Neck banding: skin or muscle laxity? Weight gain? Facelift failure? Late 40s, BMI 18.5.

Question

I lose weight easily. Old photos show that, in the past few years, this low of a BMI would cause platysma muscle banding and/or loose skin. I don't think my profile looked this bad, tho: is that platysma or loose skin? Does loose platysma eventually cause loose skin? I'm finally lining up consults for facelift. But is my skin so far gone that added weight will not "fill in" that banding? If I lose/gain so easily, & it has such an effect, aren't I at risk for early failure of a facelift/necklift?

Jonathan Kulbersh, MD · Answer

You’d do best with a mini lift to get rid of your jowls and tighten up your lower face plus a neck lift with platysmaplasty to tighten the neck muscles, tighten the skin and trim away the excess. These procedures will give you a natural-looking rejuvenation that can last for up to 8 years or more. I hope this helps.

Mark Berkowitz, MD · Answer

Faceorbody  Thank you for your questions and pictures.  An in person consultation is paramount to your successful treatment.  The band that you note is the platysma muscle.  Your friends who have higher BMI may or may not show this yet as their facial body fat can help to camouflage this muscle. You have several choices that only through a comprehensive consultation will become clear:Ylift J plazty Lazer liftQuickliftICLED pltysmaplastyThermage or UltherapyCombination of the above

Houtan Chaboki, MD · Answer

Skin and muscle laxity may become more evident after weight loss. Depending on the degree of laxity, surgical options may include a mini lift or neck lift. Patients with fat under chin may consider liposuction as well. For those who aren't ready for surgery, some patients have used Botox and Dysport to temporarily improve the neck and jawline.Best,Dr. Chaboki

William Portuese, MD · Answer

A thorough examination of the neck is required to make a determination about excess skin and platysma muscle banding. Both issues are probably contributing to the issues noted in the photographs. A lower face and neck lift can accomplish tightening the platysma muscle, removing any fatty deposits in the neck, and tightening loose facial and neck skin. For many examples, please see the link and the video below

Neck banding: skin or muscle laxity? Weight gain? Facelift failure? Late 40s, BMI 18.5.

Answers (4)

Answer: Neck banding: skin or muscle laxity?

Answer: Neck banding: skin or muscle laxity?

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Everything you need to know about Neck Lift

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Neck banding: skin or muscle laxity? Weight gain? Facelift failure? Late 40s, BMI 18.5.

Answers (4)

Answer: Neck banding: skin or muscle laxity?

Answer: Neck banding: skin or muscle laxity?

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Recommended reading

Everything you need to know about Neck Lift

Our mission is to create a world where every investment in modern beauty is Worth It.