A Minimally Invasive Technique to Reduce Platysma Banding

Abstract

Introduction: Senescent changes of the submandibular zone and neck contribute to an obtuse cervicomental angle, submental fullness, and platysma band formation. Many open techniques for repair of platysma bands have been described previously. Minimally invasive techniques early in the aging process are desirable interventions for rejuvenation with minimal risks and recovery. We describe a minimally invasive approach to correct platysma bands with a suture support sling in the submandibular sulcus. Materials and Methods: By modifying the typical liposuction of the neck and jowls to include superficial tunneling along the submandibular sulcus with a small cannula, an expanded polytetrafluoroethylene (E-PTFE, trade name Gore-Tex) suture may be placed traversing from mastoid fascia to mastoid fascia. Results: Compression of the platysma bands is achieved with restoration of the cervicomental angle and a more youthful-appearing profile. Recovery is rapid with untoward effects minimized. Discussion: The described suture support sling is a minimally invasive option to the choices when approaching correction of platysma bands.