Age 69, which type of revision is needed on my neck?

Question

Earlier this year a board certified ENT plastic surgeon of 22 years performed a SMAS, Facelift, NeckLift with Platysmaplasty and Liposuction. At first my neck looked fine , not too drastic of a change but still a noticeable one. Then by month 3 things started to droop and what was thought of as swelling was not. Now at 6 mos my surgeon just wants to do a fat transfer under my chin. I do not believe this will give me the results that I wanted and see so many other women have had. I am a 69.

Richard G. Schwartz, MD · Answer

Unfortunately, your photos show persistent lower jowl bulges, along with fullness and looseness on the sides of your neck.  The central depression under the chin may be where your surgeon wants to do fat transfer.  That may help but I suggest a "redo" of the lower cheek and necklift with fat removal in the lower jowls along the jawline and along the sides of your neck, suture tightening of your platysma muscles posteriorly (toward the back), as well as further skin tightening. This may seem like a lot for just 3 months after surgery, but I think your photos indicate the need for much more tightening and careful fat removal in a few areas.

Zoran Potparic, MD · Answer

Most likely that you would benefit from redoing neck (fat removal, muscle adjustments) and lower face. It does not look that fat transfer will improve this situation without above mentioned revisions. Second opinion consultation with a board certified plastic surgeon, expert in face/neck lifts, is recommended. Good luck.

John Michael Thomassen, MD · Answer

There appears to be excess skin in your neck still present, so you may best be served with a revision neck lift/facelift to improve the submental contour.

Patrick Flaharty, MD FAACS · Answer

Secondary facelifts are generally very successful as there is less tissue to remove and the scar plane from the first procedure can be used to achieve a greater degree of tightening of the lower face and neck. Secondary lifts can be fairly common in patients with heavy necks. I would recommend you consult with another surgeon highly experienced in secondary lifts of the lower face and neck to learn more about this procedure.

Age 69, which type of revision is needed on my neck?

Answers (4)

Answer: Secondary Facelift

Answer: Secondary Facelift

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Everything you need to know about Neck Lift

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Age 69, which type of revision is needed on my neck?

Answers (4)

Answer: Secondary Facelift

Answer: Secondary Facelift

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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.