Which procedure would help tighten sagging neck 18+ months after chin liposuction and platysmaplasty? (photo)

Question

I had chin lipo and platysmaplasty done over a year and a half ago. I have had 4 laser treatments on my scar which has helped soften if but I still have dog ears. My main concern is the skin sagginess. I’m 34, my neck should not look like this! Are there any further treatments I can do to tighten that skin? Do I need a revision? I’m nervous about a revision as my first recovery was not easy and I do have some scar tissue remaining under my chin.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Mats Hagstrom, MD (license on probation) · Answer

Jamaican assessment regarding 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.
Aesthetics related to the lower 1/3 of the face and neck a primarily determined by facial, skeletal structure in particular the mandible.
Does who have issues with premature aging of the neck typically almost always have a small mandible.
From your picture, your neck looks fine. Other than it looks like a bit too much fat was removed in the central portion.
Removing fat may have exposed, underlying platysmal bands, or increase the risk of these showing prematurely.
It’s a bit difficult to make an assessment without knowing what you look like before the procedure.
The only skin tightening procedure that actually works is removing excess skin.
For now, maybe hold off a bit on procedures, and continue diligent use of sunscreen and excess sun avoidance.
Best,
Mats Hagstrom, MD

Which procedure would help tighten sagging neck 18+ months after chin liposuction and platysmaplasty? (photo)

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Which procedure would help tighten sagging neck 18+ months after chin liposuction and platysmaplasty? (photo)

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Everything you need to know about Chin Liposuction

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