SMAS Facelift: Q&A

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I Am 6 Months Post Op from a SMAS/Platysmaplasty - My Jawline is Firm Except for a Spot Where Some Sutures Broke After an Exam?

I dont' think I have many options as my neck is thin and there are already irregularities that I will need to address. I am thinking of doing a submandibular lift as I don't mind an external scar on my neck and I don't want to redo the entire neck lifte because of this spot. I've also heard the "Exilist" has a device that tightenes skin only. Again, I have absolutely no fat in my neck (actually devoid of fat). Would Exilist work for this area or is this more hype just like Thermage?

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4 Doctor Answers | Asked by Mal

Doctor Answers (4)
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Suture Broke and Revision Neck Lift

This one is difficult to answer as one is not sure what the suture broken was holding. If this was a lateral plication suture holding the platysma and there is midline platysmal laxity, a platysmaplasty may address this. If there is a skin excess in the midline neck some of the neck skin can be removed through that incision. Hard to say. Kenneth Hughes, MD facelift Los Angeles, CA

SMAS revision

Without an exam, it is difficult to say what might be able to be done for you. Best to be seen a surgeon in consultation.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Skin Tightening after Face lift or Neck lift

Without photos or an exam I cannot answer your question specifically. However here is some general information that might help: Thermage and Ulthera use radio-frequency to heat the skin and deeper elements causing it to tighten. Lasers and Peels are more resurfacing procedures that cause tightening and microscopic dermal thickening. My experiences is that all of these have limited applications and that is why when you look on RealSelf satisfaction ratings... more

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Further Skin Tightening After a Facelift

Your question is actually one that many people ask after a facelift, namely what other technologies can be used to achieve further tightening, be it for mainteance or for correction of one spot where you are experiencing laxity/irregularity. There has been an explosion of devices over the past several years that can help tighten the skin on the neck and jawline non-surgically. Many of these devices work very well in the post-facelift setting. Some devices like Thermage and... more

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SMAS Facelift: Q&A