One surgeon recommending only dividing bands, other surgeons divide, and tie back with stitches. What is the best practices to address bands in neck lift?
In short, both techniques are acceptable to improve the contour of the neck. In my practice, for patients who have significant neck laxity, I both divide the bands, approximate the platysma centrally, and also tighten the platysma laterally ( pull and tighten the platysma both in the front and the back). For patients who have less neck laxity (especially in younger patients), I will just divide the bands and tighten centrally. The answer is dependent upon your individual anatomy and your surgeons preference. I hope this information was helpful .
Necklift - Santa Monica
During a necklift, a great option is to plicate or resuture the midline platysma muscles to help improve the jowls and help tighten the neck contour. Although a necklift can be performed without that procedure, platysmal tightening can give you longterm improvement in the anterior neck.
Best,
Dr. Karamanoukian
The Bands under your chin are caused by the non-continuous borders of the Platisma Muscle. They are naturally divided and that is why we usually see TWO bands under our chins as we age. When they become loose, we suture these two borders together to approximate them in the midline of your under-chin area and get rid of the banding. We may disect them a little to facilitate approximation towards the midline. Dividing of the Platisma can be done on the areas on the lateral neck, as part of the Neck-lift procedure in order to tighten and rejuvenate this area with a natural looking result. Furthermore, removal of any redundant fat and Platisma can also be done to avoid "bulging" and lumps.
It matters what you are dealing with and I tailor the neck lifts to patients needs. For neck lifts I cut the bands and tighten in the midline then cut platysma laterally and suture laterally as well.
You have to correctly diagnose the problem and the solution is then used to correct it. Platysma bands are caused by a separation of the natural fusion of the two sides of the platysma in the midline of the neck
. They can be excised or better reapproximated in the midline to restore the normal anatomy. If there is submental fat, it needs to be removed. If there is excess skin it need to be removed with a neck lift
Both are fine. The best way depends on your anatomy and what your surgeon feels is the best for you.