Platysmaplasty – what is it, types: medial, Hollywood, corset, median, endoscopic. Reviews and prices about the procedure

In self-care, the main focus is on the face, but age-related changes are also displayed on the neck. She gives out the real age of the woman. To get rid of saggy skin on the neck will help platysmoplasty. A large number of reviews prove the effectiveness of such an operation.

What is platysmoplasty

Platysmoplasty is an surgical intervention that is aimed at restoring the lower contour of the face and eliminating other signs of skin aging in the neck. The essence of the operation is to stitch the edges of platism.

Plastic neck helps get rid of the following age-related changes:           

• wrinkles and wrinkles;
• sagging skin;
• lack of clear facial contours;
• double chin.

Experts recommend combining platysmoplasty with a facelift and chin lift.

Comprehensive intervention helps to achieve maximum results in a short time.

After the operation, the patient receives a clear chin line, tightened skin in the neck and the absence of ring-shaped wrinkles.

Pros and cons of surgery

Platysmaplasty has several advantages and disadvantages.

Among the main advantages include:

• the ability to get rid of sagging and sagging skin for a long period;
• lack of visible signs of surgical intervention;
• saving the result over a long period of time;
• the ability to eliminate the second or third chin;
• a small number of potential risks.

A neck lift can be an independent operation or part of a general rejuvenation.

Despite a number of advantages, plastic has the following disadvantages:

• a full result after the intervention will be noticeable only a few months after the operation;
• during the recovery period, there may be pain and severe swelling;
• bleeding and the development of the inflammatory process are possible;
• after the tightening, the patient should wear a special bandage.

Platysmaplasty (reviews will be further in the article) is effective and safe if it is carried out by an experienced specialist. If only a neck lift is performed, then in contrast to the face, age-related changes will be more noticeable.

Indications

Platysmaplasty is performed to rejuvenate and tighten the skin of the cervical zone.

The operation has the following indications:

• second or third selections;
• skin folds;
• Turkey neck;
• loose skin;
• low tone of the cervical muscle;
• fuzzy chin contour.

Contraindications

Before performing neck plastic surgery, you need to make sure that there are no contraindications.

Plastic surgery should be discarded if:

• pathology in a chronic or acute stage;
• infectious diseases;
• clotting problems;
• diabetes;
• dermatological diseases in the operating area;
• problems with the cardiovascular system;
• oncology;
• autoimmune diseases;
• renal or liver failure.

A contraindication to a necklift is a predisposition to allergic reactions. Specific prohibitions include thyroid disease, goiter, and muscle disease.

The operation will not be effective for very sagging skin.

Types of operation

Platysmaplasty is one of the most complex plastic surgeries.

There are several types of braces:

• medial (median);
• Hollywood
• corset;
• endoscopic.

The choice of a specific type of operation depends on the individual characteristics of the patient and the purpose of the correction. The effect of the procedure depends on the type of operation selected.

Medial (Median)

Medial tightening – creating a tension of the subcutaneous muscle of the neck, which leads to the formation of a clear cervical-chin line. This technique is the most common.

It involves a small incision that helps mobilize the skin. The incision is made in the groove under the chin. Through it, a lift of platism is made. At the end of the operation, an internal cosmetic suture is applied.

This type of surgical intervention can be both an independent operation and part of a comprehensive rejuvenation of the face and neck. With an integrated approach, the initial age-related changes become almost not noticeable.

Hollywood

A Hollywood necklift will help get rid of the second chin and blurred neck-chin angle. It got its name because of its widespread popularity among Hollywood stars. Unlike liposuction and thread tightening, Hollywood platysmaplasty helps to visually lengthen the neck, make it thinner and more elegant.

Corset

The operation is indicated for overweight patients who want to get rid of the second or third chin. A corset lift is useful for inelastic skin in the neck.

A corset lift involves eliminating brylya and turkey neck. After surgery, the skin becomes more toned and supple. On average, the effect will be noticeable for 8 years.

Endoscopic

Indication for surgical intervention – unexpressed sagging skin on the neck and chin. For this, special endovideocontrol and endoscopic equipment are used.

The operation is minimally invasive, for it two small punctures are made in the chin area. Through them, micro-tools for correction and the endoscope itself are introduced. The advantage of endoscopic intervention is the absence of a noticeable scar. The effectiveness of the endoscopic procedure is lower than after a standard neck lift.

Preoperative stage

To minimize the risks of complications and side effects before the patient’s operation, you need to properly prepare. The preoperative stage involves a complete examination of the body.

The specialist evaluates the following indicators:

• • skin elasticity level;

• the presence or absence of excess fat;
• placement and size of the salivary glands;
• tension and sagging of platism;
• initial angle between the neck and chin.

The correction plan is compiled individually, depending on the results of the examination and the desired effect of the tightening.

If you are predisposed to allergic reactions or intolerance to cert
ain medications, you need to warn your doctor about this, otherwise negative consequences are possible.

During the preparatory phase, you need to completely abandon alcohol and taking medications that affect blood circulation. For 10-14 days before surgery, you should stop smoking and drinking alcohol. You cannot eat or drink directly on the day of surgery.

Operation progress

The stages of the operation are determined by its type and condition of the patient.

In most cases, the operation takes place according to the standard scheme:

• the introduction of an anesthetic;
• liposuction;
• a lift;
• deep plastic;
• drainage.

The initial stage of the operation is the administration of an anesthetic drug. A feature of the operation is that it is performed simultaneously under local and general anesthesia. In order to reduce bleeding during the intervention, an adrenaline hydrochloride solution is introduced.

Next, the second chin is removed. For liposuction, a small incision is made – about 1’6 inch in the chin area. The doctor separates the skin from the muscles and body fat. A special cannula and an aspirator are inserted through the incision. Excess fat is removed under vacuum pressure. The next stage involves lifting sagging flaps of skin and platysma. If necessary, some of them may be excised.

Deep plastic – detachment of the neck muscles and removal of excess adipose tissue. If the procedure is lateral, then the epidermis is cut off in the of the temples, and the fibers themselves are stretched. With the medial type of intervention, the muscles are fixed closer to the center of the neck. Further, thin and inconspicuous seams are superimposed.

Drainage is carried out through the introduction of a tube to remove excess fluid. It is removed only after a day. The total duration of the operation is about 2 hours. Depending on the complexity, the tightening can take 1-2 hours, and drag on up to 3 hours.

To emphasize the line of the chin, a wedge-shaped excision of the inner part of platism is performed. If excess sub-platformer fat is present, then its resection is performed.

During suturing, the muscles are evenly stretched. To fix the effect of the operation and avoid the formation of edema, a special modeling dressing is applied to the neck and the area near the chin. It must be worn for the first few days.

An operation can consist of all the stages listed or include only the correction of platism directly. A combination of lateral intervention with stitching of the edges of the muscle in the center is possible.

Postoperative period

In the first few days after surgery, the patient should be in the hospital under the supervision of specialists. To avoid deformation, the head and neck should be kept as straight as possible. For this purpose, a special corset is put on the patient. It should be worn during the first day after surgery, and then put on only for the duration of sleep.

To stop the pain, the doctor may prescribe an analgesic:

• Ketanov;
• Ketolong
• Ksefokam.

For the prevention of the inflammatory process, a course of antibiotics is prescribed, which lasts about 5 days. Sutures are removed in a week. The total recovery time is 3 weeks. You can speed up the process using physiotherapeutic procedures. Most of them are aimed at normalizing collateral lymph and blood circulation.

The following procedures are prescribed:

1. Ultrasound. Waves with ultrasonic frequency activate collagen and elastin production.
2. Iontophoresis. The introduction of biologically active substances directly under the skin.
3. Acupressure. It can be carried out only after complete healing of scars.
4. Use of a low-intensity infrared laser .
5. Magnetotherapy. It involves the restoration of the body due to the influence of magnetic fields.
6. Microcurrent therapy. Helps to improve local metabolism, and also increases the amount of oxygen that is contained in the cells.

In the absence of complications, physiotherapeutic procedures are prescribed for 3-5 days after plastic surgery. They accelerate the healing process of sutures, prevent the formation of scars and inflammatory processes.

During the recovery period, the patient has microhematomas, swelling and bruising. In the absence of complications, the sutures are removed 7-10 days after the intervention. Immediately after removal of the sutures, a modulating bandage is applied.

For a month, the patient should wear a special compression corset to support the neck. Most patients return to work within a week after lifting. After 3-6 months, postoperative scars lighten and become almost invisible.

Postoperative prohibitions

Postoperative prohibitions will help to avoid the development of complications.

During the first 2-3 months after plastic surgery, you should completely abandon:

• solarium;
• baths or hot saunas;
• mesotherapy;
• Massage
• myostimulation.

Thermal procedures are carried out to enhance blood microcirculation, and as a result of the expansion of blood vessels and the formation of edema. In the process of mesotherapy and other similar cosmetic procedures, the formation of small microtraumas occurs. Most types of massage involve muscle skin displacement. An exception is only acupressure.

During the first 5-10 days, it is forbidden to wash your hair and use cosmetics. Seams must be periodically wiped with an antiseptic. You can not sunbathe for 2-4 months. Physical activity should increase gradually.

Possibl
e complications

Platysmaplasty, reviews of complications are extremely rare, is not a dangerous operation.

However, there is a list of possible complications:

• hair loss;
• problems with skin pigmentation;
• hematoma formation;
• fluid collection under the skin;
• necrosis of the dermis;
• deep vein thrombosis;
• the development of infectious processes;
• the formation of keloid scars;
• deformation and asymmetry of the face.

Hair loss is explained by the fact that cuts are made in the temples and behind the ears. This negative manifestation goes away on its own. In some cases, hair loss can be quite extensive, so there is a need for a hair transplant.

Pigmentation problems occur due to intradermal hemorrhage. Hematomas and seromas can cause pain and bleed periodically. If the deviation does not go away on its own, then the doctor must completely remove the old sutures and apply new ones.

The cause of necrosis is a severe thinning of the skin area in the suture area. Most often, tissues die, forming necrotic areas, behind the ears.

Infectious processes occur against the background of the death of certain skin areas and complications of hematomas. Another reason is hair getting into the wound during suturing. Antibiotics are used for treatment.

Due to low immunity, chronic disease and vascular disorders, the incisions can heal for a long time, so the doctor can prescribe ascorbic acid and zinc in advance to stimulate regeneration processes.

In the first year after surgery, keloid scars may occur at the site of damage . In some cases, the causes of proliferation of keloid tissue cannot be determined. Most often, this process is caused by a genetic predisposition.

Improper intersection of the superficial muscle can lead to deformation of the contours and the development of facial asymmetry. Perhaps a slight numbness in the area where the intervention was performed. This is due to the fact that during the operation the nerve endings were damaged. Numbness goes away in a few weeks.

How long is the effect

Platysmoplasty (reviews of the operation indicate that the effect persists for 5-10 years) provides a different duration of the effect.

It depends on the following factors:

• lifestyle
• the presence or absence of bad habits;
• skin type;
• the external environment;
• state of bone structures;
• the negative effects of sunlight.

The preservation of the effect of plastic tightening depends on the individual characteristics of the patient’s body and the correctness of postoperative recovery.

Can I combine with other types of plastics

For complex rejuvenation, platysmoplastics are recommended to be combined with other plastic surgeries.

The procedure goes well with:

• bio-reinforcement;
• biorevitalization;
• chin enlargement;
• liposuction in the chin area;
• banding neck tissue.

Platysmoplasty (reviews are presented below) and other operations are performed through an incision under the chin or behind the ears. Therefore, for one intervention, several manipulations are possible.

Where are the sutures located and visible: photo of the neck before and after surgery

The placement and size of the scars depends on the type of neck lift. To correct the contour of the face and tighten the subcutaneous muscles, an incision is made directly in the chin area, as well as small incisions behind each ear.

To eliminate small age-related changes, only one incision is made under the chin or behind one ear. On average, its size is about 1’6 inch. For endoscopic surgery, the incision can be about 1. 2 inch. The localization of the sutures depends on the operating procedure. With a medial lift, the sutures are under the chin, and with the lateral – behind the ears or on the temporal.

Postoperative scars are invisible, as they are localized in the natural fold of the neck or under the hair.

Can I do it after a burn

Platysmaplasty, reviews of which in most cases are positive, can be performed after a burn. The wound should heal completely, since injuries and rashes are direct contraindications for surgical intervention. If the operation is done after a burn, then removal of the scar is one of the stages of plastic surgery.

Will it help to remove wrinkles on the neck after 50 years

There are no clear age restrictions for facelift. Plastic surgery can be performed both for young girls and for patients aged 50 to 65 years. The operation will help eliminate strands, wrinkles, sagging skin, as well as change the angle between the neck and the chin area.

The price of plasmoplasty in New York, Los Angeles, (to make a small table)

The price of platysmoplasty depends not only on the city, clinic and doctors’ qualifications, but also on the type of surgery selected. Medial neck plastic is more expensive than lateral.

New York	from 25000 to $ 8160.
Los Angeles	from $ 163 up to $ 4760
Las Vegas	from $ 340
Washington	from $ 598

The exact cost is determined by the doctor immediately after the examination of the patient. The average price varies from $ 680 – $ 952.

Reviews of doctors and patients about the effectiveness of the operation

Women who made platysmoplasty note the high effectiveness of the procedure and the preservation of the effect for a long period. The recovery period is pretty fast. Side effects in most cases are absent.

If a negative manifestation occurs, then it passes by itself, sometimes symptomatic therapy is required. The final result will be noticeable 2-3 months after the tightening.

Reviews of doctors indicate that platysmoplasty is a popular plastic surgery. It solves several problems at once at the same time – eliminates the second chin and saggy skin.

The average age of patients is 30-45 years. At this time, the first age-related changes begin to appear, the skin sags a little, but at the same time it still retains elasticity and regeneration property.

Platysmaplasty is a less traumatic operation that gives a good anti-aging effect. During
surgery, the second chin is completely eliminated and saggy skin is removed. The skin of the neck becomes more toned, and age-related changes are less noticeable. Positive feedback from patients indicates the effectiveness of neck plastics.

Posted by: Sedenkova Anastasia

Video about platysmaplasty

What doctors say about neck platysmoplasty: