Can a deep plane facelift be performed without addressing the neck area?

Question

I had a deep plane facelift back in May of 2023 and I find it difficult to lean forward or bend down. I have experienced tension on my face and as a result, I have noticed some red capillaries on my face when I tilt my head. My incision wraps around my ear, but they do not go into my hair scalp. Also, the surgeon addressed my platysma muscle, but I do not have a fine jawline or neck. I feel heaviness under my chin. Is this a common procedure to address the neck and chin area? Will this improve?

Lucian Ion, FRCS · Answer

Thank you for your question. It sounds like the procedure that was carried out for you was a short scar deep plane facelift. This intervention has its place in the armamentarium of cosmetic interventions for facial rejuvenation.

What you seem to be describing for the neck may represent residual volume that was not addressed by the facelift, as it is typically part of a neck lift intervention, and more specifically, part of a deep plane neck lift intervention.

To some degree, the decision whether to pursue an extension of the previous procedure to a deep plane neck lift depends on the overall appearance of the jawline and neck. From your description, it appears that the deep plane facelift was carried out to its maximum benefits. As such, you could potentially have an anterior deep plane neck lift without repeat skin tightening.

The decision regarding the best treatment requires, of course, a consultation in person. However, it is possible to address the volume reduction under the chin in someone who has reasonable skin elasticity without having to resort to repeat skin tightening.

Berke Ozucer, MD · Answer

deep plane facelift can be performed without addressing the necksince you did not upload any photos its not easy to respond if thats going to improvebut 7 months have passed since your surgery and likelihood of improving with heaviness under the chin is less likely after this period, there are variety of techniques used in facial rejuvenation;
in my practice i like to combine facelifts with necklifts because essentially they are completing each other, i think you should consider getting second opinions with a face to face or virtual consultations to evaluate what can be done to improve your satisfaction
good luck with you healingdoctor be+ clinic

Ronald J. Edelson, MD · Answer

A facelift of any type typically includes the neck as well. As for your particular issues I can’t comment without at least some photos

Can a deep plane facelift be performed without addressing the neck area?

Answers (3)

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