Not happy with my results 10 months after surgery. What should I do? (Photo)

Thank you for your questioning sharing your photographs

From your description, it sounds like your previous neck lift may have involved a platysmaplasty, which focuses on tightening the platysma muscle but may not provide as significant contouring as a deep plane neck lift.

For more pronounced contouring under the neck, a deep plane neck lift could offer additional benefits. This technique involves the reduction of deeper structures, including fat, muscle, and submandibular glands. By addressing these underlying causes of laxity and volume, a deep plane neck lift provides a more comprehensive enhancement of the neck and jawline.

I recommend discussing these concerns with your surgeon, as they can provide detailed insights into the specific techniques used during your initial surgery and the potential for further improvement with a deep plane neck lift. Alternatively, you may consider consulting with another provider who offers deep plane neck lift interventions to explore your options and determine the best course of action for your desired outcome.

Hi from Istanbul! A lower facelift is necessary to complement the neck lift, as an isolated neck cannot address issues like sagging jowl. In cases like yours, combining the two procedures typically provides a more cohesive and satisfying result. Hope this helps, best of luck to you.

Thank you for your question and photos. You did not post preop photos. Based on these photos, you cannot expect to get significant improvement from a limited neck lift. In truth, you needed a full face lift including the neck. A limited undermining, will not allow for better redraping of the tissues and removal of the excess skin. Addressing the neck only in facial rejuvenation, creates facial disharmony many times and makes one older and not younger. I would discourage facial fillers for you. You already have a "boxy" instead of an upside down oval shape to your lower face. Fillers will add more fullness into an area that should be thinner and contoured.
I believe, you would need a full facelift with correction of your neck results. Good luck.

Hello, hope you are well. Thank you for posting your photos and questions! Your issue is that there is still sagging skin under your chin. I am biased against using fillers in the lower face because augmenting the soft tissues of the jawline is contrary to the slim, tapered appearance of youth. The whole purpose of face- and neck lift surgery is to reduce fullness and soft tissue redundancy--why would you want to add more with fillers? In certain circumstances there may be a logical role for small amounts of dermal filler, but not to inflate visibly hanging skin or to try to camouflage jowls. It will make your face look swollen, or in the best case scenario the fillers temporarily improve your appearance before dissipating. Based on what can be seen here, a revision neck and facelift is going to be the most effective means to correct sagging skin.
Best Wishes,Dr. Tower

Nicely posted photos of after full face/neck lift showing limited results. I recommend complete redo of face/neck with SMAS plication. Fee $10,000. Best to virtual consult with....

To make an accurate assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures. If you don’t have before, and after pictures and ask your surgeon to forward the pictures they took.
Most plastic surgeons, do a six month follow up, which is an appropriate time to take final after pictures.
There are generally two variables that determine the outcome of a cosmetic surgical procedure. The first is the patient’s candidacy for the procedure in the first place in the second is the skill and experience of the provider.
When outcomes are less than ideal, the problem can usually be traced back to either the patient’s candidacy, the skill of the provider or a combination of both.
To understand your candidacy for the procedure we really need to see before pictures. Being bored, certified in plastic surgery, with years of experience, does not mean that somebody is mastered anyone single operation. There are major differences in outcomes, depending who you chooses your provider. I generally recommend patients have multiple in person consultations, before choosing a provider for any permanent irreversible aesthetic procedure. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar characteristics to your own.
And experience provider should have no difficulty showing you with the before, and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing only the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures they’ve actually done.
Do your results look like the pictures they showed you?
There’s no correct number of consultations needed to find the best provider. The more consultations you have the more likely or to find the best provider for your needs. Considering the amount of variation in plastic surgery skills, I think, having five consultations seems to reasonable before having a major facial aesthetic operation.
At this point you can either accept the results the way they are or consider having revision surgery. if you feel like your surgeon, didn’t have the skills to deliver the results you had hoped for then you’ll need to find someone who does.
Recognize that secondary procedures are more complex more difficult and less predictable.
Best,
Mats Hagstrom, MD