Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Platysma are the muscle tissues of the neck. It’s the most superficial muscle within the neck and face.
Platysma or Platysmal bands are two strips of muscle working down vertically on each side of our neck. These bands are brought on by contractions of platysma.
Platysma bands are one of many first indicators of ‘neck ageing’. In line with some theories, these bands develop because of the pores and skin sagging. That is adopted by lack of muscle tone. Tightening the pores and skin and muscle are subsequently the important thing parts of the therapy technique.
Are they harmful?
They aren’t harmful to life or well being. They’re fairly widespread in many individuals. They could rise beauty issues in some folks and provides psychological stress. Quite the opposite they don’t pose threat to well being. On this situation saggy pores and skin can develop which can finally lead to a double chin, creases within the neck and a situation also known as ‘turkey neck’.
Platysma: Anatomy and Physiology
Platysma Muscle – It’s the superficial muscle of the neck. It overlaps the sternocleidomastoid muscle. Superficially, it covers the entrance (anterior floor) of the neck. Wrinkling of the pores and skin and a bowstring impact on both facet of the neck is produced when platysma contracts.
This muscle arises from the fascia of the higher pectoralis main and deltoid muscle, cross the collar bone, proceed obliquely upward and medially alongside the facet of the neck. Because of this, the midline of the inferior a part of the neck stays poor of muscle cowl. The muscle fibers from each side mingle beneath and behind the mandibular symphysis whereas the fibers behind the muscle cross the decrease jaw bone (mandible). A few of these fibers get inserted into the mandible and others into the pores and skin and subcutaneous tissue.
Features of Platysma – This muscle produces slight wrinkling of the floor of the pores and skin of the neck in an indirect path. These muscle tissues additionally trigger melancholy of the decrease jaw and attracts the decrease lip and angle of the mouth in a frown.
Platysma Bands are prompted because of the motion of platysma muscle contracting by way of speaking, consuming and facial features.
Medical relevance – Strains, tears and atrophy could happen in these muscle tissues simply as in another muscle. It’s weak to penetrating trauma. It must be lower by way of to entry deeper buildings when neck surgical procedures are carried out.
Wrinkly pores and skin of the neck – is a situation brought on by lower in muscle tone. This is able to result in thinning and shortening of muscle. It’s the secondary complication of facial nerve palsy. It is usually related to regular ageing course of.
Neck bands – With ageing, the neck bands above this muscle develop into most evident. Weightlifting or facelift procedures could irritate this situation, a situation referred to as ‘turkey neck’ or platysma dyskinesia.
What causes these bands?
Neck Platysmal Bands is widespread and pure and is prompted as half and parcel of growing older course of and thickening of the sides of neck muscle tissues. Age, genetics and muscle exercise are additionally counted amongst causes.
They will develop into extra outstanding for some people. Because the individual ages, the pores and skin loses its elasticity naturally. The manufacturing of collagen which provides the pores and skin the youthful firmness can be decreased. This, together with our genetics would trigger the pores and skin over the platysma to seem thinner and will sag. This makes the vertical bands of muscle tissues extra evident and apparent.
The pores and skin overlying the platysma muscle turns into weak and sags resulting from lack of its elasticity. Laxity of muscle may happen resulting from ageing course of. It will trigger the pores and skin to droop. These bands additionally develop into seen sooner in folks with skinny pores and skin. This means the function of genetics within the formation of platysma bands.
Strenuous workout routines may contribute to those bands by inflicting extra stress and muscle exercise within the neck. Subsequently, one ought to, whereas doing workout routines, pay attention to neck stress and attempt to maintain the neck muscle tissues relaxed so far as attainable.
Different components concerned within the causation of platysmal bands –
Muscle exercise and pure ageing – Analysis research confirmed that the mix of muscle exercise and pure growing older course of could cause platysmal bands. This exhibits that it’s not vital that solely ageing pores and skin ought to trigger platysma bands.
Surgical procedure – Within the research it was discovered that about 76% of members who had developed unilateral facial palsy following oto-neuro-surgical therapy had developed seen platysma bands. These bands had been discovered to seem after 10 years after therapy and had been discovered on the edges of the necks that weren’t paralyzed.
Train – If one notices rigorously, the platysmal bands on the neck would stick out after she or he has lifted a weight and this occurs because of the stress (of weight lifting) which strains his or her neck. Right here we have to see that train can be a sort of muscle exercise. With passage of time these bands would develop into increasingly more seen. Excessive depth exercises may also have an effect on the facial muscle tissues. The probabilities of the pores and skin overlying the muscle (platysma) getting stretched and sag would improve with increasingly more use of muscle tissues of face and neck. One ought to know the way a lot to train and exercise. This consciousness may assist in protecting these bands at bay. It’s smart to train / exercise by trying into the mirror. It will maintain our consciousness centered on the neck muscle tissues. This may even assist one loosen up the neck muscle tissues when as and after they get tensed.
Therapy of Platysma Bands
Since platysma band will not be a situation of medical concern and because it doesn’t meddle with the well being of these having bands. It’s positively of beauty significance and level of concern for many individuals. They could look critically at diminishing these bands on their neck.
The beneath talked about remedies may assist in tackling platysmal bands.
Botox therapy – Analysis (2018) exhibits that botulinum toxin kind A injection may assist in decreasing the looks of platysmal bands. It does that by enjoyable the muscle tissues within the neck. Dr Paul Jarrod Frank (beauty dermatologist) tells that Botox can be utilized to get relieved of those bands which is able to trigger unbunching of the jaw. That is referred to as as Nefertiti carry.
It’s a mild and profitable strategy which is popularly used to scale back the looks of platysmal bands. When injected rigorously into the muscle, it releases the stress within the muscle brought on by repetitive muscle contractions. This brings about leisure and softening of the neck. This in flip improves the pores and skin look prompted resulting from ageing.
Neck Rejuvenation
- Dermal fillers – They’re injectable remedies. They’re used to plump up the pores and skin overlying the bands whereby sure gel like substances like hyaluronic acid and so forth is used. Generally for higher outcomes, it’s used together with botox.
- Pores and skin boosters – They’re extremely efficient at restoring misplaced quantity to the decrease face and neck areas the place it’s focused. Hyaluronic acid is the primary ingredient of the boosters. It’s utilized by the physique to retain water content material within the pores and skin and likewise to assist elastin and collagen.
Neck Carry procedures (Platysmaplasty) – This is able to give dramatic leads to the therapy of platysma bands. It’s a surgical course of and a definitive therapy. It may be thought of when injectable medicines aren’t working effectively. It tightens the pores and skin and muscle tissues. This in flip results in easy neck and sharper jaw-line.
Decrease facelift – The pores and skin beneath the corners of your mouth are tightened. Extra pores and skin is trimmed. Normally, it’s carried out by a plastic surgeon or an ENT (facial) plastic surgeon. It’s efficient although costly. Bleeding, an infection, scarring and nerve harm are a number of the unwanted side effects of this surgical procedure.
Platysmal band workout routines assist in strengthening the muscle tissues of neck. It is usually thought to scale back the opportunity of formation of platysmal banding. However specialists opine to not train this space. It’s because the bands might be exacerbating by straining. Neck stretches then again are gentler and might yield higher outcomes compared to platysmal band workout routines.
The neck has thinner layer of pores and skin compared to the face. Therapy ranges from administration of noninvasive beauty procedures to surgical procedure.
Can Platysmal Bands be prevented?
It is rather troublesome to stop platysmal bands. It’s because they’re brought on by many components together with pure muscularity and genetics. Platysma muscle is concerned within the muscle actions involving our consuming, speaking and facial expressions.
Ayurveda understanding of Platysmal Bands
Platysmal Bands might be mentioned to be brought on by extreme aggravation of vata particularly within the area of neck and face. Vata impacts the pores and skin and muscle tissues within the neck. Vata naturally aggravates within the outdated age and platysmal bands are additionally fashioned on this ‘vata favoring age’.
Extreme train is taken into account to be the primary trigger within the formation of platysmal bands. Ayurveda too has counted ati-vyayama i.e. extreme train because the chief trigger for vata aggravation.
Vata balancing meals, actions, way of life modifications, medicines and therapies must be the primary methods within the therapy of Platysmal Bands. Abhyanga, Nasya, Basti, Brimhana and Rasayana are the primary parts of the therapy of this situation and must be successfully introduced into use as and when wanted, individually or together.
Associated Studying – ‘Platysmal Bands – Ayurveda Understanding’.
