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Concerned About Doctors Suggested Approach to Neck Lift Revision

asked 1 year ago by toadsmom in Long Island
Latest answer by Richard P. Rand, MD, FACS
Question viewed 391 times
Tags: female, revision, tightening, worried

3 month visit to the Dr today. He agreed to a revision & suggested that the appearance that I have is due to fat left under the skin. He wants to make an incision under my chin again & take out more fat(I had little to begin with)and stitch the incision. I'm concerned about his approach. I dont think this is fat but is extra skin and his idea at a solution may cause more of an issue. I think I need tightening with incisions in front and behind the ears.

13 answers to Concerned About Doctors Suggested Approach to Neck Lift Revision

+2

Necklift revision timing

It is best to wait six after your surgery so that most of the swelling is gone. Necklift revisions can be minor or a bit more involved, depending if the direction of pull must also be addressed.
Brent Moelleken, MD

Beverly Hills Plastic Surgeon

www.drbrent.com

+3

Concerned About Doctors Suggested Approach to Neck Lift Revision

Thank you for posting the photos. Yes, you are correct, too much skin left, not fat. Best to see more consultants. From MIAMI 
Darryl J. Blinski, MD

Miami Plastic Surgeon
+3

Facelift revision.

It looks like this is not excess fat but excess skin. Therefore, more fat removal will make things worse. See another experienced facelift surgeon to discuss what results can be expected in a revision.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+2

Extra skin or fat after neck lift

You should ideally see another surgeon who is experienced with neck lifts to examine you rather than stating what you need by examining a photo. You may need to be evaluated with changing your head position to see what vectors of tension are needed to change the skin's tightness if it is loose skin. The initial surgery and its skin incision should be evaluated to see in which direction your skin was pulled.
Ronald Shelton, MD

Manhattan Dermatologist
+2

Neck issue

Without seeing you in person it is difficult to say, but it looks like in the photos that it is skin.  Was the hairline incision used or a short scar.  It looks as if the skin needs to be redraped in a more posterior rather than vertical direction.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Face Lift, Beverly Hills Face Lift, Local Face Lift, Radiesse, perlane, Cheek Implants

You should wait at least another 3 months for a total of 6 months in order for the neck skin to have had ample time to properly heal before a revision Neck Lift is considered IMHO.  From your photos, it appears that there is excess skin that would most likely require the incisions under the chin and behind the ear/into hairline, which is a formal Neck Lift.  It's also likely that an incision would need to be created around the lower half of your ears to remove the excess... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+2

Neck Lift Revision

Wait at least another 3 months or longer before undergoing any revision. The revision will likely entail a freeing-up and redraping of your neck skin with removal of any residual skin redundancy.
Stephan Baker, MD

Miami Plastic Surgeon
+2

Revision neck lift approach questioned.

I assume you had incisions around your ears as part of the initial procedure. At three months post-op, this is the absolute earliest I would even consider any kind of revision, regardless of approach. Things have just barely and not completely begun to soften and mature. So consider waiting, though I understand your concern given your result shown in the photos. Though I don't have the benefit of direct examination, nor the actual hands-on with your neck anatomy in the operating room... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon
+1

Revision of loose neck

In my opinion, you are correct in that you have extra skin and not fat. This would benefit much more from a facelift and not further neck fat removal.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Problem neck after facelift...

The overal recommendation to wait is a time honored one and what I also agree with.  That being said, your note implies you have a mini-facelift or Lifestyle Lift.  If that is true, you will have to consider converting your procedure to a formal, full facelift to spread out the lax skin that remains.  If you didn't mind having scars on the front of your neck, you could consider excising the excess skin that way but you will need to make sure that the procedure will address... more
Curtis Wong, MD

Redding Plastic Surgeon
+1

Timing of Neck Lift Revision

Hi toadsmom, Thank you for sharing your photographs. I agree with other plastic surgeons and best to wait an additional few more months, at minimum, before considering a revision neck lift procedure. To truly lift the neck in some patients, a neck lift will require incisions around the ear, which is really a face lift. The face lift helps address excess skin and sagging tissue in the lower face and neck, in addition to excess neck fat. Only after a comprehensive evaluation can a... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

+1

Revision Neck-Lift Surgery

Three months after your initial surgery, it is too soon to describe what, if any  revision surgeries need to be performed.  The exact approach at that time would depend on what specific procedure was performed at the time of your first surgery and the degree of/ lack of resolution of the current findings.
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

Facelift Revision

Dear Toadsmom in Long Island: Thank you for your question. Revision surgery, as much a we try to avoid it, is something that happens from time to time. Like the initial surgery, good planing is paramount. Three months is probably too soon for most revision surgery. Exceptions are made in some cases when the delay risks further injury. Operating before the area is fully healed increases your risk of increased scarring and prolonged swelling, because the area is still recovering... more
Joseph Mele, MD

Walnut Creek Plastic Surgeon

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