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Vertical Scar on Neck to Remove Loose Skin

asked 11 months ago by Blanchard
Latest answer by Sam Naficy, MD
Question viewed 333 times
Tags: incision, massive weight loss, normal, worried

I am a 58 year old female with history of weight loss of 135 pounds. I had a very successful abdominoplasty (removal of 10 pounds of skin) and breast reduction with lift. I am scheduled for an arm lift soon and would like to have my loose skin removed from under my neck. My PS tells me there is so much skin there that I would end up with big wrinkles behind my ears so he suggests an incision down the front of my neck. I will be a long incision. Is this normal? I am concerned.

8 answers to Vertical Scar on Neck to Remove Loose Skin

Neck lift after massive weight loss

I have performed a number of neck lifts on patients after massive weight loss and have not needed to make a vertical neck incision. Your situation may be different - a profile view would be helpful.

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Necklift

I have performed necklifts where the incision is hidden behind the ears as well as the surgery you describe with the incision down the neck--however, that is usually for women who are much older who cannot have general anesthesia. If you are able to undergo general anesthesia and depending on the profile of your neck, it sounds like you would be a great candidate for the traditional necklift with the incision hidden behind the ears.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon

Neck lift and vertical scar

A lateral / profile picture would be most helpful to evaluate the extent of your neck skin excess. Also, you wear your hair short which is much less forgiving of the post-auricular skin bunching that clearly your surgeon is worried about. A T-neck or anterior Z plasty is not performed commonly in women but it is a valid option especially in your case. If there is extensive skin excess, I would not recommend a tight corset or Feldman midline platysmoplasty as these techniques would exagerate... more

Edwin Ishoo, MD
Boston Facial Plastic Surgeon

A vertical scar is not necessarily required for neck lift

It is quite common to have moderate turkey gobbler deformity or significant loose skin in the neck area after losing weight. Today frequently, patients who have undergone lap band surgery or gastric bypass surgery and have lost a good deal of weight, 50 to 100 pounds, have resultant moderate laxity to the neck skin area. Remedy for this particular problem is somewhat complex. Some surgeons will approach the solution differently. One good answer is to simply perform a... more

David Q. Santos, MD
Seattle Facial Plastic Surgeon

Vertical scar for neck skin emoval

I have performed Face Lifts for over 20 years and have never used a vertical scar down the center of the neck for skin removal. This is an older technique that was used in the 60's and 70's. Typically, the incisions are just under the chin and behind the ears into the hairbearing posterior scalp. If you are at all concerned about the midline scar...and IMHO, you certainly should be...just say no and understand that you may not be abl;e to remove all of the skin from... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

A neck lift is an excellent option

From your photo, you appear to be a good candidate for a lower-face and neck lift. I rarely, if ever, perform a vertical scar reduction of the neck skin because a scar along the front of your neck is typically quite visible and therefore undesirable for most patients.The goal of cosmetic surgery is to improve the appearance with minimal scarring whenever possible. Concealing the scars behind your ears along the hairline usually achieves this goal. Make sure you visit a... more

Steven L. Ringler, MD
Grand Rapids Plastic Surgeon

Vertical neck scar not always necessary

Your photo shows a typical aging neck that is generally treated with a lower face and neck lift ("facelift"). I have performed the vertical scar you are describing, but generally on much older women who do not want to undergo a long facelift surgery. These procedures are performed under local anesthesia. I have also taken a small amount of skin after a facelift surgery on some women with very thin skin with no elasticity, who experience a recurrence of the excess skin in their neck... more

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon

Corset platysmaplasty is right for you!

I have performed the corset platysmaplasty on many patients with skin excess far greater than yours. You would do fine and avoid the vertical scar down the middle of your neck. The vertical scar platysmaplasty is a quick easy technique that I will perform on older male patients that do not care about a vertical scar running down the middle of their neck (not very pleasing - also can scar badly in some). This technique can be performed in about 30 minutes under local anesthesia, so it has... more

Robert M. Freund, MD
New York Plastic Surgeon

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