Neck hollows after deep plane necklift (photo)

Question

Following a DP necklift I have been left with ugly hollows either side of my throat, is there anyway to fix?

Robert M. Lowen, MD · Answer

With regard to the hollows, the usual necklift in a presumably thin patient may remove the fat above, but not below the platysma. In difficult necks with obtuse angles and subplatysmal fat, additional surgery is done including removing subplatysmal fat and shaving off the anterior surface of the digastric muscles.
  Among these variations, it appears that  something, likely fat, was removed, since there is a hollow, not usually seen.
A lateral view would help determine what was done with the platysma.
  In any case, when there is a deficit such as shown, fat grafting should fill it. Excess or localized excess removal of fat during liposuction in any location on the trunk and extremities is not uncommon and is usually filled with fat grafting.  There is a good chance of correction of these depressions with one or more fat grafting procedures.

Kyle Kimura, MD · Answer

Thanks for the question and the photo. First off, I am sorry that you are having to deal with this issue after surgery. 
It is hard to tell what happened that led to this area of tissue deficit. Sometimes during a deep plane neck lift some of the digastric muscle or submandibular gland can be removed or contoured to give better definition to the jawline, but this seems in a slightly odd position. If you are happy with the rest of the face/neck outside of this region, you may be a candidate for fat grafting to fill this space in some. If there are other areas of concern this may require a revision facelift. 
I hope this helps and best of luck,Kyle Kimura, MD

Lexie Wang, MD · Answer

whatever is going on in your neck doesn't look very natural. it looks to me like you have at least one scar lower on your neck that I'm unsure as to why that's there. there is also some folding/pleating of what may be a scar just under your jaw too. it almost looks to me like you had skin removal from your neck? the point is that it's too hard to tell from photos, esp this one view alone, what is going on and thus why you have the hollows and how to fix it. I suggest an in person exam and talking with your surgeon.

Neck hollows after deep plane necklift (photo)

Answers (3)

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