Deep plane neck and facelift 6 months ago, I’ve been left with hollowing and sagging on each side. How can this be fixed?

Thank you for sharing your detailed experience. Hollowing and sagging after a deep plane facelift — especially in patients with significant weight loss — are not uncommon.
What Could Be Causing the Hollowing and Sagging?These changes may result from:
Excessive release or loss of fat compartments
Gradual relaxation of deep tissue layers after surgery
Volume depletion or collagen loss in the midface and jawline
Are Forma and CoolPeel Effective?These are non-surgical options:
Forma uses radiofrequency to stimulate skin tightening.
CoolPeel is a CO2 laser treatment aimed at improving skin texture.
While they might help with mild laxity or skin texture, they are unlikely to address structural hollowing or deeper sagging caused by volume loss or tissue descent.
Is Revision Surgery Too Risky After Deep Plane?Revision after a deep plane facelift can be more complex, because:
The dissection goes deeper and closer to facial nerves.
Scar tissue might have formed.
However, that does not mean revision is impossible. In experienced hands, it can be safely done — especially if the issue is localized.
Suggested Alternatives:Strategic fat grafting (lipofilling): Can restore volume safely.
Temporary fillers: As a test to assess the potential improvement.
Revision surgery: After a proper evaluation by a board-certified facial plastic surgeon.

Thank you for your question and sharing your photographs.

In general, deep plane procedures for the face and neck can be revised but sometimes they just need adjustments.

There seems to be still some laxity under the chin and often the best vector to reduce it in valves scars in from of the temple hairline. There seems to be also some volume under the chin that could be addressed together with tightening and repeat platysma plasty.

You can get a sense of the volume issues that are outstanding if you lie down completely flat and have a look in the mirror. It seems that the central part of the neck may look fine but there may be some volume excess lateral to it also when you lie down. This can usually be corrected to a reasonable degree.

In situations like yours, a consultation in person is significantly more valuable than photo evaluations to understand better the tissue characteristics.

Thank you for your question regarding whether a deep plane neck and face lift performed six months ago can be revised because you are left with hollowing and sagging on each side.
Thank you for your pictures. Let’s analyze them. Around your neck, you have excess hanging skin and evidence of platysmal bands.
The only way to remove this excess neck skin and tighten the platysmal bands is by undergoing a revision neck lift. It is not too risky to undergo a revision even if you’ve had a deep plane facelift. Just because you had a deep plane facelift doesn’t mean you cannot have face lift or neck lift revisions. I would suggest the prior incision be used, and tissue dissection be carried out above the SMAS. The SMAS should be tightened as well as the platysma. The neck skin should be re-draped and tightened.
In conclusion, I would definitely suggest a surgical revision through a facelift approach to the neck. Forma and Coolpeel will do nothing for your neck fat and muscle bands. Good luck. I hope that I have answered your question regarding what should be done and how your neck can be fixed six months after a deep plane neck and facelift.