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Platysmal Bands: Causes and Treatments

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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.

Common Causes of Platysmal Bands:

  • 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.
  • Genetics: Some people may be more prone to developing platysmal bands due to genetic factors, such as a family history of the condition.
  • Weight gain: Significant weight gain or loss can cause the skin of the neck to stretch or sag, making platysmal bands more noticeable.
  • 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 aging of the skin, which can cause platysmal bands to become more pronounced.
  • Facial expressions: Repeated facial expressions, such as frowning or squinting, can cause the platysma muscle to contract, leading to the development of platysmal bands.
  • Poor posture: Poor posture can cause the muscles of the neck to become strained, leading to the development of platysmal bands over time.

Treatments for Platysmal Bands:

  • Botox injections: Botox is a neurotoxin that can temporarily relax the muscles that cause platysmal bands to appear, smoothing out the appearance of the neck.
  • Dermal Fillers: Injecting fillers containing a gel-like substance, such as hyaluronic acid or poly-L-lactic acid, add volume to the area behind the neck bands and plump the skin
  • Neck lift surgery: A neck lift, or platysmaplasty, is a cosmetic surgery that involves tightening and repositioning the platysma muscle. Excess skin is also removed, and the remaining skin is tightened to produce a more youthful appearance.
  • Combination treatments: Some patients may benefit from a combination of non-surgical and surgical treatments, such as receiving Botox or fillers to reduce the appearance of platysmal bands and undergoing a neck lift to achieve more significant results.

What treatment is right for me?

Determining which treatment is right for you will depend on several factors, including the severity of your platysmal bands, your overall health, and your personal preferences. If you want more dramatic and longer-lasting results, a neck lift surgery can be for you. 

The best way to know the right treatment for you is to schedule a consultation with a board-certified plastic surgeon like Dr Jack Zoumaras. He has produced great, natural-looking neck lift results for our patients in Sydney. Book a consultation today. 

Disclaimer: At Artiste Plastic Surgery, our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All surgery has risks and it is always advised to get a second opinion. Risks are very real and we cannot guarantee any result. 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.

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.


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Artiste Plastic Surgery is an Award Winning Specialist Plastic Surgery practice led by internationally trained Dr. Jack Zoumaras, Plastic Surgeon and Peer Reviewed Face Surgeon

Artiste offers the latest Cosmetic Surgical Procedures of the Face, Breast and Body, inspired from leading centres around the world.


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