Management of Platysmal Banding in Face/Necklift Surgery.

Abstract

Central platysmal banding is a common reason that patients seek surgical rejuvenation of the lower face and neck. Numerous surgical methods have been described to address banding, however all have high rates of platysmal band recurrence. Many theories have been proposed to explain the cause of both primary and recurrent platysmal banding, however recently persistent innervation by the cervical branch of the facial nerve has been implicated as the primary cause. This article serves to summarize the available evidence on platysmal banding as well as suggest surgical and non-surgical methods to address primary and recurrent banding.