Can I have a face and neck lift done if I had a previous neck dissection and radiation?

Unfortunately, you have not provided photographs. However, it is known that radiation does cause damage to the small blood vessels in the area that is radiated. This may lead to the flap necrosis, particularly in the neck. However, your mid face may be capable of improvement with surgical intervention, particularly the nasolabial lines. One thing to help is a lip lift. A lip lift does 4 things: shortens the distance between the nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Hi,
Thanks for your question. Your history presents a very complex scenario to manage. You are at very high risk for poor wound healing in your neck. I’ve had success with a similar case in which I performed a direct neck excision down the midline of the neck and had the patient undergo multiple sessions of mHBOT (mild hyperbaric oxygen therapy) and he’s done well without any complications.
This may be a possibility for you.
As far as NLF softening by midface lift, you shouldn’t be at excess risk. You will stay swollen longer because of your bilateral neck dissection.
If you have further questions please contact me via my profile.
I hope this helps.
Dr. Shah