Eastside Face Journal

Platysmaplasty and Neck Bands

Neck bands are the vertical lines or cords some people notice under the chin and along the neck. Platysmaplasty is the term for surgery aimed at them. Before that surgery come the questions to ask, and after it come the changes to look for.

Photograph your neck bands first

Stand in front of a mirror and look at your neck relaxed, then while tightening the neck. Take photos of both. When you meet a surgeon, those photos let you point to exactly what bothers you. For a medical overview of how the neck is approached, the StatPearls chapter on neck rejuvenation is a good place to read first.

Surgical and nonsurgical options

Neck bands are not only a surgical topic. Ask any surgeon you see what they would suggest for your neck and why, and what each option would not address. The Cleveland Clinic page on nonsurgical facelift options lists approaches you can raise at a consultation. Treat it as a list of questions to ask, not a verdict.

Early signs after neck surgery

Compare the two sides of your neck each day, and compare both with the photos you took before surgery. Firmness or tightness on one side that is not on the other is one change to describe clearly. Ask your surgeon beforehand which changes under the jaw or along an incision should prompt a same-day call.

How platysmaplasty relates to a neck lift

Neck bands are sometimes discussed alongside a face and neck lift. The ASPS article on face and neck lifts is one place to see how the topics are presented. Ask your surgeon whether your plan treats the bands as a separate step or as part of a larger operation, and what that changes for recovery.

Neck incisions as they heal

Ask how each incision should be cleaned, protected and checked, and what a healing scar should look like at different stages.

Leaving the consultation with a call number

Bring your photos and questions to a consultation. For background on the larger operation that includes the neck, the StatPearls entry on cervicofacial rhytidectomy is worth reading with your surgeon beside you. Make sure you leave with the number to call after surgery.