From Karen

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Dr. Karen Soika

What is Platysmaplasty surgery?

On each side of the neck there is a broad, thin layer of muscle that rises from under your collarbone and makes it’s way up to the base of your chin and jaw on each side – it’s called the platysma muscle. The platysma muscle is divided into two distinct sides that meet in the center of the neck.

A platysmaplasty surgery, also commonly known as ‘corset platysmaplasty,’ is a type of neck lift surgery that addresses these muscles, specifically tightening and reconstructing the platysma muscle to repair the loose sagging or banding skin on the neck. The procedure rejuvenates the neck, restoring it to a more aesthetically pleasing shape and contour.

This deep banding around the neck is called platysmal banding. Unfortunately, as you age the connective tissues underlying the skin become weak and begin to lose elasticity, it just occurs to different extents in different people. Aside from banding, the result can be an unsightly double chin, a cord-like look around the neck, fatty jowls that hang down into the neck and chin area, and that unsightly turkey wattle we’ve already mentioned.

How is Platysmaplasty performed?

There are multiple techniques for addressing issues with the platysma muscle, but the most common surgical procedure is an open platysmaplasty. Under a general anesthesia, the neck is opened with an incision underneath the chin (submental incision) where direct removal of excess fat is performed with electrocautery or dissecting scissors. Once the platysma muscle is exposed it is brought back together with corset platysmaplasty sutures. These sutures literally resemble a corset, with multiple rows of surgical stitching that pull together and secure the platysma muscle centrally. The procedure takes approximately two to three hours.


While the corset platysmaplasty is the most common, there are multiple variations of platysmaplasty that may be used to address specific patient needs. For instance, another type of platysmaplasty procedure involves cutting away a wedge of platysma muscle to allow less animation of the neck, subsequently leaving fewer lines and wrinkles.

Although the platysmaplasty procedure can be done as a stand-alone procedure, it is often performed in conjunction with liposuction, a facelift, or cheek lift.

How long is recovery time after Platysmaplasty?

After platysmaplasty surgery, most patients will require drainage for the first night. We will provide you with detailed post-surgical instructions to help you manage drainage and get the best recovery.

As for your recovery timeline, a platysmaplasty is similar to a facelift or regular neck lift, often involving swelling and bruising for upwards of one week. By the second week post-surgery most patients feel well enough to resume their regular activities and will often go back to work – although some prefer to wait until the third week.

Will I have a scar from Platysmaplasty surgery?

Platysmaplasty does require an open excision of tissue and surgical repair, therefore patients can expect some scarring. The procedure generally requires a relatively small incision that may be upwards of one inch long. Except it’s made underneath the chin to help conceal the scarring.

How long do the results of a Platysmaplasty procedure last?

As for your neck rejuvenation results, they will be visible immediately after your platysmaplasty procedure and continue to improve over the first one to three months following surgery.

The best news though, is that under most circumstances the results of neck lift surgery are long-lasting. The need – or desire – to get another neck lift will largely depend on your age. After 10 or 15 years it’s not uncommon to see some recurrence of platysmal bands or jowling, which is something you may choose to address at the that time. Meanwhile you can take comfort in the knowledge that the vast majority of people only require a neck lift once in their lifetime.

To learn more about Platysmaplasty procedure or to schedule a consultation by Dr. Karen Soika, please contact us at 203-489-3908 or click here.


  • Karen M. Soika, MD

    Dr. Soika is a highly competent and compassionate cosmetic surgeon. She did an eye lift for me and I am absolutely thrilled and satisfied with the results. She is masterful at her work and takes extra care to ensure proper follow up and recovery is accomplished.

    Self-verified patient · Eye Lift
  • Mini Facelift

    I suffered deep thermal burns to my face caused by the incompetence of a Dermatologist for 1 year with no relief, until I met Dr. Soika. She administered a treatment to give me the relief I was looking for. She was the only Dr.who took the time to listen, diagnose and performed a procedure with great results! Because of her, I am on the road to recovery!

    Self-verified patient
  • Dermal Filler

    My sons wedding was coming and I wanted to look and feel my best, I called Dr. Soika because I saw her local Ad. It was the best call I made! My skin looks 7 years younger-tighter, and I look for rested and awake. I didn’t believe it was possible without surgery, but Dr. Soika did an incredible procedure in 1 1/2 hours with no down time.

    A. McCabe · Thermage-Skin Tightening

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The Cosmetic Medic
45 E Putnam Ave, Greenwich
CT 06830, USA

Phone: 203-489-3908
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