Disappointed with results of SMAS lower face/neck lift. Can my neck be improved? (photos)
Doctor Answers 14
Disappointing result with SMAS lower face/neck lift in the neck.
Thank you for your question.
I have to say that a perfect result after face lifting under the neck is not always easy to achieve; I normally discuss this in some depth with my patients. The results can be improved but then a more aggressive neck lifting procedure is required or even a formal platysmaplasty to deal with the bowstringing muscle bands in the neck.
If still present after surgery there are a number of options available including Botox, minimal or no incision division of the bands by sutural techniques to divide the muscle bands or more formal open correction of the muscle bands.
I hope that was useful information for you.
Improving the Results of the Neck in A Facelift
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, FRCSC
Facial Cosmetic Surgery
Ottawa, Ontario, Canada
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SMAS Facelift | Platysmal Bands and Neck Skin Laxity
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.
Disappointment following facial rejuvenation.
Is my neck as good as it can be 3 months after my lower #facelift?
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.
Unhappy with neck lift 3 months after surgery
- I am so sorry you are disappointed.
- The photos show visible neck improvement, although obviously not enough to satisfy you.
- The photos suggest the problem is your skin itself which appears to be thin, with loss of elasticity.
- One approach would be redraping of the skin under the chin.
- But at times, a TCA peel or a laser will give more improvement that further surgery but an examination is needed.
- Discuss your options with your surgeon to see what seems the better approach for you.
Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
Disappointed with neck after surgery
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