I can still see loose skin on my neck - would a revision help? (Photo)

Question

Hi I am 44 and had a mini face and neck lift 6 months ago. I have contacted the clinic where I had this surgery to express my concerns with results as I don’t feel the neck lift has worked I can still see the lose skin on my neck that I was promised would be gone. I also have concerns with the incision scars and placement which I have also emailed about. I have had one follow up face to face appt with my surgeon who fobbed me off saying the results look great. Surgeon has now left practice?

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

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. I’m sorry you didn’t receive satisfactory results from your neck lift procedure. Since your initial surgery was less than a year ago, it is too early to consider a revision. It would be a good idea to schedule an in-person consultation with an experienced, board-certified facial plastic surgeon who can review your surgical history, oversee your healing process, and determine the best course of action for you. 
As you recover from your neck lift surgery, you may want to consider non-surgical alternatives, such as RF microneedling, laser resurfacing, or injectable treatment options to improve the appearance of the loose skin and vertical neck bands. The facial plastic surgeon you consult will be able to guide you on the best treatment options.

Jason Emer, MD · Answer

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

Zoran Potparic, MD · Answer

It would be in your best interest to see in person one or two board certified plastic surgeons with good reputation in face/neck lift. Only on the basis of direct communication you may get appropriate evaluation and advise. Good luck.

Brian K. Machida, MD, FACS · Answer

You have prominent vertical muscle bands. The large bands will be a particular problem. I would recommend a deep plane lift with undermining under the platysma up to the paratracheal structures to get a good lateral pull on the platysma. Best of luck!

Ian MacArthur, MD, FRCSC · Answer

Thanks for your question. It unfortunately looks like your neck lift would benefit from a revision procedure. I suggest you contact a board-certified plastic surgeon to determine what your options are. Take care.

David Nicholas Csikai, MD · Answer

Yes
You definitely still have some excess skin along with platysmas bands.  It seems like the banding has not been addressed appropriately. An inion under your chin would allow for approximating these band and smooth the area out some for a better result, so a revision may definitely help you. Not much to do now that your surgeon is gone.

Darryl J. Blinski, MD · Answer

Yes a full open neck lift with SMAS plications is indicated. Fees from $10,000++. Best to virtual consult with....via any method you have.

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