Case #34252: Revision Facelift California
This patient presented years after a previous facelift with recurrent neck laxity and visible platysmal banding. While the original procedure had improved the face, the underlying neck muscles had gradually separated over time, contributing to loss of jawline definition and an aging appearance.
During revision facelift surgery, Dr. Kolstad performed a comprehensive platysmaplasty to restore the neck’s underlying support. The platysma muscles were carefully reapproximated in the midline, creating a smoother, stronger muscular foundation beneath the skin. The lateral platysma muscles were elevated and tightened to restore support to the neck and lower face. By repositioning these deeper muscles rather than relying on skin tension alone, Dr. Kolstad creates a more comprehensive vertical facelift with improved jawline definition and enhanced neck contour.
Revision facelift surgery is often more complex than a primary facelift because of scar tissue, altered anatomy, and previous surgical changes. By addressing the deeper muscular layer rather than simply tightening the skin, Dr. Kolstad was able to restore a more youthful neck contour and improve jawline definition while maintaining a natural, refreshed appearance.
The patient’s results demonstrate how meticulous platysmaplasty can play a critical role in revision facelift surgery, producing long lasting improvement in neck contour and facial harmony.