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

Personal care focuses on the face, but age-related changes are also reflected on the neck. It betrays the woman's real age. Platysmoplasty will help get rid of sagging skin on the neck. A large number of reviews prove the effectiveness of such an operation.

What is platysmoplasty

Platysmoplasty is a surgery aimed at restoring the lower face contour and eliminating other signs of skin aging in the neck area. The essence of the operation is to stitch the edges of the platysma.

Neck plastic surgery helps to get rid of the following age-related changes:           

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

Experts recommend combining platysmoplasty with a face and chin lift.

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

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

Pros and cons of surgery

Platysmoplasty has several advantages and disadvantages.

The main advantages include:

• the ability to get rid of flabby and saggy skin for a long period;
• absence of visible traces of surgical intervention;
• preservation of 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 a stand-alone operation or part of a general rejuvenation.

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

• a full-fledged 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 development of the inflammatory process are possible;
• after the lifting, the patient must wear a special bandage.

Platysmoplasty (reviews will be further in the article) is effective and safe if it is performed 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

Platysmoplasty is performed to rejuvenate and tighten the skin of the neck area.

The operation has the following indications:

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

Contraindications

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

Plastic surgery should be discarded if:

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

A contraindication to a neck lift is a predisposition to allergic reactions. Specific prohibitions include diseases of the thyroid gland, goiter and muscle pathologies.

The operation will not be effective for very loose skin.

Operation types

Platysmoplasty is one of the most difficult plastic surgeries.

There are several types of braces:

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

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

Medial (Median)

Medial lift - creates tension on the subcutaneous muscle of the neck, which leads to the formation of a clear cervico-chin line. This technique is the most common.

It involves a small incision to help mobilize the skin. An incision is made in the groove under the chin. Through it, a platysma lift is done. At the end of the operation, an internal cosmetic suture is applied.

This type of surgery can be either an independent operation or part of a comprehensive rejuvenation of the face and neck. With an integrated approach, the initial age-related changes become almost invisible.

Hollywood

A Hollywood neck lift will help get rid of a double chin and a blurred jug-chin angle. It got its name because of its widespread use among Hollywood stars. Unlike liposuction and thread lift, Hollywood platysmoplasty helps to visually lengthen the neck, make it thinner and more graceful.

Corset

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

Corset lifting involves the elimination of the fenders and "turkey" neck. After the operation, the skin becomes tighter and more elastic. On average, the effect will be noticeable for 8 years.

Endoscopic

Indication for surgery is unexpressed sagging of the skin on the neck and chin. For carrying out, special endovideo control and endoscopic equipment are used.

The operation is minimally invasive, for its implementation two small punctures are made in the chin area. Through them micro-instruments for correction and the endoscope itself are introduced. The advantage of endoscopic surgery is that there is no visible 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, the patient must be properly prepared before the operation. The preoperative stage involves a complete examination of the body.

The specialist evaluates the following indicators:

• • the level of skin elasticity;

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

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

If you have a predisposition to allergic reactions or intolerance to certain drugs, you must warn your doctor about this, otherwise negative consequences are possible.

During the preparatory stage, you need to completely abandon alcohol and take medications that affect blood circulation. For 10-14 days before the operation, you should stop smoking and drinking alcoholic beverages. You must not eat or drink on the day of the operation.

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Operation progress

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

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

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

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

Next, the second chin is removed. For liposuction, a small incision is made - about 4 cm in the chin area. The doctor separates the skin from the muscles and fat. A special cannula and an aspirator are inserted through the incision. Excess fat is removed under vacuum pressure. The next step involves lifting sagging skin flaps and platysma. If necessary, some of them can be excised.

Deep plasty - detachment of the cervical muscles and removal of excess adipose tissue. If the procedure is lateral, then the epidermis is cut off at 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 applied.

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

To emphasize the chin line, a wedge-shaped excision of the inner part of the platysma is performed. If there is excess sub-fatal fat, then it is resected.

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

The operation can consist of all the listed stages or include only the direct correction of the platysma. 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 the surgical intervention, the patient should be in the hospital under the supervision of specialists. To avoid deformation, try to keep your head and neck 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 worn only during sleep.

To relieve pain, the doctor may prescribe an analgesic:

• Ketanov;
• Ketolong;
• Ksefokam.

To prevent the inflammatory process, a course of antibiotics is prescribed, which lasts about 5 days. The stitches are removed after a week. The total recovery time is 3 weeks. You can speed up the process with the help of physiotherapy procedures. Most of them are aimed at normalizing collateral lymph and blood circulation.

The following procedures are prescribed:

1. Ultrasound. Ultrasonic waves stimulate the production of collagen and elastin.
2. Iontophoresis. The introduction of biologically active substances is carried out directly under the skin.
3. Acupressure. Can be performed only after complete healing of scars.
4. Using a low intensity infrared laser.
5. Magnetotherapy. It involves the restoration of the body through the influence of magnetic fields.
6. Microcurrent therapy. Helps improve local metabolism and also increases the amount of oxygen that is contained in cells.

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

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

Within a month, the patient must wear a special compression corset to support the neck. Most patients return to work within a week of a facelift. After 3-6 months, postoperative scars lighten and become almost invisible.

Postoperative inhibitions

Postoperative bans will help 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 lead to an increase in blood microcirculation, and as a result of vasodilation and the formation of edema. In the process of mesotherapy and other similar cosmetic procedures, small microtraumas are formed. Most types of massage involve muscle displacement. The only exception is acupressure.

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

Possible complications

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

However, there is a list of possible complications:

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

Hair loss is caused by incisions 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 a hair transplant is needed.

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

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

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

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

In the first year after surgery, keloid scars may occur at the site of injury.... In some cases, the reasons for the proliferation of keloid tissue cannot be established. Most often, this process is due to a genetic predisposition.

Incorrect intersection of the superficial muscle can lead to deformation of the contours and the development of facial asymmetry. There may be slight numbness in the area where the intervention was performed. This is because the nerve endings were damaged during the operation. The numbness goes away in a few weeks.

How long does the effect last

Platysmoplasty (reviews of the operation indicate that the effect lasts 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;
• external environment;
• condition of bone structures;
• the negative effects of sunlight.

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

Can it be combined with other types of plastics?

For complex rejuvenation, platysmoplasty is recommended to be combined with other plastic surgeries.

The procedure goes well with:

• bio-reinforcement;
• biorevitalization;
• chin augmentation;
• liposuction in the chin area;
• bandaging of cervical tissues.

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

Where are the stitches located and visible: photos of the neck before and after the operation

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 minor age-related changes, only one incision is made under the chin or behind one ear. On average, its size is about 4 cm. During endoscopic surgery, the incision can be about 1.5 cm. The localization of the sutures depends on the operating technique. With a medial lift, the sutures are under the chin, and with a lateral lift - behind the ears or on the temporal region.

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?

Platysmoplasty, 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 to surgical intervention. If the operation is performed 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 a facelift. Plastic surgery can be performed both for young girls and for patients aged 50 to 65 years. The operation will help eliminate cords, wrinkles, skin laxity, and change the angle between the neck and the chin area.

Plasmoplasty price in Moscow, St. Petersburg, regions (make a small table)

The price for platysmoplasty depends not only on the city, clinic and doctors' qualifications, but also on the type of surgery chosen. Medal neck plastics are more expensive than lateral plastics.

The exact cost is determined by the doctor immediately after examining the patient. The average price varies from 50 to 70 thousand.

Reviews of doctors and patients about the effectiveness of the operation

Women who underwent platysmoplasty note the high effectiveness of the procedure and the preservation of the effect for a long period. The recovery period goes by pretty quickly. In most cases, there are no side effects.

If a negative manifestation occurs, then it goes away on its own, sometimes symptomatic therapy is required. The final result will be noticeable 2-3 months after the lift.

The doctors' comments indicate that platysmoplasty is a popular plastic surgery. It solves several problems at once - eliminates double chin and sagging skin.

The average age of the 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 its elasticity and the property of regeneration.

Platysmoplasty is a low-traumatic operation that has a good anti-aging effect. During the operation, the double chin is completely eliminated and sagging skin is removed. The skin of the neck becomes more taut, and age-related changes are less noticeable. Positive feedback from patients testifies to the effectiveness of neck plastic surgery.

Article author: Sedenkova Anastasia

Article design: Olga Pankevich

Video about platysmoplasty

What doctors say about neck platysmoplasty: