Disappointed with results of SMAS lower face/neck lift. Can my neck be improved? (photos)

Dissection from one side of the face to the other via the submental area should correct any skin irregularities or bands.  Sometimes this requires pretty wide skin undermining to properly correct the neck.  

The Neck portion of the facelift is often the most difficult aspect of the procedure. If not performed properly, patients can be disappointed, as you are. The key is whether or not two things were performed, a good snug pull on the deep neck tissues up behind the ears and a good snug treatment of the neck in the mid line (under your chin and down towards the Adam's Apple). Ask your surgeon what approach he/she used and see if any improvements can be expected. James Bonaparte, MD, MSc, FRCSCFacial Cosmetic SurgeryOttawa, Ontario, Canada 

Thank you for your question about SMAS facelift.Did you have an incision underneath your chin in addition to incisions by the ears?  Often, aggressive work centrally needs to be done to address the under-chin area and central platysmal bands.You may discuss possible facelift revision with your plastic surgeon.  If you have it redone, I would wait about one year.I hope this helps.

Hello, and thank you for your request. I am sorry to hear that you're still having problems following your procedure. It is difficult based upon the pictures were shown to see her overall result. I do believe the photo exposure seems to be different and you do have some skin aging changes that may be improved with a good medical aesthetician. I would recommend to follow up with your treating surgeon to discuss all of these findings. Best a block.

Thank you for your picture.I agree that your neck has been improved yet not as good as you might have expected.Was the front part of the neck opened and the muscle repair?  There are controversies in opening or not the front of the neck but I open most anterior necks in my practice.  If it was not done, perhaps it could be contemplated; it is a simple procedure on itself and can be done under local anesthesia and IV sedation.It would be good to have the OR note prior to recommending a treatment but if the anterior neck was already done, you might need another SMAS-skin correction.Best regards.