticeable platysma band after neck lift. Is this a case for a revision?

The platysma muscle can be stubborn, but a re-operation will usually correct the problem. Sometimes the band is not the platysma, but can be a digastric muscle band, particularly if there is more than one or previously, the neck was opened, or if there is a "lump" under the neck. A revision procedure usually just utilizes a scar under the neck, and can often be done under local anesthesia.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

The Platysma muscle can be very stubborn. Sometimes despite stitching the edges together they can open up and widen again giving a band appearance. A limited revision platysmaplasty can help that. It can be done in some cases under local anesthesia.
Regards
Dr. J