Platysmaplasty

From WikiMD's Food, Medicine & Wellness Encyclopedia

Platysmaplasty is a cosmetic surgery procedure aimed at improving the appearance of the neck. As individuals age, the skin on the neck can become lax, and the platysma muscle, which is a thin, broad sheet of muscle located in the neck, can start to separate and sag. This can lead to the appearance of vertical banding on the neck and a less defined jawline, often referred to as a "turkey neck." Platysmaplasty seeks to address these issues, providing a more youthful and contoured neck profile.

Procedure[edit | edit source]

The platysmaplasty procedure can vary depending on the extent of surgery required but generally involves making small incisions under the chin or behind the ears. Through these incisions, the surgeon can access the platysma muscle. The procedure may involve altering the muscle by either removing a portion of it, altering its tension, or suturing parts of the muscle together to create a tighter, more defined neck contour. Excess skin may also be removed during the process to enhance the effect.

Candidates[edit | edit source]

Ideal candidates for platysmaplasty are individuals who are in good overall health and have realistic expectations about the outcomes of the surgery. Candidates often seek to correct issues such as loose neck skin, visible vertical bands on the neck, or a poorly defined jawline that has resulted from aging or significant weight loss.

Risks and Complications[edit | edit source]

As with any surgical procedure, platysmaplasty carries certain risks and potential complications. These may include infection, bleeding, scarring, changes in skin sensation, and dissatisfaction with the aesthetic outcome. Specific risks related to the manipulation of the platysma muscle include damage to the nerves that control muscle movement, which could result in changes to facial expressions or difficulty in moving the neck.

Recovery[edit | edit source]

Recovery from platysmaplasty varies by individual but typically involves a period of rest and limited movement to allow the neck to heal properly. Swelling and bruising are common post-operative occurrences and may last several weeks. Patients are often required to wear a compression garment around the neck to help reduce swelling and support the new contour of the neck as it heals. Most patients can return to normal activities within a few weeks, although strenuous activities should be avoided until the surgeon advises it is safe to resume them.

Outcomes[edit | edit source]

The outcomes of platysmaplasty can significantly improve the aesthetic appearance of the neck, resulting in a more youthful and contoured profile. The results are typically long-lasting, although they cannot stop the aging process entirely. Maintaining a healthy lifestyle and protecting the skin from sun damage can help prolong the results.

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Contributors: Prab R. Tumpati, MD