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

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.

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

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.

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.

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.

I’d be interested in knowing what your original surgeon did with the muscle. The muscle could have been cut and seen in a certain direction. That can possibly redone. You have prominent platysma bands. I don’t know if that was dealt with in your previous surgery. That certainly needs to be corrected.

Hi! To tell the truth, I read your questions with goosebumps. As an experienced doctor who has done and seen so many facelift complication revisions, I saw such a rare complication for the first time after looking at your photos. If you send clearer photos, I can make better comments about the problems of your neck and skin, but as far as I can see, the orientation and length of your muscles have changed a lot, and there seem to be necroses with the upper sides. In this case, I think you will need a deep plan facelift surgery again and your muscles will need to be redraping and relaxed. You definitely need to find yourself a very experienced surgeon. We are waiting for you in our clinic. You can also book an online consultation and discuss your problems with me. With all respect.