I agree that if skin has poor levels of collagen and elastin, any type lift is only pulling on poor quality skin. Without examining you, and looking at the operative note, it is hard to comment on the effects of your specifi surgery.
Skin parameter improvement can be improved by several modality as follows from mildest to most effective. 1) Obagi program (creams at home) 2) a laser to tighten the skin such as Titan (external) , Smartlipo (internal) and the newest technology which works on the muscle fascial layer called Ultherapy (Ultrasound focused)



