I Have Draping Under My Chin 1 Year Post-op Neck & Facelift, What Should I Do?

asked 11 months ago by Samantha1234
Latest answer by Todd C. Miller, MD
Question viewed 465 times
Tags: jowls, female, 1 year post-op, loose skin, unsatisfied

I noticed some draping under the chin coming down from the scar within a few months after surgery. From my profile I think I look like I have jowling. Just not a perfect jawline. My plastic surgeon has told me this is due to salivary glands that are more visible now. He told me that there is not much that can be done but is consulting with an ENT specialist for suggestions. I wanted him to tighten the draping but he said it would look the same in 6 months. Any suggestions? see pictures

9 answers to I Have Draping Under My Chin 1 Year Post-op Neck & Facelift, What Should I Do?

Redraping skin following previous surgery

From you pictures it does not appear that submandibular (salivary gand) ptosis (drooping) is your primary issue. It appears that your neck remains tight in the midline but you have some drooping laterally with some concavity in the midline as well. The concavity in the midline may have been a result of removal of too much fat however you did not indicate whether or nor you had liposuction and you didn't provide your before pictures so I'm speculating. Removal of the... more

Todd C. Miller, MD
Orange County Facial Plastic Surgeon

Neck laxity

I have reviewed your photos. I believe that you have several issues. Firstly I feel that you do not have ptotic submandibular glands, and resecting the superficial lobe would not be warranted. Secondly, you have some residual jowl fat - this can be addressed with conservative liposuction, and finally I feel that the surgeon may have been overzealous with his/ her fat resection in the subcutaneous plane of the neck and this is often very difficult to correct. I suggest that you contact your... more

Wilfred Brown, MD
Fairfield Plastic Surgeon

Neck lift Video: Neck Revision

You could benefit from a neck revision to tighten the muscle in your neck more and another redraping of your neck skin. The bunching may still occur at which point I would fat graft the area to improve it. I have a special approach where I have done the worst type skin bunching. Based on your pictures. It doesn't look like glands as the cause. Sometimes scarring underneath can cause the skin to bunch. Grafting fat there can improve the way the skin lays if you don't want to... more

Philip Young, MD
Bellevue Facial Plastic Surgeon

www.drphilipyoung.com

Re-Drapping

From you picture it appears that there is excess skin present laterally. Re-lifting the skin flap and re-drapping should help correct this problem

Elliot M. Heller, MD
New York Facial Plastic Surgeon

I Have Draping Under My Chin 1 Year Post-op Neck & Facelift, What Should I Do?

Although the submandibular glands can be more prominant in some patients after a neck lift, what I can see from your photograph is over tightening of the platysma and under tightening of the skin laterally. A revision should correct these.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Unsatisfied patient after facelift and neck lift with jowls

I think you are both right! I think that you do have prominent salivary glands and that not too much can be done about this. But you also do appear to have excess skin with jowling and might benefit from further tightening and skin excision. Speak to your surgeon; he may be willing to help you to win your satisfaction. Good luck!

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

Unsatisfied with Facelift Results

I have reviewed your pictures. Yes, it is true that ptosis ("droopiness") of the submandibular salivary glands can cause fullness in the submental area (under the chin). There are procedures that can correct this ptosis to a degree. Although, I do not think that the above issue is your problem. Seeking an ENT I do not think is an answer, as I cannot believe any ENT surgeon will remove the salivary glands for cosmetic purposes. It appears from... more

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon

www.dranthonycorrado.com

Draping neck skin after Face and Neck Lift

The excess loose neck skin would require dissection to free up the skin and removal through an incision placed under your chin similar to the one you had with your original Face Lift and Neck Lift. This would be preferred over a revision Full Neck Lift that would take 3-4 hours, require large incisions and could place the neck skin in jeopardy, of healing because of the previous Neck Lift a year ago.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Draping Under Chin Following Face Neck Lift

Salivary glands can be more prominent after a face and neck lift. They are usually hidden by fat and or excess skin. This may be part of your issue but it appears you have excess skin in the neck area and below your jawline. Speak to your plastic surgeon again and see if this can be revised. Also consider seeking a second opinion so another plastic surgeon can evaluate you and render an opinion as to wether this can be improved with additional surgery. more