Ripples under my chin and jawline after facelift -How can I improve the situation? (photo)

Question

I'm 47. 3 years ago I had a facelift to improve some saggy skin under my chin. I also did an eyebrow lift. Since - I have ripples under my chin, and a what looks like a saggy jawline that I didn't notice before surgery. My neck also looks different. It was not a neck lift, yet the skin on my neck looks older too. I really want to improve the situation because I look my older than my age. But I prefer to go for non invasive solutions first, because the healing was difficult for me after the procedure.

Terrence Scamp, MBBS, FRACS · Answer

Hello there It is hard to be definitive in advice just from those photos but it may be that a combination of liposuction to the side and fat grafting to the border of the jawline can improve your contour .See your surgeon again and discuss what more can be done .CheersTS

Fred G. Fedok, MD, FACS · Answer

The pictures submitted show a number of things that contribute to the apparent "aging" of your neck. The starting point is not a neck lift, although that may be in your future.Your skin may have  red vascular changes termed poikiloderma - they may be improved with IPL or pulsed dye laser.You skin also seems to have limited elasticity - one of the new minimally invasive tightening technologies may have a role in improvement, i.e. RF microneedling, RF sub-Q devices,  etc.The images seem to suggest a significant microgenia - correction of that with chin augmentation will rejuvenate your profile and allow your mandible to better support your neck skin.And  finally... at some point it is my opinion you would benefit for a new facelift / neck lift.Be well and best regards,Don't worry... you can accomplish a very nice further rejuvenation through the ideas I have outlined hereFred G. Fedok, MD FACS

William Portuese, MD · Answer

The limited photographs demonstrate a recessive chin profile and residual fatty deposit in the neck along with inelasticity of that skin in the neck itself.  Consider placement of a chin implant to augment the chin forward to give better structural foundation for the soft tissues in the neck.  This will also help with better facial proportions.  A revision lower face and neck lift will be required to remove any additional fatty deposits above AND below the platysma muscle, and a platysma plasty which will help with the tighten the muscle bands in the neck.  The inelastic skin must be tightened as well.  For many before and after examples of lower face /neck lifts from our practice, please see the video below

Val Lambros, MD, FACS (retired) · Answer

You have had fat removed from the midline of the neck. You still have digastric muscles and submandibular glands present which is what you are seeing. If you really wanted to make this better you would have the muscles nd gland removed. This is a bigger deal that a regular necklift.,.

Ripples under my chin and jawline after facelift -How can I improve the situation? (photo)

Answers (4)

Answer: Neck lift

Answer: Neck lift

Recommended reading

Everything you need to know about Neck Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

Ripples under my chin and jawline after facelift -How can I improve the situation? (photo)

Answers (4)

Answer: Neck lift

Answer: Neck lift

Browse related questions

Recommended reading

Everything you need to know about Neck Lift

Our mission is to create a world where every investment in modern beauty is Worth It.