There are two sheets of muscle (one on each side) that support the neck, the platysma muscles. These muscle tend to stretch and sag with time and gravity. They frequently produce unattractive bands in the center of the neck that look like loose skin, but movement with contraction prove that they are the central edges of the loosened platysma muscle. A procedure called a platysmaplasty, done through a small submental (under the chin) incision can tighten these muscles and significantly enhance the youthfulness of the neck in the right patient. This patient should have looseness of the muscles with fairly good skin elasticity. This procedure can easily be combined with liposuction or direct removal of excess fatty tissue.