What Is Platysmaplasty?

Platysmaplasty is a surgical procedure designed to correct prominent vertical neck bands and fullness caused by separation or laxity of the platysma muscle. Through a discreet incision beneath the chin, Dr. Charles Guy tightens the muscle and removes excess subplatysmal fat that liposuction alone doesn’t address. No skin is removed, and no incisions are made behind the ears.

While platysmaplasty and neck lift surgery both address the neck, they are distinct procedures. Platysmaplasty focuses solely on the underlying muscle and deeper fat, whereas a neck lift combines platysmaplasty with skin excision through incisions behind the ears to correct loose or sagging skin.

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Benefits of Platysmaplasty

Platysmaplasty offers focused improvement for patients whose concerns stem from muscle banding or deeper neck fullness rather than excess skin.

  • Smoother neck contour: Softens vertical banding for a cleaner, more youthful neckline.
  • Improved chin-to-neck definition: Enhances profile and jawline support without altering facial identity.
  • Targeted correction: Addresses muscle and deep fat without unnecessary skin removal.
  • Natural refinement: Delivers subtle, balanced results rather than an overcorrected appearance.

Am I a Good Candidate for Platysmaplasty?

You may be a good candidate for platysmaplasty if you are bothered by visible neck bands or fullness beneath the chin but have minimal loose skin. Ideal candidates are generally in good health, maintain a stable weight, and seek natural refinement. During your consultation, Dr. Guy will evaluate your anatomy, skin quality, and goals to determine whether platysmaplasty alone or a more comprehensive neck procedure is appropriate.

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What to Expect During Platysmaplasty

Platysmaplasty is typically performed as an outpatient procedure under local anesthesia in the office. Through a small incision beneath the chin, Dr. Guy tightens the platysma muscle and removes excess subplatysmal fat when indicated. The procedure generally takes a couple of hours and is designed to restore smoother neck contours while preserving natural movement and expression.

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Why Choose Us for Platysmaplasty?

Dr. Guy’s practice is dedicated exclusively to facial plastic surgery, with particular expertise in the complex anatomy of the neck. As a double board-certified facial plastic surgeon, he combines advanced surgical training with an artistic understanding of proportion and movement. Patients value his clear education, straightforward recommendations, and results that enhance their appearance without calling attention to surgery.

Your Consultation

Your consultation is designed to be informative and collaborative. Dr. Guy takes time to understand your concerns, explain your options in detail, and outline realistic outcomes. You will receive a personalized recommendation based on anatomy, lifestyle, and long-term goals, allowing you to move forward with clarity and confidence.

Platysmaplasty Recovery and Results

Most patients experience temporary swelling, tightness, and mild discomfort in the days following surgery. Initial improvements are visible once swelling begins to subside, with continued refinement over several weeks. As healing progresses and the skin contracts, the neck appears smoother, more defined, and better supported. Results are long-lasting and designed to age naturally with your features.

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Related Neck Procedures

Depending on your anatomy and goals, other neck procedures may be considered alongside or instead of platysmaplasty.

Neck lift

Combines platysmaplasty with skin excision through incisions behind the ears to address loose or sagging skin.

Submental liposuction

Targets isolated fat beneath the chin without muscle tightening.

Facelift

Addresses lower facial aging while incorporating neck refinement for comprehensive rejuvenation.

FAQ

Is platysmaplasty appropriate if I do not have loose skin?

Yes. Platysmaplasty is specifically designed for patients whose concerns involve muscle banding or deeper neck fullness rather than excess skin.

Will platysmaplasty affect my ability to move my neck normally?

No. The goal is to restore proper muscle support while preserving natural neck movement and expression.

How long does swelling typically last?

Most swelling improves significantly within the first few weeks, with continued refinement as healing progresses.

Can platysmaplasty be combined with other facial procedures?

Yes. Platysmaplasty is often combined with other facial surgeries when appropriate to achieve balanced rejuvenation.

When can I return to work after platysmaplasty?

Many patients return to non-strenuous work within one to two weeks, depending on healing and comfort level.

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Define Your Neck with Confidence

Platysmaplasty is performed with technical precision and thoughtful guidance under the care of Dr. Guy. Each treatment plan is built around anatomy, balance, and long-term results to ensure natural-looking refinement. Schedule your consultation to explore a smoother, more confident neckline tailored to you.

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Next Steps Schedule a Consultation

When you turn to Dr. Charles Guy, you'll immediately find several advantages to working with our team. Our down-to-earth staff is here to make you feel comfortable and ensure you get the best results possible. To learn more about our face and neck procedures in the central Texas area, contact us today to schedule your consultation with Dr. Charles Guy.

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