Mini Lift: Q&A
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Neck Still Turkey-like After Lower Facelift and Necklift with Platysmaplasty? (photo)
I had a mini facelift and necklift with platysmaplasty 4 months ago with incisions in front and behind ears and under the chin. Pictures attached. The face is much better than it was, but the neck has dropped back to where it was, a very large band is even more prominent, and the scars are bad on one ear only. I've already tried Botox, and it did nothing. Any idea what went wrong? Also, is there a procedure to cut out that errant band all together, or tie it up somehow? I'm 57.
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7 Doctor Answers |
Asked by
phoebe0101
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MiniLift and Recurrent Band
If there was a lot of redundant skin, muscle, or fat, there is always a chance of recurrent skin under the chin, no matter what was done. Your anatomy may be amenable to a small neck skin and/or muscle tightening procedure through an incision under your chin. It is difficult to tell if the band is a true platysmal band, skin, or both. They would all have different treatments but could be addressed with a revision neck lift. Kenneth Hughes, MD Los Angeles, CA
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Neck Still Turkey-like After Lower Facelift and Necklift with Platysmaplasty?
Unfortunately, the neck is usually the first place that a mini-lift will fail. As my colleagues have noted a traditional face and necklift would be required to improve the platysma bands that have recurred. This is the only procedure that allows a robust tightening and repositioning of the neck tissue. There is a procedure referred to as a submentoplasty that can directly remove the lax neck tissue. I will only perform this a handful of times each year as a facelift is superior and more...
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Platysmal band require a lot of work
To get rid of. This means more incision, more swelling and bruising for some patients, and more work. Basically the bands must not only be sewn together (plication), but to be extra sure, the also should be divided or cut just above the the first hard cartilage you can feel in the middle of the neck. The skin of your neck has to be completely lifted off of all these tissues, again until about the hard bump you feel in the middle of your neck. Then I...
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What to Do About a Turkey-Neck After a Mini Facelift With Platysmaplasty
Your photos show one of the problems with a short scar mini facelift. In this kind of a mini facelift three things happen that allow for a less than perfect result in the neck (even if you have a platysmaplasty with it). First, in this type of lift both the face and neck have to be pulled in the same direction (in actuality, the face needs to be pulled upwards while the neck needs to be pulled in a more lateral direction). In order to get the face to look good you pull mostly upwards,...
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Revision facelift
Unfortunately, you will need to have an extensive redo to remove the excess skin that is still in your neck. A Mini facelift and short scar techniques are more prone to leave behind these excesses. A direct excision in the midline of the neck will leave you with a potentially unsightly scar.
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Facelift
It seems that you had a short scar facelift. The incision behind the ear does not go to the hair line and that did not pull on the nck skin.
You will need a nieck lift to get rid of the overhang of skin under your chin
Baltimore Plastic Surgeon
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Neck Still Turkey-like After Lower Facelift and Necklift with Platysmaplasty?
Hi,
It looks like you have excess skin left from your facelift. This sub-mental skin is usually removed during a facelift procedure. Extensive undermining of the sub-mental skin needs to be done to remove this excess.
Best,
Dr.S.
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