Bad Necklift for 3rd Revision? (photo)

Question

I had a suture suspension 9 years ago, had a revision by doctor that developed procedure, was okay for 3 years until I did a sit up and suture ripped through fascia. Didn't know if I trusted him again to do revision but he promised I would be happy. After surgery was very painful, suture was choking me. My smile was crooked as it was numb, but that came back after a month. It's been a long and very upsetting road. Pics are at 9 months post. Can I have another revision? I am devastated!

David Shafer, MD, FACS · Answer

A suture suspension neck lift is not a true neck lift.  While it may contour your neck, the underlying anatomy (muscles) are not tightened and the overlying lose skin is not removed.  Additionally, all of the dermal attachments causing wrinkles in the skin (as seen in your photographs) are not release, so you basically end up with a bunched up and unnatural appearance.  Suture suspension neck lift is good in some candidates, but if you are looking for improvements, I would suggest a traditional short scar neck lift so that the skin can be elevated, the dermal attachments release and the underlying muscles tightened.  This is the what will give you the best and most long lasting results.

	 

	Good Luck.

Greg Chernoff, MD · Answer

I am sure this has been stressful for you. While difficult to comprehend, time is on your side. you will continue to normalize. Do not rush into any surgery. Get a few different opinions. Be sure your physician helps you understand  what realistic expectations should be at this point.

Kenneth Hughes, MD · Answer

A revision may be reasonable, but I would have to see the pictures from different perspectives or examine you in person.  In addition, it would be helpful to see the changes in your face and neck from before the first surgery and the progression.  Although many surgeons will tell you that something can be improved it is important to examine what has been done and how your anatomy has responded.  Kenneth Hughes, MD Los Angeles, CA

Remus Repta, MD · Answer

Hello,

	Thank you for the question and photos.  I am sorry to hear about your experience.  It appears from your photos that you have too little volume ( fat) between skin and neck muscles.  I can visualize the outlines of the neck muscles through the skin.  You will definitely need to discuss your goals as well as the limitations with an experienced board certified plastic surgeon.  You may need some fat grafting to smooth out the contour of your neck.

	All the best

	Dr Remus Repta

Richard W. Fleming, MD (retired) · Answer

You will need a revision to improve the neck contour. An examination and review of your previous surgical record will be necessary before deciding on the exact surgical approach.

Bad Necklift for 3rd Revision? (photo)

Answers (6)

Answer: There is likely too little fat between skin and neck muscles

Answer: There is likely too little fat between skin and neck muscles

Answer: Bad Result after Necklift

Answer: Bad Result after Necklift

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Everything you need to know about Neck Lift

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Bad Necklift for 3rd Revision? (photo)

Answers (6)

Answer: There is likely too little fat between skin and neck muscles

Answer: There is likely too little fat between skin and neck muscles

Answer: Bad Result after Necklift

Answer: Bad Result after Necklift

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.