Managing platysma bands in the aging neck

The author demonstrates his method of achieving optimal contour in the aging neck. Primary features of the technique are horizontal cuts in the vertical bands of the platysma muscle combined with a corset Z-plasty medial suture and bilateral rein plication suture. This combined procedure, which effectively lifts the sagging neck, is useful in treating vertical platysma bands in primary cases, as well as recurrent platysma bands.