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8 Months Post Neck Lift: Doctor Recommends Z Plasty

asked 1 year ago by Thompson5530 in Walnut, CA
Latest answer by Robert L. Kraft, MD
Question viewed 303 times
Tags: excess skin, 8 months post-op, puckering, revision, Z-plasty technique

I had a face/necklift last year in September. My neck had a pucker after a couple of weeks after the surgery. The doctor said you have too much skin and muscle and skin needed to be seperated with a vy. Had this done 5 months later in February.

My neck looked great for a couple of weeks and then same thing happened. Doctor says I need another of the same procedure as the fist. Had a consult and this doctor said doing the same procedure will not correct it. He recommends zplasty. HELP!

4 answers to 8 Months Post Neck Lift: Doctor Recommends Z Plasty

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Zplasty after neck lift?

Without photos, it is impossible to assess your problem and the effective way to handle it. Z-plasty is not typically associated with scar revision or puckering in the neck region.
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Issues 8 months after neck lift

Sadly, without photos of your neck there's not much to go on. If a skin revision didn't sort out the problem previously, I suspect the bunching is related to the fatty or muscle tissue layers which would require revision surgery at that level...Z plasty is another form of skin resection and by itself does not address these deeper layers.
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8 Months Post Neck Lift: Doctor Recommends Z Plasty

It is impossible to advise without a photograph. Z-plasty is rarely done in teh neck and only in a patient with loose and excessive skin. Even then, teh skin can be pulled laterally and removed.
+1

Neck problems after a facelift

What you are describing are very unusual problems after a facelift.  Photos are critical here as is going to at least three expert plastic surgeons for another opinion.

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