Issues after deep plane short scar facelift, neck lift and lipo, female, 36 y/o at time of op, not overweight

Question

Had this surgery as unhappy with the fullness of lower half of my face, jawline, perioral mounds, double chin, nasolabial folds and also wanted to prevent jowls. Didn't see any change except my double chin decreased. Still have the problem areas I started off with but now also have lumps under my chin (scar tissue?) and 'cobra neck'. I'd also like my earlobe fixed. Surgeon is reluctant to do revision. Please advise on what should be my next plan of action (not fillers). TIA

Alan Gonzalez, MD, FACS · Answer

Hello @Erin2023, thank you for your question.   In order to give you an expert opinion regarding your specific situation a consultation is vital to establishing a surgical or non surgical plan that meets your needs, meets your expectations, and takes into account what is possible. Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Jacob Tower, MD · Answer

Hello, hope you are well. The most visible issue in your photos is the submental area (under your chin), which you have recognized as a 'cobra neck' deformity. This occurs as a result of overly aggressive resection of fat from the submental triangle, which exposes the surrounding digastric muscle bellies. There is not a perfect solution for this, but it will not go away on its own. One option is to revise that area with partial reduction of the neighboring digsastric muscle and fat grafting to fill in the central defect. The goal is to create a smoother contour. 
Best,Dr. Tower

Ronald J. Edelson, MD · Answer

The reason you don’t see much change is that you were too young to have a facelift at 36. The deformity of your earlobe is common and can be fixed with a minor revision

Issues after deep plane short scar facelift, neck lift and lipo, female, 36 y/o at time of op, not overweight

Answers (3)

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