Why Platysmaplasty is Usually Done with a Face and/or Neck Lift, and Tightness after Surgery

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A lady has been recommended a corset platysmaplasty by a surgeon. She wants to know if post-op tightness feels like choking, as she has a choking phobia. She also wants to know if the procedure requires general or local anesthesia, and if it can be administered by a certified registered nurse anesthetist or medical doctor anesthesiologist.

New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, and explains why corset platysmaplasty is usually done with a face and/or neck lift procedure, how there can be a feeling of tightness after a corset plastysmaplasty that will eventually resolve as the skin settles, and why he opts not to use general anesthesia for surgery:

1:26 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience performing neck and facelifts for his patients

2:19 — Dr. Prasad explains the purpose of a corset plastysmaplasty and why it is not usually performed as an isolated procedure

3:23 — How a feeling of tightness is indeed possible after a corset plastymaplasty; but not necessarily a choking feeling

4:14 — How muscles and skin eventually reaches an equilibrium and settles out after surgery

4:53— The possibility of needing other procedures alongside a corset plastysmaplasty, such as a facelift and/or neck lift

5:52 — Dr. Prasad explains why he chooses not to use general anesthesia for surgical procedures; and discusses the benefits of LITE™ intravenous sedation

6:51 — How the kind of anesthesiologist employed for surgical procedures depends on the comfortability of the attending surgeon; and how there shouldn't be any bias based on this particular qualification

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