I am 45 years old and had platysmaplasty two weeks ago.What went wrong? (photos)

I believe that the issue with your neck is that the plastysmaplasty was performed without fully undermining the skin of the neck which has resulted in bunching of the tissue.  The issue you are faced with is completely correctable, however, you are likely going to benefit from a formal neck lift to redrape the excess skin.  The surgery can be performed in about an hour and a half and you will likely be very pleased with the result.

It’s important to understand that tightening your platysma bands is one thing, redraping your skin is another. Your surgeon may have opened an incision under your chin to manage the bands, but your face and neck skin also needed tightening. Platysmaplasty doesn’t do that. Return to your surgeon and discuss neck tightening. You may need to move forward with a lower face/neck lift. Based on your pics, you should have a terrific result! Good luck!

Thank you for your question. You are in the early stages of your recovery and should see improvement as your recovery continues. I suggest that you discuss your recovery progress, expectations and instructions with your board certified facial plastic surgeon.
Best wishes,

From your photos, it appears that platysmapasty was performed, without undermining and significantly re-draping the skin. In general, when tightening tissues of the neck, significant undermining of the tissue is necessary to allow the skin to lay flat.  This often requires incisions close to and extending behind the ear.  However, your surgery was very recent, so there may be some swelling and the results are very early.  I would be sure to follow up with your board-certified plastic surgeon or facial plastic surgeon, so that your ultimate goal is achieved. Best wishes.

Platysmaplasty often needs  a neck lift from a lateral approach as well. It does work in certain cases by itself. But you will likely need lateral tightening and skin redrawing. If this was not done, you might want to ask your surgeon about additional procedures.

neck lifts with a platysma muscle plication  do work well. However an incision behind the ear is usually helpful to undermine all the skin attachments, so the skin can redrape evenly. Also I find Botox to the muscle helps relax the muscles so the skin doesn’t bunch up under the chin. Speak to you surgeon about whether these options are needed for you. You may need to wait a few months before undertaking any revisions as loose skin does take time to settle out.

Thanks for your question and I hope your recovery is going well otherwise. It appears that they have sutured your muscle together and the skin accumulated around this.  Some of the wrinkling may go away but likely not all. Without redraping of skin with an incision behind your ear it may never become smooth. Best wishes.

It looks like you have an incision under your chin and the muscles were sutured but the excess ski8n was not excised.I wonder if you have an incision behind your ears?This is what needed to be done.

well, it's only 2 wks and will likely get better. It looks like you only had a midline incision in the neck. The neck skin frequently has enough excess so that extra skin has to be pulled off the neck posteriorly, behind the ears. Otherwise the skin and platysma pull scrunch the neck skin toward the center of the neck