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Usual Method for Neck Lift?

They were supposed to have Neck lift (platysmaplasty) performed on me; instead, they  just put 2 sutures under my chin and the skin is still hanging on both sides of sutures. Is this the usual procedure during a Neck lift? What do I do now?

Asked 32 months ago by evelina in debary florida
Sort 11 expert answers by:
+1

Thread neck lift

Using sutures in the skin alone is a type of neck lift but it less invasive and thus less expensive and merits a discussion with a patient to make sure they understand what is being done.  This is usually an in - office minor procedure done with local anesthesia with shorter - lasting results than a true neck lift.  Make sure you are seeing a surgeon certified by the American Board of Plastic Surgery. Samer W. Cabbabe, M.D. Board - Certified Plastic Surgeon St. Louis... more
Samer W. Cabbabe, MD
Saint Louis Plastic Surgeon
+1

Necklift treatment

Placing two sutures under the chin to suspend it will not treat th loose skin. This would  need incisions around the ears to take out the excess.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Necklift Options

Necklifts are designed to treat several neck problems; 1- Excess Skin 2-Excess subcutaneous Fat 3- Platysma bands - separation of the muscle under the chin 4- Excess subplatysmal fat - not treated by most doctors but very important for the best results. 5- Reduction in Digastric Muscle mass with tightening 6- Reduction in submandibular gland prominence   A platysmaplasty should address #2,3,4,5,and 6 through a small incision under the chin. #1 will... more
Robert M. Freund, MD
New York Plastic Surgeon
+1

Neck lift method

A neck lift typically does not tighten skin in the submental area. Platysmaplasty usually involves approximately ten sutures placed at the area underneath the chin between the Adam’s apple and the front part of the chin after the fat has been removed both above and below the platysma. If there is an excess skin problem, a full face/neck lift needs to be performed.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Not Usual

I'm not sure what the surgeon did but this is not a well known procedure for neck rejuvenation. There are several approaches to neck rejuvenation. The submental approach utilizes a small incision under the chin to remove fat and muscle and tighten other muscles. To really get neck rejuvenation requires an incision similar to a facelift incision but not quite as long. This allows a pull on the neck muscle, platysma, and removal of excess skin. So see your surgeon or another one and... more
Christopher L. Hess, MD
Fairfax Plastic Surgeon
+1

Neck Lift method depends

There are a lot of different ways to do a 'necklift'. Depending on how far out you are from your surgery, the results may be different. Go back to your surgeon to find out what was really done and what the goals were. Maybe your goals were not his/hers.
G. Gregory Gallico III, MD
Boston Plastic Surgeon
+1

Neck Lift

Dear Eveline Debary, have you returned to your surgeon? how long has it been since your surgery? Generally after a procedure to shape and tighten the neck skin the area looks too tight at first and relaxes over the first month. You should return to your surgeon for follow up and discuss the healing process. With Warm Regards, Trevor M Born MD
Trevor M. Born, MD
Toronto Plastic Surgeon
+1

Neck Lift Technique

For a necklift, we usually perform a platysma muscle tightening through an incision under the chin. In addition, incisions within the back of the ears allow for further muscle tightening and better skin draping. We also remove neck fat for additional definition of the neck angle.
Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
+1

Neck lift

There is no defined "neck lift". It can range from: non-invasive radiofrequency treatments liposcuction with or without muscle suspension and/or repair with or without skin removal Depending on what combination of these techniques are perfomed a variety of surgical procedures have been developed and given muliple names.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Skin contraction might take longer

With the neck lift, sometimes the skin takes a while to completely contract. The younger one is the faster the skin contracts and develops less sagging or wrinkles. If it has been longer than six weeks then you might have some scar bands holding the skin in bag like formation. In that case your surgeon might decide to open the incision and release the scar tissue.
Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
+1

You should discuss with your surgeon

This does not sound like a typical necklift. You should sit down with your surgeon and have him or her explain exactly what was done. A more in-depth procedure may need to be completed as a revision if too little was done. A picture is always helpful for evaluating your issues.
Benjamin C. Marcus, MD
Madison Facial Plastic Surgeon
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