I have a turkey gobbler type neck and I’ve heard that this is not as much related to excess skin as it is to the platysma muscle. If this is true, what is done during surgery to fix this muscle?
You are correct that the bands hanging down from one’s neck are typically not just skin but the front edge of the platysma muscle. Treatments can include a neck lift that is performed in and around the ears where the back side of the platysma muscle is elevated and thus the front edge of the platysma muscle is also elevated at the same time or in a more aggressive fashion we can actually perform a direct platysmaplasty through an incision under the chin where excess platysma muscle is resected and then the platysma muscle edges are actually sutured together. This is most commonly performed in conjunction with the facelift and in my hands I prefer the extended SMAS deep plane facelift in conjunction with this platysmaplasty and frequently I will even be contouring the fat under the platysma to give a patient a very high, elegant neckline. With this technique rejuvenation can be extremely significant and yet the overall effect is very natural appearing.