I had a deep plane neck and facelift 6 mos. ago. I am 51 and had significant neck laxity due to weight loss. The turkey neck was removed, but I’ve been left with hollowing and sagging on each side. I posted previously, but some of my pictures were omitted. I’m reposting with additional photos of the issue. My surgeon wants to do Forma and CoolPeel which I’m reluctant to do. I was told by another surgeon that revision surgery would be too risky because I had deep plane. How can this be fixed?
September 21, 2023
Answer: Do not do non surgical revision If you had surgery, a revision tightening with Forma and Cool Peel will not work. The lateral bulges either represent dehiscence of a platysmaplasty suture with relaxation in the midline or a deep plane technique done without any platysmaplasty. Although some platysmaplasties impair the lateral superior pull from a deep plane technique, it is sometimes necessary to make the midline neck even. A revision of a deep plane at 6 months is not too risky for a surgeon familiar with the technique who can adjust surgery depending on what was done. I would advise a revision deep plane with a platysmaplasty dissection above and below the muscle to get adequate pull in the midline. If you get a revision, be aware that the surgeon cannot just do more of the same...It has to be a different technique.
Helpful
September 21, 2023
Answer: Do not do non surgical revision If you had surgery, a revision tightening with Forma and Cool Peel will not work. The lateral bulges either represent dehiscence of a platysmaplasty suture with relaxation in the midline or a deep plane technique done without any platysmaplasty. Although some platysmaplasties impair the lateral superior pull from a deep plane technique, it is sometimes necessary to make the midline neck even. A revision of a deep plane at 6 months is not too risky for a surgeon familiar with the technique who can adjust surgery depending on what was done. I would advise a revision deep plane with a platysmaplasty dissection above and below the muscle to get adequate pull in the midline. If you get a revision, be aware that the surgeon cannot just do more of the same...It has to be a different technique.
Helpful
September 21, 2023
Answer: 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 question and photographs and I am sorry that your surgical results have not been what you anticipated. Unfortunately the only improvement based on the severity of your results is through a revision neck lift to tighten the neck muscles, possible fat transfer and remove the continued excess skin.
Helpful
September 21, 2023
Answer: 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 question and photographs and I am sorry that your surgical results have not been what you anticipated. Unfortunately the only improvement based on the severity of your results is through a revision neck lift to tighten the neck muscles, possible fat transfer and remove the continued excess skin.
Helpful