OK not a pretty looking chin area.

Kenneth D. Steinsapir, MD answers: Treatments to restore collagen and elasticity after face lift surgeries?

I had a Roux-en-Y done in 1999 and have lost 186 pounds. In Feb of 2009, I had a Lifestyle Lift done in Atlanta, GA. The neck work was an add-on option that I chose to have along with the upper and lower eyes and the mid-facial lift. I am not totally unhappy as there is a huge improvement BUT the skin after six weeks still has crepe-like look to it in the region the under chin, where it meets the neckline neck area. Is there anything that will help to firm this skin and restore some collagen and elasticity?


Kenneth D. Steinsapir, MD
8 months ago

 Dear Onebamalady

First it is very early from your procedure.  So many things get better with time.  You are definitely in the lumpy bumpy stage of things. It is probably best to get about 6 months out before considering revisional surgery

I wonder how your submental area looks when you hold your chin in a normal position. The photograph you have submitted appears to be consistent with an over-resection of sub-platysmal fat. This is known as a cobra head deformity.

Also your chin incision appears a little anterior.

I would recommend that you let your surgeon assess the neck area and hear what they recommend regarding this area.

Some have been critical of the lifestyle face lift.  Certainly they are very effective at promoting this procedure. There is noting inherently wrong with the small incision concept of the procedures. Ultimately though it comes down to the actual skills of the individual surgeon and their ability to tailor and modify the procedure to fit the needs of the individual patient.

 

 

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