Neck/facelift 4 years ago went horrible wrong - advice? (photos)

Question

I had a neck/ facelift 4 years ago and it went horrible wrong. I was so overpulled it still hurts turning my head, I have severe scarring, step of deformety, loss of sideburns, nervedamage, pixieears etc and a very strange face and neck. I went to MRI and the pictures show my muscle growing now in different direction, stange fractuons to smas and a knot of scartissue. How can this happen except from that the muscle have been cut so aggresivly that the muscle must have loosend and pulled apart.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

I am sorry to hear regarding your problems and for a number of these questions your surgeon is best placed to provide answers.

With regards to the characteristics of the muscle fibres in the neck as shown on the MRI scan, this may be related to using a technique that has been described by Dr Mario Pelle-Ceravolo, and which involves displacing part of the platysma muscles from the central position towards the sides to clear platysma bands.

It would be preferable to check with your surgeon whether this was indeed the case. There have been other techniques described with somewhat similar characteristics.

I am not sure whether this type of intervention can be reversed, but if your surgeon confirms that this was the approach used, it might be valuable to approach the colleague that has described the technique to find out whether reversal is technically possible.

I hope this helps.

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. I’m sorry that you’ve had an unfortunate experience with facial plastic surgery. The discomfort you’re experiencing is likely caused by the facial skin being pulled too tightly and without repositioning the underlying muscle and tissue. 
In addition to continued guidance from a healthcare physician, I recommend that you schedule an in-person consultation with an experienced, board-certified facial plastic surgeon. Together they may be able to assess your medical history and current concerns to come up with the best course of action for you.

Alan Gonzalez, MD, FACS · Answer

Hello @artemisia75, thank you for your question. It is important to have a personalized assessment of the process and a surgical plan with reconstruction on the tissues that can be reconstructed. It is necessary to analyze the extent of the damage, if there is the possibility of improving in one or more interventions. And it is important to keep in mind that this would be a reconstructive procedure. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Zoran Potparic, MD · Answer

Combination of scarring, over-resection, created this deformity. You will need a masterful redo of face neck lift, possibly some fat grafting. In person consultation with a board certified plastic surgeon with excellent reputation in face/neck lifts, is recommended. Good luck.

Thomas A. Mustoe, MD, FACS · Answer

From the pictures you have a challenging deformity.  It is difficult to give advice for a complex problem without an in person consultation but I am confident  that you could get improvement but not complete correction with a revisional surgery.  Choose a surgeon with extensive experience with secondary facelifts.

Neck/facelift 4 years ago went horrible wrong - advice? (photos)

Answers (7)

Answer: Neck deformity after face/neck lift

Answer: Neck deformity after face/neck lift

Answer: Advice on facelift that went wrong

Answer: Advice on facelift that went wrong

Recommended reading

Everything you need to know about Facelift

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

Neck/facelift 4 years ago went horrible wrong - advice? (photos)

Answers (7)

Answer: Neck deformity after face/neck lift

Answer: Neck deformity after face/neck lift

Answer: Advice on facelift that went wrong

Answer: Advice on facelift that went wrong

Browse related questions

Recommended reading

Everything you need to know about Facelift

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