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What is the Best Revision /correction for Treating a Cobra Neck Deformity?

asked 8 months ago by Spokane6975 in Spokane, WA
Latest answer by Sam Naficy, MD
Question viewed 328 times
Tags: deformity, options

I had a lower facelift that included smart lipo under chin and playtsmal tightening 7 months ago. I now believe I have a cobra deformity based on significant research. My ps gave me a thermage treatment 2 months ago with minimal/ no improvement. I will be seeing my ps next week. I have read that correcting this deformity s very challenging. Some suggest a reverse facelift and others suggest fat grafting to fill in the hollows. I am in good health, a good weight, do not smoke. I am 57 years old.

8 answers to What is the Best Revision /correction for Treating a Cobra Neck Deformity?

+2

What is the Best Revision /correction for Treating a Cobra Neck Deformity?

What is the Best Revision /correction for Treating a Cobra Neck Deformity? The excess on either side of the hollow would most likely require a formal neck Lift the remove excess fat and tighten the platysma muscles.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+2

Correction of the Cobra Neck

This deformity classically presents with hollowness under the chin and remaining fullness to either side. My treatment varies by the particular situation but usually relies on fat grafting to the area of hollowness. In addition, redundant fat on the sides plus lifting of remaining loose platysma bands provides a good balancing of the neck with a smoother contour.
Frank P. Fechner, MD

Worcester Facial Plastic Surgeon

www.drfechner.com

+2

Correcting a Cobra Neck Deformity

You are correct in that it is a challenge to correct this problem. Sometimes a direct skin excision and w-plasty may be appropriate. Fat grafting in my opinion rarely works as the fat rarely survives in that area. Thermage, contoura, etc. ultrasound, I think have limited utility as well. Depending upon the extent of the deformity, sometimes filler might work and sculptra might be an option. Advancing the soft tissues of the lateral neck upward as in a 'reverse lift" can also be done... more
Scott Trimas, MD

Jacksonville Facial Plastic Surgeon
+1

Cobra neck deformity

This is a difficult problem but can be improved by all the techniques you mentioned. I have used fat grafting with some success as well as undermining and advancement of the medial platysmal borders
Sam Naficy, MD

Seattle Facial Plastic Surgeon

seattleface.com

+1

Cobra neck may need a neck lift revision to treat or fat injections

This can be corrected so don't worry. A neck lift revision may be the answer for you. Sometimes the neck lifts that are performed by other entail removing the fat under the chin area and then an incomplete neck tightening. That is the most common cause for the cobra deformity. You will need more neck muscle tightening in my opion based on the limited information to improve your situation. see video
Philip Young, MD

Bellevue Facial Plastic Surgeon

www.drphilipyoung.com

+1

Correcting cobra neck deformity

The cobra neck deformity is created by too much fat removal at the central portion of the neck and a separation of the anterior platysmal bands. The bands then hang down laterally with a central fat hollowness. This is best treated through a revision neck lift whereby the anterior platysmal bands are further sutured together in the midline. Fat grafting can be used, however, is usually not necessary. It is also important to make sure that the lateral subplatysmal fat... more
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Surgical revision is likely needed, Fat grafting not so great for this area

I agree that the majority of "cobra neck" deformities occur due to these reasons: 1. Excess removal of midline fat or insufficient removal of lateral fat (too much fat taken from the area under the chin or not enough fat taken from area under jawline) 2. Insufficient plication of the platysma muscle (the platysma muscle is a thin muscle that causes the bands seen in a turkey neck or after lipo is done. The edges of the muscle need to be properly brought together and... more
Kamran Jafri, MD

New York Facial Plastic Surgeon
+1

Revision neck lift for cobra deformity.

I would need to examine your neck to give you a valid answer as there are several choices which are available depending on what has been removed from your neck and what remains. For more than 30 years of treating these problems I have seen many different causes. See an experienced facelift surgeon.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

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