Is it normal to still have some sagging after a neck lift? (photos)

It is normal to have some sag but this is more of separation of the platysma muscle. A platysmaplasty with small amount of skin excision will correct it.
Kind regards
Dr. Janjua

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Thank you for your question and the photos you provided. During a neck lift, it is a common practice to also tighten the neck muscles in addition to repositioning tissue and removing any excess skin to provide the optimal contour.
You may require an additional procedure known as platysmaplasty to tighten the muscles below the neck as well as the skin to achieve the best results. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and cosmetic goal while taking your surgical history into account.

Thank you for this question! Some sagging can remain after a neck lift. The extent of sagging greatly varies based on a lot of factors, such as your baseline neck contour, the type of surgery you had, your healing process, and how long it has been since surgery. Typically, the process of healing goes on for months to even 1 to 2 years after surgery. If this sagging is persistent a long time after surgery and is bothersome, it may need to be addressed by another procedure.

Based on your photos, I have a few questions. Was this an anterior neck lift only (incision under the chin, which I see), or did they also place incisions around or behind your ears? Also how far out are you? I would also be curious if they did a platysmaplasty anteriorly (it looks like they didn't). You should be seen in person, and evaluated if that is just loose skin or also a gap between your platysma muscles. Either way, it can be improved upon with a revision necklift, with incisions around and behind the ears to remove the excess skin that wasn't removed before.

There is no doubt that you need some improvement from current situation. Anterior neck lift may not have been a good procedure for you, based on skin quality, jowls, etc. It is quite possible that lower face/neck lift, which will allow better tightening of the neck and skin, may be a better choice. Good luck.

Good Afternoon! How long ago was the necklift? This is important because the results will not be permanent as aging will continue to occur. Assuming it's been awhile, it appears from your photo that the platysma muscle was not addressed. This muscle runs like a corset and needs to be tightened in the midline to achieve maximal definition. We call this a platysmaplasty. By doing so, the neck can see dramatic improvement. You may wish to see a facial plastic surgeon to see what improvements can be made. Hope this helps!