Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Platysma are the muscular 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 either side of our neck. These bands are attributable to contractions of platysma.
Platysma bands are one of many first indicators of ‘neck ageing’. In response to 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 individuals 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 aspect 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 aspect 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 either 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 muscular tissues additionally trigger melancholy of the decrease jaw and attracts the decrease lip and angle of the mouth in a frown.
Platysma Bands are triggered because of the motion of platysma muscle contracting by means of speaking, consuming and facial features.
Scientific relevance – Strains, tears and atrophy might happen in these muscular tissues simply as in every other muscle. It’s weak to penetrating trauma. It must be lower by means of to entry deeper buildings when neck surgical procedures are carried out.
Wrinkly pores and skin of the neck – is a situation attributable to lower in muscle tone. This could result in thinning and shortening of muscle. It’s the secondary complication of facial nerve palsy. It’s also related to regular ageing course of.
Neck bands – With ageing, the neck bands above this muscle turn out to be most evident. Weightlifting or facelift procedures might irritate this situation, a situation generally known as ‘turkey neck’ or platysma dyskinesia.
What causes these bands?
Neck Platysmal Bands is widespread and pure and is triggered as half and parcel of growing older course of and thickening of the sides of neck muscular tissues. Age, genetics and muscle exercise are additionally counted amongst causes.
They’ll turn out to be extra outstanding for some people. Because the particular person ages, the pores and skin loses its elasticity naturally. The manufacturing of collagen which provides the pores and skin the youthful firmness can also be diminished. This, together with our genetics would trigger the pores and skin over the platysma to look thinner and will sag. This makes the vertical bands of muscular 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. This may trigger the pores and skin to droop. These bands additionally turn out to be seen sooner in individuals with skinny pores and skin. This implies the function of genetics within the formation of platysma bands.
Strenuous workouts may contribute to those bands by inflicting extra stress and muscle exercise within the neck. Due to this fact, one ought to, whereas doing workouts, pay attention to neck stress and attempt to hold the neck muscular tissues relaxed so far as potential.
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 reveals that it isn’t essential 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 have been discovered to look after 10 years after therapy and have been discovered on the perimeters 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 also be a kind of muscle exercise. With passage of time these bands would turn out to be increasingly seen. Excessive depth exercises may also have an effect on the facial muscular tissues. The probabilities of the pores and skin overlying the muscle (platysma) getting stretched and sag would enhance with increasingly use of muscular tissues of face and neck. One ought to understand how a lot to train and exercise. This consciousness would possibly assist in holding these bands at bay. It’s clever to train / exercise by wanting into the mirror. This may hold our consciousness centered on the neck muscular tissues. This can even assist one calm down the neck muscular tissues when as and once they get tensed.
Therapy of Platysma Bands
Since platysma band isn’t 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 severely at diminishing these bands on their neck.
The beneath talked about remedies would possibly assist in tackling platysmal bands.
Botox therapy – Analysis (2018) reveals that botulinum toxin kind A injection would possibly assist in lowering the looks of platysmal bands. It does that by stress-free the muscular 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 known as as Nefertiti raise.
It’s a mild and profitable method which is popularly used to cut back the looks of platysmal bands. When injected rigorously into the muscle, it releases the stress within the muscle attributable to repetitive muscle contractions. This brings about rest and softening of the neck. This in flip improves the pores and skin look triggered 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 on is used. Typically 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 principle ingredient of the boosters. It’s utilized by the physique to retain water content material within the pores and skin and in addition to assist elastin and collagen.
Neck Raise procedures (Platysmaplasty) – This could give dramatic leads to the therapy of platysma bands. It’s a surgical course of and a definitive therapy. It may be thought-about when injectable medicines are usually not working effectively. It tightens the pores and skin and muscular 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 injury are among the unwanted side effects of this surgical procedure.
Platysmal band workouts assist in strengthening the muscular tissues of neck. It’s also thought to cut back the potential of formation of platysmal banding. However consultants opine to not train this space. It’s because the bands may be exacerbating by straining. Neck stretches however are gentler and may yield higher outcomes compared to platysmal band workouts.
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 vitally troublesome to forestall platysmal bands. It’s because they’re attributable to 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 may be stated to be attributable to extreme aggravation of vata particularly within the area of neck and face. Vata impacts the pores and skin and muscular 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 principle 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 needs to be the principle methods within the therapy of Platysmal Bands. Abhyanga, Nasya, Basti, Brimhana and Rasayana are the principle parts of the therapy of this situation and needs to be successfully introduced into use as and when wanted, individually or together.
Associated Studying – ‘Platysmal Bands – Ayurveda Understanding’.
