Will a Facelift Correct Neck Bands? Doctor Answers, Tips
Facelift: Q&A
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Will a Facelift Correct Neck Bands?

I had some procedures done that did not yield good results and left my skin and tissues very damaged in the neck region. I now don't have enough fat in my neck which has caused my bands to show. I've noticed when I pull my skin up and tighten things it makes the bands disappear. My neck looks so unnatural and I've been forced to wear turtle necks and scarfs out in public due to feeling so self-conscious. I'm wondering if a facelift can correct something like this?

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28 Doctor Answers | Asked by TJR in Savannah, GA
+1

Facelift will correct neck bands

The lower face/neck lift operation is designed to correct anterior platysmal bands. It also addresses laxity of excess neck skin and fat removal both above and below the platysmal muscle. During this operation the platysma muscle is tightened from the hyoid bone to the chin. The anterior platysmal bands are then released by transecting the first inch of the platysma, which allow the bands to separate and go away. Any subplatysmal fat must be addressed as well. more
+3

Lower Facelift Should Include Necklift

Though the neck can be addressed alone, ideally it should be addressed as part of a lower facelift. There are numerous ways to address the neck during a faclift from no intervention, to liposuction, to opening the neck and providing internal muscle tightening. By looking at your pictures, you most likely would benefit from opening the neck to address the neck muscles and tighten them along with a lower facelift to redrape the skin so that you don't get a bunched up appearance in the neck... more
+3

Can a revision Face Lift fix residual neck bands and skin

From your photos, the neck skin, under the chin, shows signs of severe fat removal and scarring.  You should be seen and examined by a well trained, experienced Face Lift surgeon to evaluate whether, or not, the skin of the neck will tolerate any more surgery.  Lifting up the skin, in this area..in theory will decrease the irregularities but yiour skin has to have sufficient blood supply in order to heal from another surgery.  You may have to massage the skin and wait for... more

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+3

Will a Facelift Correct Neck Bands?

Dear TJR, I am sorry to hear about your concerns. A full facelift with necklift or possibly an isolated necklift should be able to improve the appearance of your neck. I would consult with an experienced board certified Plastic Surgeon. Warmest wishes, Larry Fan, MD
+2

Revise the Neck for the fix

It appears your jaw line is reasonable. You said "Some Procedures" but you have left us all to speculate. I suspect you have had some kind of suctioning procedure or some residual fluid such as blood that has combined to create this problem. I feel an isolated approach to your neck using access incisions behind the ears and hairline, combined with a small incision under your chin would allow sufficient access to your tissues to complete the job and give you the result you had hoped... more
+2

Facelift to Correct Neck Bands

It appears that fat removal in your neck has caused the bands to become obvious. A facelift, including the anterior neck, should improve your appearance when done by an experienced surgeon.
+2

Correction of neck bands after earlier procedures

From looking at your photo, it appears that you have very prominent muscle banding in the lower portion of your neck. This may be due to thin skin or from excessive liposuction, muscle cutting from earlier procedures. Although it may not be possible to completely eliminate the banding, one approach that I find helpful when I do revision face-neck lifts is to tighten the neck bands directly underneath the chin along the front edge of the muscle and to also tighten the back edge of the muscle... more
+2

Facelift to correct neck bands

It appears that the neck has residual skin laxity despite deep tissue tightening. Skin redraping of the neck via a facelift exposure should help.
+2

Facelift addresses neck bands

The procedure you had that resulted in distortion of your neck skin seems to different from the regular static/ dynamic neck bands. You have skin subcutaneous fat distortion and possible superadded neck band. The irregularity you show on the photo may be improved to a certain extend with neck lift. I suggest you have a consultation with a plastic surgeon.
+2

Face and neck lift can help hide unwanted banding in the neck

HI, A face/neck lift can help with the banding in your neck. As part of the procedure, a small incision should be made under your chin and the underlying platysma muscle stitched together to help smooth out the bands. The lateral incisions will help to undermine the neck skin and pull it tighter so that the skin does not sag in the midline. Hope this helps, Regards, D. 
+2

This can be improved with a mutiplanar neck procedure.

The neck should be addressed at the time of the facelift but not every surgeon believes in this approach.  There is not substitute for a personal consultation by an experienced facelift surgeon.  Generally for this type of corrective work, it is best to steer clear of high volume, propriety facelift franchises.  You need a well trained surgeon with an excellent reputation.  
+2

Facelift often involves necklift to help reduce "banding" and excess skin in the neck

Facelift often involves necklift to help reduce "banding" and excess skin in the neck. With that said, your case is more complicated given that you've had previous procedures performed. A revision facelift in itself is straghtforward, and in many cases easier than a primary facelift. However, as my colleagues have commented dealing with scarring or asymmetries in your neck might be a greater challenge and could lead to less than ideal results. Best wishes. Stephen Weber, M.D... more
+2

Revision surgery for "skelatinization" of the neck muscles with loss of fat.

Revision surgery for "skelatinization" of the neck muscles with loss of fat Is a very difficult problem to correct. See an EXPERIENCED revision facelift surgeon to evaluate your neck  and tell you how much improvement you can expect with a revision facelift.
+2

Face

IT seems that you had some form of lipo-maybe smart lipo done in that area which has caused unevenness and the appearance of bands.  A face/necklift may alleviate the appearance but I would not promise for all to disappear as you have underlying scar tissue and that may cause unpredictability in the ultimate outcome.
+2

Will a facelift correct

The neck is made of three structures  muscle, fat and skin. it appears that you have had one of the three addressed and not the other two. you need to have the excess skin removed and the muscles repositioned.  i would be careful about removing any more fat ; it appears you may have had too much removed already. am not sure how long ago your last procedure was. give it a good year before embarking on additional surgery good luck
+2

Facelift to correct neck banding

Hi, Yes a facelift will help with the banding. It looks like you may  have already had a procedure under your neck...you may have to have the skin under your neck released again through a small incision under your chin. However, a good facelift is your solution. Best, Dr.S.
+2

Facelift for neck bands

From your photo it appears that you might have had liposuction on the neck which has left irregular areas and skin laxity. Facelift should be able to correct much of the problem by releasing the irregular areas and tightening both the neck muscle and skin to smooth out the contour. You have noticed the same effect when you pull up the lower face and neck and see all the bands disappear. Best of luck, peterejohnsonmd
+2

Neck bands

Neck bands is a colloquial term. it can be caused by a number of things and before you do surgery, you need to diagnose the specific problem. Part of the diagnosis requires revisiting the original anatomy and the intervening surgical procedures. I suspect it was some sort of liposuction with resulting edema, subdermal scarring, hematoma, or a combination of these. Your skin looks slightly thicker in this area and could be a sign of lymphedema and/or subdermal scarring. If so, you should wait... more
+2

Facelifts for the neck

Yes, a well done facelift releasing all the neck skin and removing and smoothing the rest of the fat and tightening the muscles followed by removing the extra skin should make a nice change for you.  Only go to the best for this and no mini's please as they won't be the right thing.
+1

Face + neck lift will improve

Based on your photos it appears that you have had liposuction under the chin. This sometimes causes a contour deformity by exposing some of he deeper anatomy that is irregular. A face/neck lift should improve the condition but may not make it as smooth as you wish
+1

Facelift

A good necklift/facelift can correct the bands in most cases. You need to see a Board Certified Plastic Surgeon for guidance, with an exam and a list of options. The bands are not difficult to correct in most cases, provided you are a good candidate.
+1

A facelift will correct bands in the neck.

Two muscles in the neck, the platysma muscles, have their edges fall away from the neck as one ages. During a facelift, these muscles are repaired. In addition, fat, both superficial and deep to the muscle might be removed and excess skin is deleted.
+1

You need a Face and Neck Lift with Platymaplasty to correct neck bands

A Facelift alone will not correct your neck bands called Platysmal Bands and the loose irregular neck skin. The surgeon will need to add a Neck Lift by making a small incision under your chin and tightening the muscles of the neck a procedure called a Platysmaplasty, he/she will then tighten the loose neck skin by the Facelift of the jaw line and upper face. This procedure should smooth the neck. It is crucial that you find an experienced Board Certified Plastic Surgeon who does many... more
+1

A Neck lift will help the bands, but additional fat grafting could also be needed in the future

A Neck lift will help the bands, but additional fat grafting could also be needed in the future. This basic opinion is based on doing nearly 1300 face and neck lifts. I dont think a face lift revision will be the complete answer unless you definitely approach the neck area with a neck lift. In my opinion, these are two different procedures. The neck lift will markedly improve the neck bands and then after this you may still need to graft fat. Based on the pictures, the neck... more
+1

Facelift has nothing to do with bands in the neck

Normally bands in the neck are due to muscle hyperactivity or thickening. based on the photo the procedure done did not address this muscle and simply created an irregular appearance secondary to fat removal. In my experience an neck lift with repair of neck muscles (and nver a face lift) can give some improvement but ultimately the loss of the "gliding" fat in the neck will always be somewhat visible. in this area the pendulum has swung back to leaving fat in the superficial... more
+1

Facelift to correct neck bands

A full face-lift includes a forehead lift, a mid face lift, and a neck lift. A neck lift is part of the facial procedure; it can actively correct the neck bands.  The neck bands are actually are fibers of platysmal muscle under the skin and with aging these muscle fibers may shorten and may declare themselves as bands. Usually treatment of this problem is division of the bands and also a procedure called platysmalplasty which is the suturing of the platysmal muscle to itself at the same... more
+1

Facelift surgery to address neck bands

Based in the pictures I suspect a facelift operation with undermining of neck skin will help to redrape and smoothen the appearance of you neck.
+1

Facelift to correct neck bands

A facelift, when done correctly, can tighten neck muscle and skin bands. It is hard to say exactly what you need, even from the picture. See a Plastic Surgeon with significant experience with facial rejuvenation, as a direct examination is the only way to know for sure.  
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