Platysmal Bands: Causes and Treatments

As we age, various changes happen to our bodies, including developing platysmal bands on the neck. Platysmal bands are the visible bands of muscle that run vertically along the front of the neck and become more noticeable as part of the natural ageing process.

In this blog, Artiste Plastic Surgery discusses the causes of platysmal bands and treatments that can help improve their appearance.

What Exactly Are Platysmal Bands?

A study conducted by Patrick Patrick Trévidic and  Gisella Criollo-Lamilla defined platysmal or platysma bands as an early sign of ageing around the neck area. The platysma muscle connects to the skin and deep fascia throughout its surface, leading to bands becoming more visible as we age.

This muscle connection is like a sheet of tissue which runs from the face down to the chest. This connection is more prominent in old age and is likely to still appear even after surgery because of the unique anatomical properties of platysmal bands.

Common Causes of Platysmal Bands

Studies are still unable to determine the root cause of platysmal bands, but these have suggested that they are likely a result of several factors.

Age

One of the primary causes of platysmal bands is simply getting older. As we age, the skin and muscles of the neck begin to lose elasticity, causing the skin overlying the platysma to weaken and sag. 

This process, coupled with the natural contractions of the platysma muscle, can make the bands more prominent. 

Genetics

Some people may be more prone to developing platysmal bands due to genetic factors, such as a family history of the condition.

Genes influence the amount of collagen and elastin our skin produces and at which rate they decline.

Individuals with genes predisposing them to lower production or faster breakdown of these proteins could experience earlier or more pronounced platysmal bands, as their skin has less natural “bounce back” capabilities.

Weight gain

Significant weight gain or loss can cause the skin of the neck to stretch or take on a loose appearance, making platysmal bands more noticeable, and potentially highlighting the platysma bands underneath.

In some cases, weight gain can lead to higher fat deposits under the chin and neck areas. The additional weight may create a downward pull, stretching the skin and making the bands more visible.

Sun Exposure

Exposure to the sun’s harmful UV rays can cause damage to the skin, leading to premature ageing and the development of platysmal bands.

Smoking

Smoking can also contribute to premature ageing of the skin, including loss of elasticity and thinning,  which can cause platysmal bands to become more pronounced. It also hampers the skin’s natural repair mechanisms, further contributing to its deterioration.

Facial expressions

Repeated facial expressions, such as frowning or squinting, can cause the platysma muscle to contract, leading to the development of platysmal bands.

Some facial expressions like frowning, pursing the lips, and grimacing may engage and cause the platysma muscle to contract. 

Over time, these contractions make the platysma muscle fibres stronger, similar to how exercising any muscle builds it up. 

Poor posture

Poor posture can put strain on the neck muscles. Over time, this could contribute to the prominence of  platysmal bands, especially in individuals who are already prone to their development.

Note that there is a lack of specific studies definitively proving a connection between poor posture and platysmal bands. But it may be a contributing factor

Is There A Way To Naturally Get Rid Of Platysmal Bands?

While there are natural ways to improve the appearance of the neck area, understanding the limitations of these methods when dealing with platysmal bands is crucial. Here’s what you should know:

• Hydration: Proper hydration allows the skin to remain plump and supple, making lines and wrinkles less noticeable. However, it won’t eliminate them.
• Neck Stretches: Gentle stretches may improve flexibility and provide a slight toning effect, but it’s unlikely they will dramatically improve the appearance of established platysmal bands.
• Diet and Nutrition: A healthy diet abundant in antioxidants and collagen-boosting nutrients may support overall skin health, but it won’t specifically target platysmal bands.

While these small changes can positively affect overall skin health, it’s essential to understand that natural methods offer limited results when addressing platysmal bands. It’s important to embrace and appreciate the natural aspects of one’s appearance. Platysmal bands are a normal part of the ageing process, and striving to change every detail of your body can lead to unnecessary stress. 

If you choose to explore options for change, ensure they are motivated by informed, personal reasons and not external pressures.

Understanding platysmal bands and their treatment options involves considering various factors, such as the severity of the bands, overall health, and individual goals. 

While some individuals may seek treatments to change their appearance, it’s important to acknowledge that platysmal bands are a natural part of ageing.

 Approaching any decision with self-acceptance is essential, and it’s advisable to gather information and reflect on personal motivations. If you decide to explore treatments, consulting with a qualified medical professional ensures a tailored approach based on your specific needs.

Disclaimer: At Artiste Plastic Surgery, our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All plastic surgery has risks and it is always advised to get a second opinion. Risks are very real and we cannot guarantee any result. Recovery varies between 1-4 weeks. Results are illustrated as a guide only. All risks are managed and any need for revision surgery or complications (1-5%) can be managed by our specialist plastic surgeons. More information on our website. 

Any statements on how you will feel is based on Level V Evidence:

Level V:  How you will feel after plastic surgery varies between individuals, depending on psychological and physical factors. Our internal research is based on how patients in our practice feel after surgery.

The blogs are not a substitute for a medical consultation and do not form as part of the doctor to patient relationship.