Management of the Platysma in Neck Lift

Traditional techniques to treat platysma bands relied on corset tightening of the anterior platysma muscle borders or rigid suspension of the lateral platysma borders to sternocleidomastoid or periauricular fascia. Although results seemed good, recurrence was common and the ultimate outcome was poor. Despite modifications, they have largely failed, and for surgeons seeking to rejuvenate the face, treating platysma bands remains a most frustrating and perplexing problem in neck surgery. However, if problems are understood and carefully defined, and logical plans are used to treat them, significant improvement in common neck problems related to the platysma muscles can be obtained.