The Management of Platysma Bands

Management of platysma bands has evolved from a lateral pull only to select midline work, although this latter maneuver increases the morbidity. The classification system of bands I to IV is a simple, effective method to identify those patients in whom the extra risk of midline work is justified. Creating a muscle sling by suturing the edge of the muscle in the midline was more effective than Z-plasty, plications, and/or excisions for the correction of prominent platysma bands.