What is a Platysma Plication?

March 22, 2018

Dr. Miguel Delgado, M.D. states patients seeking facial rejuvenation, complain mostly about their neck and sagging jawline. Everyone ages at a different rate; a lot depends on genetics and lifestyle.


Regarding the neck, the platysma muscle is a thin, broad sheet of muscle. The muscle extends from the pectoral and deltoid muscles over the collarbone upward along the sides of the neck. See the illustration.

platysma muscle for neck lift in San Francisco

As aging takes place this muscle gradually separates. If you grit your teeth and frown, you can see the muscle pop out. After years of chewing, exercising, and laughing, the sides of the muscles become separated. The muscle separates and you can see very prominent vertical bands with a valley in between. The muscle edges are visible through the skin.

gritting teeth in san francisco

For a proper neck lift, in addition to removing loose skin, (sometimes referred to as a turkey neck) the surgeon performs what is referred to as a platysma plication. For the platysma plication procedure, the surgeon makes a tiny incision well hidden under the chin. The surgeon then sutures both sides of the platysma muscle together. This creates a single sheet of muscle making it resistant to neck bands forming.

If a patient were to have a facelift and neck lift without platysma plication, the result might be a fresh younger looking face with an out of balance older looking neck.


There are a variety of techniques for a neck lift, but the basic concept among surgeons is similar. The most important thing is for a potential patient to find a well-qualified board certified plastic surgeon that is comfortable with all options and will match the procedure to the patient and the patient’s goals.


If you are bothered by your sagging neck and have been considering facial rejuvenation, call now for a consultation with Dr. Delgado at (415) 898-4161.

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Dr. Miguel Delgado


Dr. Delgado, MD is a world-recognized plastic surgeon and specialist in the treatment of male breast enlargement, also called gynecomastia. He has developed new techniques and owns and operates gynecomastia.org, which has become the largest gynecomastia forum in the world. Dr. Delgado holds the two most coveted credentials; the certification by the American Board of Plastic Surgery and membership in the American Society of Plastic Surgery.

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