8 Months Post Neck Lift: Doctor Recommends Z Plasty

I had a face/necklift last year in September. My neck had a pucker after a couple of weeks after the surgery. The doctor said you have too much skin and muscle and skin needed to be seperated with a vy. Had this done 5 months later in February.

My neck looked great for a couple of weeks and then same thing happened. Doctor says I need another of the same procedure as the fist. Had a consult and this doctor said doing the same procedure will not correct it. He recommends zplasty. HELP!

Doctor Answers 5

Z plasty After Neck Lift?

This is a case where photos would be very helpful. There are several scenarios for bunching or puckering after a neck-lift: 1) inadequate skin removal at the time of the primary procedure, 2) suboptimal skin re-draping after the primary procedure, 3) contour irregularities with the platysma and/or submental fat, 4) inadequate release of the mandibulo-cutaneous ligaments during the primary procedure.  A submental Z-plasty will only address the first cause, but will not be helpful for any of the other listed reasons.

Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

Issues 8 months after neck lift

 Sadly, without photos of your neck there's not much to go on.  If a skin revision didn't sort out the problem previously, I suspect the bunching is related to the fatty or muscle tissue layers which would require revision surgery at that level...Z plasty is another form of skin resection and by itself does not address these deeper layers.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Zplasty after neck lift?

Without photos, it is impossible to assess your problem and the effective way to handle it.  Z-plasty is not typically associated with scar revision or puckering in the neck region.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 39 reviews

8 Months Post Neck Lift: Doctor Recommends Z Plasty

It is impossible to advise without a photograph. Z-plasty is rarely done in teh neck and only in a patient with loose and excessive skin. Even then, teh skin can be pulled laterally and removed.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon
4.6 out of 5 stars 12 reviews

Neck problems after a facelift

What you are describing are very unusual problems after a facelift.  Photos are critical here as is going to at least three expert plastic surgeons for another opinion.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.