Was the DP facelift & N/L done properly? (Photo)

Question

I had a DP facelift and N/L in Jan. I went in for these puffs on the sides of my mouth area and my sagging neck and was told no problem to correct these. In February the puffs started returning and the neck has issues as well still. I’d like feedback and thoughts on if indeed I was given a deep plane and neck lift? What needs to be done to correct these issues? Thank you

Alan Gonzalez, MD, FACS · Answer

Hello @IS1894is, thank you for your question. It's difficult to give a definitive answer without examination. Keep in mind that several factors can influence the healing process following surgery. These factors include the surgical technique used by the surgeon, the type of procedure performed, and the level of recovery the patient is experiencing. Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Stephen Prendiville, MD · Answer

It's impossible to give commentary on how your procedure was performed.  However, the photos show evidence of platysmal bands, which should not be present if a properly performed deep plane facelift/ necklift was performed 3 months ago.  A review of your operative notes and most likely a revision will be necessary.

Bryan Brandon, MD · Answer

Recurrence of the fold to the side of the mouth and platysmal bands can both recur after any type of facelift, so it is impossible to tell whether or not you had an actual deep plane facelift or another variety. You may require a revision surgery to further correct these issues, and your surgeon at the time of the revision may be able to tell you at that point.

Brian M. Harmych, MD, FACS · Answer

Thank you for sharing. You still have some fullness in the submandibular area that is likely due to the submandibular glands and medial platysmal banding. While you may have had a deep plane facelift, you've had too conservative of an operation in the neck. Deep neck surgery involving pulling the platysma muscles together and possibly reducing the size of the submandibular glands (versus additional tightening of the platysma muscle behind the jawline) would improve the concerns. In short, further surgery is required to improve these concerns.

Gianfranco Frojo, MD · Answer

I would recommend a revision facelift/necklift. The platysmal bands are still visible in the midline. There is still some laxity and prominence in the jowl area. I would highly recommend finding a board-certified or board-eligible plastic surgeon with 6 years of integrated plastic surgery residency training and aesthetic fellowship training. This highly differs from all other specialties who claim to be plastic surgeons including "facial plastic surgeon", "oculoplastic surgeon", "cosmetic surgeons", and other imposters out there. Best of luck!

Jacob Tower, MD · Answer

Hello, hope you are well. You can request your surgeon's operative note for a narrative of the surgical procedure that was performed and form a conclusion based on that. However, a description of the procedure is less valuable than it's execution--that is what determines the results. That is to say, not all deep-plane facelifts are created equal. It's plausible that the defining elements of a deep-plane lift were performed, but with the shortcomings that you have pointed out. (We have no point of comparison of your preoperative appearance). At the end of the day, if you are disappointed with your results, it is something you should discuss with your surgeon--no one else can tell you exactly what occurred during surgery. The issues that you point out can only be directly addressed with further intervention.
Best,Dr. Tower

Ronald J. Edelson, MD · Answer

I would find out if your has a platysma muscle plication under your chin. You still have platysma bands. Either they recurred or a plication was never done

Was the DP facelift & N/L done properly? (Photo)

Answers (7)

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