Platysma Plication: In‑Office Neck Tightening
Submental Platysmal Plication + RenuvionSharper Jawline, Tighter NeckBefore and After
This male patient wanted a tighter neck and a more defined jawline, but wasn’t ready for a deep plane neck lift. After evaluating his anatomy, Dr. Suzanne Trott recommended submental platysmal plication combined with Renuvion skin tightening, performed in her Beverly Hills office under local anesthesia. The two procedures address different parts of the neck contour. Submental platysmal plication tightens the platysma muscle beneath the chin to improve the underlying support and definition. Renuvion treats skin laxity in the neck and under-chin area. Together, they target the muscle and overlying loose skin that can soften the distinction between the jawline and neck. The important decision was how much intervention his concerns required. For this patient, a focused approach offered an opportunity to improve neck definition without proceeding to a more extensive deep plane neck lift. For appropriately selected patients, submental platysmal plication with Renuvion can offer a less invasive surgical option for neck contouring without general anesthesia. It does not replace a deep plane neck lift in every case. The amount of excess skin, muscle laxity, and deeper tissue fullness determines which approach is most appropriate.
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Submental Platysmal Plication, Then a Lower Facelift and Neck LiftJawline Contouring Over TimeBefore and After
She disliked how little definition she had along her jawline. She wanted a clearer contour beneath her chin, but that didn’t mean she needed a facelift at that stage. The first image shows her before treatment. The second shows her after an isolated submental platysmal plication. The third image shows her before the facelift, ten years after the plication. The final image shows her after the lower facelift and neck lift. Initially, I recommended an isolated submental platysmal plication to tighten the platysma muscle beneath her chin and improve the contour between her jaw and neck. It addressed the area that bothered her while allowing us to reserve a more extensive lift for later. In her case, that next step came ten years later. As her concerns evolved, I performed a lower facelift and neck lift to address tissue descent along the jawline and increased skin laxity, as well as a full facelift. As you can see from the images, the submental platysmal plication held up. What makes this sequence useful is that each procedure had a purpose. The first addressed a localized contour concern. The later surgery addressed changes that required more extensive correction. For younger patients seeking a more defined jawline, an isolated submental platysmal plication can be an option when muscle laxity beneath the chin is a key concern and excess skin is limited. The procedure can be done in the office under local anesthesia. Age alone doesn’t determine the procedure. I look at the muscle, skin, and deeper tissues to decide what will meaningfully improve the contour. This patient went ten years between procedures. That is her individual treatment history, not a promised timeline. My approach is to recommend the surgery that fits the anatomy and the patient’s goals at each stage.
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