Management of platysma bands has evolved from a lateral pull only to s
elect midline work, although this latter maneuver increases the morbid
ity. The classification system of bands I to IV is a simple, effective
method to identify those patients in whom the extra risk of midline w
ork is justified. Creating a muscle sling by suturing the edge of the
muscle in the midline was more effective than Z-plasty, plications, an
d/or excisions for the correction of prominent platysma bands.