6 months post face, brow and neck lift. Unhappy with neck and face lift results (Photo)

The large bulges on each side of the neck are likely to be salivary glands. Jowls are defined as bulges along the jawline. Your jawline is smooth, and you have no jowls. The bulge in the midline is likely a suture knot if a platysmaplasty was done. The horizontal band may be due to a horizontal pull of the tissues impeded by the large salivary glands. The latter two problems may resolve with more time. However, salivary glands will not resolve. If your surgeon is not familiar with salivary gland reduction, a revision may not help. Salivary reduction is not without its risks, such as severe delayed bleeding, and saliva collection under the skin lasting months, and is not an innocuous solution.

I would meet with your surgeon and express your concerns. If a patient of mine had this outcome, I would recommend a secondary facelift/necklift.

Hi nvgurl,

Thank you for reaching out with concerns about neck bulges and the potential need for a neck lift revision after undergoing a face, brow, and neck lift. I appreciate the insight from your medical history and the photographs you provided. I strongly recommend scheduling a follow-up with your original facelift surgeon. It's crucial to articulate your dissatisfaction, while also maintaining "realistic expectations." Without a pre-operative baseline for comparison, it's challenging for me to gauge if a revision might have always been in the cards. The decision to undergo a neck lift initially would have heavily relied on the degree of excess skin present in your neck before surgery.

From what I can assess, there seems to be potential for mild to moderate refinement. There are several paths forward: you could consider non-invasive treatments like Morpheus 8, or delve into the prospect of a revisionary neck lift. By the 6-month post-op mark, the majority of neck tissue typically settles, but if you're inclined to take a more cautious approach, there's no pressing need for immediate revision surgery.

In conclusion, I advise revisiting your plastic surgeon to discuss your observations. If both you and your surgeon concur that further improvement is attainable and you're comfortable with another procedure, a revision neck lift could be the next step. I appreciate your diligence in seeking guidance on the bulges in your neck half a year after your comprehensive facial surgeries.

Best wishes on your continued journey,

Sincerely,
Dr. Katzen