(310) 550-7747

Medically Reviewed by:

Robert Applebaum M.D.

What is an isolated neck tuck or platysmaplasty?

There are many undesirable changes to our appearance that are the result of aging, and maybe one of the most unwelcome is a saggy and wrinkled neck. Prominent bands or deep lines running the length of the neck can make one look tired and old beyond their years. 

However, many mistakenly believe that upgrading this part of their appearance requires an involved procedure or that there is only one option, but with new techniques and technology this is no longer the case. Now it is now possible to get an isolated neck-tuck. An isolated neck-tuck, also known as platysmaplasty, is a cosmetic surgical procedure aimed at improving the appearance of the neck by altering the muscles beneath the skin.

There are many benefits to platysmaplasty over general neck smoothing procedures.  Yet it is important to know all the factors of platysmaplasty before assessing whether this procedure is the right choice for you.

What Is Platysmaplasty?

Platysmaplasty, or an isolated neck-tuck, is a surgical procedure to specifically enhance the appearance of the neck. The procedure concentrates on the platysma muscle, which is a broad sheet of muscle that lines each side of the neck. As we age, the platysma can become less taught, and its edges may segment to form vertical bands that appear as deep lines across the neck, causing a condition often referred to as “turkey neck.” This procedure is designed to tighten these muscles, leading to a smoother and more youthful neck contour.

Isolated Neck Tuck vs. Neck Lift

While a platysmaplasty or isolated neck-tuck specifically targets the platysma muscle, a traditional comprehensive neck lift is a more involved procedure. Along with many of the facets of the more limited technique, the traditional neck-lift will usually include liposuction to remove excess fat, as well as excess skin removal. In addition, this technique is often combined with other procedures such as a facelift, to achieve a more dramatic change.

Who Is an Ideal Candidate?

It is important to note that not everyone is a suitable candidate for an isolated neck-tuck procedure. The ideal candidate are individuals who have noticeable neck bands or sagging, however, do not have significant jowls or showcase excess facial skin that would generally require a full facelift. People who wish to have this procedure as an option should be in good health, non-smokers, and most importantly, have realistic expectations for the outcome.

The Procedure

Most platysmaplasty procedures take anywhere from one to two hours to complete and are performed under general anesthesia, intravenous sedation and in some cases local anesthesia.

Step by Step

  1. The surgeon will usually make a small incision under the chin, this allows access to the needed areas while limiting noticeable scarring.
  2. The platysma muscles are then accessed, in which the surgeon will use their skills to tighten and realign the muscles into a more youthful configuration.
  3. Once the modifications are complete, the incision is closed with sutures that are either dissolvable or will be removed approximately one week after the procedure.

What is RSET Platysmaplasty?

RSET, or ‘retroauricular skin excision technique’ platysmaplasty, is a variation of the traditional technique. In this method, the incision is made behind the ears, allowing for a less invasive procedure that concentrates on lifting the skin as well as tightening the underlying muscles. It’s an excellent option for patients who have limited platysma banding and mild skin laxity.

Recovery and Aftercare

After the procedure, the patient will be fitted with a compression garment. This is both to offer support and to reduce swelling over the time it takes for the tissues to heal. Not surprisingly, patients should expect a period of swelling and bruising, but this generally subsides over a few weeks.

What Will Be My Downtime?

There is no set number of days for recovery time, as this will vary depending on the extent and type of procedure, as well as the physical health and other characteristics of the patient. Yet, most people can return to work and resume normal activities within two to four weeks post-surgery. However, refraining from strenuous exercise, exaggerated movements, and heavy lifting is recommended for approximately six weeks following surgery.

Managing Expectations

Though we all want to have the most spectacular results, it is critical for patients to have realistic expectations. Most isolated neck-tucks will showcase significant changes, however, the goal should always be to strive for improvement rather than perfection.

Potential Risks and Complications

No surgery, no matter the type or extent, is without risk, and an isolated neck-tuck procedure is no different. Potential occurrences may include infection, bleeding, scarring, or nerve injury. It is important to choose a highly skilled board-certified plastic surgeon with extensive experience, as well as to discuss with your doctor ways you can minimize these risks.

Platysmaplasty Scarring

One of the concerns patients often have is the visibility of scars post-surgery. The incision under the chin can leave a scar, but because of its location, it is usually not noticeable. The skill of the surgeon also plays a significant role in minimizing scarring.

Minimizing Scarring

There are effective ways to reduce the appearance of scarring. You should discuss with your surgeon in detail the best aftercare procedures. This may include avoiding sun exposure and using silicone gel or sheeting. In addition, make certain to contact your doctor with any unexpected conditions, and ask questions if you’re unclear about any part of your aftercare program.

The Benefits of Neck Contouring

Platysmaplasty provides several aesthetic benefits, making it a popular choice for those looking to rejuvenate their appearance.

Improved Profile

One of the main benefits of this tightening procedure is a greatly improved profile. Platysmaplasty can significantly reduce the bands and lines that contributed to an aged appearance and instead provide a refreshed and more youthful look.

Choosing the Right Surgeon

Plastic surgery involves both invasive and noninvasive procedures, and therefore, it is critical for any person who is choosing this type of elective procedure to do their research. Beverly Hills plastic surgeon Dr. Robert Applebaum, recommends that you take your time and look at qualifications, read reviews, assess experience levels, and verify certifications, to ensure that you pick a highly skilled surgeon. Selecting a qualified and experienced plastic surgeon is crucial for a successful platysmaplasty. 


An isolated neck-tuck, or platysmaplasty, is a unique and specialized procedure that offers a great option for those who wish to create a more refreshed and youthful appearance. While this type of surgery may not be the best choice for everyone, the potential for a more contoured neck without having to undergo a traditional and more invasive procedure is an excellent option for many. If you are suffering from a creased, wrinkled or sagging neck, take the time to discuss whether the isolated neck-tuck is a good choice for you.

Schedule a complementary consultation