Prominent neck band after short scar neck lift- best approach to smooth appearance? (Photo)

Question

Hi, I had a rhinoplasty, short scar neck lift (submental incision only) with some submandibular gland removal and chin implant 8 months ago. I am very happy With everything apart from a very prominent vertical neck band. I had a very full neck with oblique contour and my neck is so much better in many ways but this awful band spoils it. Personally, I really believe it is loose skin rather than muscle (the surgeon did a platysmaplasty last time). I’m wondering if this can be fixed/ softened?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling​ with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Darryl J. Blinski, MD · Answer

Your photos demonstrate limitation of neck lift under chin operation. Now you need mini neck lift with muscle plication or even full open neck lift. Fees $5,000-$12,000. Best to virtual with...

Prominent neck band after short scar neck lift- best approach to smooth appearance? (Photo)

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Everything you need to know about Neck Lift

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Prominent neck band after short scar neck lift- best approach to smooth appearance? (Photo)

Answers (3)

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Everything you need to know about Neck Lift

Our mission is to create a world where every investment in modern beauty is Worth It.