Not happy with my face and neck surgery results - don’t know what to do (Photo)

I would recommend discussing your concerns with your surgeon. If a simple revision can be done to improve your results this could be a good option.

Hello! Thank you for your question.
As far as I can see from your photos you need to see your doctor and have a detailed examination, but I recommend revision facelift and neck lift also.
It would be better face to face consultation.
Best regards!

It's best to seek an in person consultation because the degree of change from your procedure can't be assessed from these photos. I agree that the images shown in the photos aren't what most patients would desire, but are also inconsistent in position and lighting. If you decide to have a revision, it would be optimal to wait a full year before proceeding with a revision.

Thank you for your question and pictures. I would recommend for you to discuss this with your surgeon more and together come up with a plan that is acceptable to you. You can also get opinions from other well qualified surgeons to get other options and see what you feel comfortable doing. Some of your options could be re-doing the surgery to pull the facia/muscle/skin tighter, adding platysmaplasty to tighten neck muscle, fat grafting to add volume in select areas of the face, or skin tightening procedures such as FaceTite/Morpheus. Different surgeons have different approaches and a board certified plastic or facial surgeon would be able to discuss with you the cause and possible treatments for you.

Hello, hope you are well. Thank you for posting with your photos. You may consider a revision face and neck lift; I do not think minimally invasive options will make up for the remaining 50%. This is something I would encourage you to explore with your primary surgeon first before seeking another opinion.
Best,Dr. Tower

You state you had your surgery this last December that is less than two months, postop face neck, Lyft and your photos appear to be more long-term results. Are you sure you had a full face neck Lyft or a mini face neck Lyft? Best to impersonal virtual consult with. in my opinion, I would wait four months total then have complete complete revision of face neck Lyft using complete technique, not mini techniques. Fee to be anticipated approximately $10,000-$20,000 for revision.

To make an assessment on 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, then ask your surgeon to forward the pictures they took.
Most plastic surgery outcomes are based onto variables.
The first is the patient’s candidacy for the procedure and the second is the skill and experience of the provider.
Find the right provider is not always easy or straightforward.
Most patients are not particularly good at selecting plastic surgeons.
People often select surgeons who have notoriety, large Internet presence, or a large number of reviews.
When it comes to surgery being famous is not the same as being talented.
I know lots of very famous plastic circus, who are technically bad surgeons.
Likewise, being good itself, promotion as little to do with patient advocacy for being a talented surgeon.
Some of the best surgeons, I know, published no textbook, have minimal social media presence, have very few reviews and typically don’t stand out in the crowd.
They focused a reference on what they do best which is taking care of patients.
To find the right provider, I recommend patients take the following steps.
First make a list of providers in your community who seem to do a lot of the procedure you’re interested in.
DonTo find the right provider, I recommend patients take the following steps.
First make a list of providers in your community who seem to do a lot of the procedure your interested in.
Don’t pre-select based on number of reviews or what people have to say, but simply based on who seems to do a lot of that operation.
Look for providers who have at least 10 to 20 years of experience.
Next set up in person consultation with each of the providers on your list.
Do not select the provider until you’ve completed all the consultations.
Bring pictures of yourself similar to how plastic surgeons take before and after pictures. Use your own pictures whenever you’re reviewing before and after pictures as reference.
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 body or facial characteristics to your own.
And experience provider should have no difficulty showing you before and after pictures of at least 50 previous patients.
Highly experienced provider should have access to hundreds more preferably thousands of before and after pictures.
Being shown a handful of pre-selected images, representing only the best results of a providers career is probably insufficient to get a clear understanding of what aver results look like in the hands of each provider.
Patient candidacy is equally as important as provider selection.
Ask each provider how they view your candidacy for the procedure.
Are you an excellent candidate, and average candidate or a so-so candidate?
Ask them to define what the actual problem is and what they’re going to do to correct it.
Ask providers to show you examples of results that were less than ideal.
I’ll providers will have a variety of outcomes and it’s fair game to ask to see a variety of outcomes.
More than anything else what you’re looking for is someone willing to show you what looks like an endless collection up before and after pictures that has fairly consistent results again and again and again and again.
Ask providers what their most common reason is to do revision surgery, what their revision rate is, and what their revision policy is.
There’s no correct number of consultations needed to find the right provider.
The more consultations you have the more likely you are to find the best provider.
Sometimes it’s simply a matter of luck, but patients can definitely improve their odds by having a lot of in person, consultations and taking an active role during the consultation process properly vetting providers and asking appropriate questions.
The more consultations, you have the more likely are to find the best provider. The biggest mistake patients make is having only one consultation and then scheduling surgery.
Having only one consultation pretty much eliminates the ability to choose the better provider.
I do not believe patience can find the best provider without having in person consultation.
Patience who used the Internet for provider selection typically self select for providers who are good at marketing and talented providers typically don’t need to market themselves.
If anything, using Internet search, criteria typically weeds out for providers who can’t maintain a busy schedule on their own merit.
Most patients who claim to be doing homework, trying to find the right provider or learning about a procedure, typically are looking at all the wrong criteria.
Board certification in plastic surgery, facial plastic surgery, or oculoplastic surgery depending on what procedure you are seeking should be a minimal mandatory, but it certainly no guarantee of being skilled or experienced.
For secondary procedures or revision surgery, I suggest patient follow the same overall method for finding the right provider. The best surgeons at doing revision surgery are usually the same doctors who do the best primary procedures.
If a surgeon has not been able to deliver equality upcoming during the first operation it is likely that they’re not able to do it with a secondary operation.
There are, of course, exceptions and all surgeons have a certain revision rate.
In the end surgeons are responsible for the outcome of the procedure and patients are responsible for provider selection.
The number of plastic surgeons who get to the point of mastering anyone single procedure is relatively rare and patient should expect there to be significant difference among providers when it comes to quality work.
When in doubt, slow down and schedule more consultations.
Best,
Mats Hagstrom, MD