Serial notching of the platysma bands.

BACKGROUND

Traditional procedures for the reduction of platysma bands can result in scarring and hardening of tissue in the submental region.

OBJECTIVE

A technique for serial notching of the platysma bands is described that is more effective and causes fewer complications than the traditional submental and midline approaches.

METHODS

The platysma bands are marked for incision; optimal results require multiple incisions with a distance of 3 to 4 cm between each incision. The muscle band is dissected and undermined, and notching is performed with an electrocautery. Suturing is necessary only if severe skin laxity is present; otherwise, Steri-strips for 3 to 4 days are sufficient. In most cases, submental lipoplasty is also necessary.

RESULTS

A series of 51 procedures performed over 14 months produced satisfactory results with no major complications.

CONCLUSIONS

Serial notching is a good adjuvant to a neck lift or lower-face procedures, particularly in older patients. (Aesthetic Surg J 2001;21:412-417.).