A platysmaplasty is a cosmetic procedure that tightens the underlying neck muscles to provide patients with a more defined neckline. A platysmaplasty rejuvenates not only the neck area but under the chin as well. This procedure only tightens the muscles and does not remove excess skin or fat.
- avg. recovery
About the Procedure
A platysmaplasty tightens the lax neck muscles that cause neck banding and an ill defined neckline. It is common for a platysmaplasty to be combined with a cervicoplasty to remove excess skin and fat, often referred to as a direct neck lift. The platysmaplasty begins by making a small, discreet, 1cm incision underneath the chin. An endoscope will be inserted for better visualization. The platysma muscles will tightened and sutured together to reduce the appearance of neck bands and create a single layer of muscle, called a midline platysma plication.
The goal of a platysmaplasty is to reduce the appearance of unsightly lines / vertical neck bands, double chin, loose, sagging neck skin, or fatty jowls in the neck and chin region.
What to Expect
A platysmaplasty tightens the underlying neck muscles to provide patients with a more defined neckline. Here is a quick guide for what to expect before, during, and after a platysmaplasty.
- Stop taking blood thinning medications 2 weeks before
- Stop topical medications such as Retin-A or other tretinoin products
- Stop smoking 4 weeks before and after
- No alcohol 5 days prior
- Do not eat or drink 6 hours before
- Local anesthesia with sedation
- Small incision underneath the chin
- Platysma muscles are tightened
- Sutures to close
Swelling, bruising, and soreness are to be expected after a platysmaplasty. Incisions should be cleansed multiple times per day and sutures are removed at 1 week. Avoid turning the head independently or stretching the neck for at least 2 weeks. When turning, move the shoulders and head as one unit. Sleep in an inclined position to help reduce swelling.
The ideal candidate for a platysmaplasty has moderate aging of the neck and is usually between the ages of 40 and the late fifties.
Not Recommended For
An isolated platysmaplasty is not recommended for patients with more significant aging and heavier drooping neck as it then must be combined with a cervicoplasty to remove excess skin.
Side effects from a platysmaplasty include swelling, bruising, discomfort, changes in sensation and scarring.