Sagging, rugged neck skin after Endotine Cheek and Neck Lift

My mother went for a Endotine Ribbon cheek and neck lift a month ago due to sagging skin. But her neck and cheeks are starting to sag again and she's worried. The ribbons are also very noticeable now, and she has rugged skin under her neck. Is there any chance that she will stay with those signs permanently?

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7 answers to “Sagging, rugged neck skin after...”

A: Endotines are resorbable

Otto Joseph Placik, MD

The bad news is that the endotines are resorbable and don't maintain the result. Furthermore, they typically require minimal surgery, which does little to really rearrange the tissues and create a dramatic effect. The good news is that the endotines resorb, leaving little permanent effects. This... more

A: Unfortunately, the result she has will probably get worse

Toby G. Mayer, MD

Whether they call them minilifts, week-end facelifts, wire lifts, etc. the end result is the same in patients who need a conventional facelift. Minilift = mini-result! You have to remove the extra skin and tighten the deeper tissue to get a good result. She can have a full facelift at about 9-12 months later.

A: Avoid any lift that has a brand name attached to it - they are gimmicks

George J. Beraka, MD

To Claudia RG, Hi!  In a few months your mom will - hopefully -  look like nothing happened.  Then she will have to consider a real facelift. To look younger (rather than pulled), and to have the result last, you really have to REPOSITION the skin and the fat upward.  You cannot just pull... more

A: Some good news

Scott E. Kasden, MD

The endotines are absorbable.  They can take a long time, but you can count on them going away. The bigger issue is the early sagging.  In most instances this indicates that a revision will be needed, as retrospectively, the tissue re-suspension was not adequately addressed.  Fortunately, a... more

A: She might need a revision facelift or a minifacelift

Stella Desyatnikova, MD

Unfortunately, there is no magic solution for sagging facial and neck skin yet. Sounds like your mother might need to have her skin tightened with a facelift or a mini facelift. I've had to do that in the past for patients who had strings, threads etc. placed trying to tighten their skin. Usually we had to... more

A: Ribbon lifts / Endotine

Brent Moelleken, MD

I wish I could tell you that further sagging would not occur. However with suspension techniques, they tend to be short-lived, in my experience. Visible suture material also typically does not improve without treatment. Fortunately, it is possible to perform revision surgery in the majority of patients and... more

A: It sounds as though she didn't have the right procedure

Richard P. Rand, MD

If she already has sagging skin in the neck, she really needed a true facelift done .  Unfortunately, many patients hope they can get a great result with a lesser procedure and their doctors imply that they can, when the reality is that a minimal procedure isn't enough.  Now she will likely have to... more

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