SMAS Facelift: Q&A
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Best Solution for Redundant Lax Neck Skin After SMAS Lift?
I had a SMAS lift in May. I think my PS did an excellent job, as overall, I have been very pleased with the result. However, in the last month, I have noticed my wattle is returning. Right at my throat - I have that line of skin that stretches under my chin back. So much so, that I can flick the loose skin with a finger. I know he tightened me as much as possible during sx, so this clearly is my skin settling back in. What is my best option and when would you suggest any revision be done?
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12 Doctor Answers |
Asked by
jillbean
in Phoenix
+2
Lax neck skin following facelift
Hello and thank you for the question.
Following a facelift procedure there is always an element of skin laxity that returns and can be expected several months after the face has reached a stable state.
Facelift procedures, while designed to reposition the internal soft-tissue structures and thus produce a more youthful and refreshed post-operative appearance, do not in themselves address the actual skin/soft-tissue quality which becomes compromised during the aging process due to...
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Recurring Neck Laxity After SMAS Lift
The SMAS facelift is an excellent technique for repositioning the facial fat and supporting the tissues of the neck. The skin loses its elasticity over time and some of that inelastic skin is removed with the facelift. However there is a limit to how much skin can be removed because the excess tension on the skin may compromise the blood supply to the skin. It is not uncommon for there to be some rebound laxity of the skin especially in the neck. For a small amount of...
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Treatment for sagging skin after SMAS facelift
If laxity is minimal, you may want to consider Ultherapy. Ultherapy is a great non-surgical way to treat minor sagging skin. If the sagging is significant, then you may need a limited revision facelift. Discuss this with your plastic surgeon as he can asses your situation.
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Redundant Lax Neck Skin after SMAS Lift
A facelift addresses the jowl and neck by tightening the underlying SMAS and platysma. The neck improvement depends on how extensive your surgeon addtiionally addressed this area. For example was a separate incision made under your neck and a playtysmaplasty done?Was there extensive undermining of the skin in the area of the "turkey waddle", etc. Each of these maneuvers improves the result if applicable to you.
Also realize that in most cases after the swelling resolves...
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Loose skin after a facelift
It is not uncommon for the central skin of the neck to loosen after a facelift as the further you are from the incisions, the faster the problem returns. It might need a neck procedure to tighten the skin a bit more.
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Residual skin excess after face lift
You likely had a platysmaplasty or a neck tightening procedure along with the face lift which sometimes can exagerate the skin excess. Sometimes the skin tightens alittle bid as scar tissue matures but if it persists or worsens there are several options. Nonsurgical options are Fractional CO2 LASER resurfacing which can improve skin texture and tightness, radiofrequency treatment like Thermage or Triactive which will require multiple treatments and results may be temporary. I find that...
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Recurrent excess skin after a facelift
It's great that you're pleased with the results of your facelift. Small revisions can be done around 8-12 months after the initial surgery and all of the swelling has resolved.
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Recurrent looseness after facelifting may be addressed 3 ways
If you looseness is very mild, and your improvement great overall, I'd recommend leaving well enough alone!
More moderate recurrent looseness, concentrated at the midline and "high up" is often best addressed with a direct excsion of skin, plus or minus T- or Z-plasty.
Significant recurrent looseness is best addressed with a full revision necklift.
I would discuss these options with your surgeon, as you seem to have a good relatinoship with him/her. If you would...
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Facelift and neck
There is always some laxity of skin that returns after a facelift and after the swelling comes down. Sometimes a little tuck can be performed to correct that.
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Some Rebound Relaxation After A Facelift Can Be Expected
During a facelift, the neck and jowl skin is tightened about as much as possible in most cases. But due to the swelling afterwards and the natural loss of elasticity in some skin types, the phenomenon of rebound skin relaxation will be seen in some patients. Six months after facelift surgery is when this becomes apparent. For some patients, a little tuck-up procedure may be needed to do a little re-tightening within the first year or two after a facelift if one wants the best result...
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