What can I do to correct my forehead, face and neck 6 years after turkey neck correction? (photos)

Question

56 and just retired. :( Alone after 24 years married. Had some work on Turkey neck 6 years ago. And tried to get some of the forehead lines fixed but now Face is falling. Suggestions? Many thanks!

Richard G. Schwartz, MD · Answer

I can only speak to your mid and upper face, since I didn't see your neck in these photos.  You have sagging of skin and soft tissues in your cheeks, which creates jowls and depressed grooves in front of the jowls.  This can be improved with a facelift or cheeklift.  Your upper eyelids show some extra loose skin that can be trimmed to open up that area.  Concerning your brows and forehead, it all depends on what an exam shows.  If the skin at and around your brows in the lower forehead, then a browlift can raise this area, also opening up your eyelids so you look more alert and rested.  Horizontal forehead lines are usually best treated with Botox or other neuromodulators.

Randal Haworth, MD, FACS · Answer

I'm sorry to hear that you are going through a difficult time. As for your concerns about your facial appearance, there are several options available to address the signs of aging.

One non-surgical option is injectable treatments such as Botox or fillers. Botox can be used to soften forehead lines and other wrinkles, while fillers can be used to restore volume and fill in deep creases. These treatments are minimally invasive and can often be done in a short amount of time, with little to no downtime.

If you are looking for more dramatic results, you may want to consider a surgical procedure such as a facelift or neck lift. These procedures can help to tighten loose skin and remove excess fat, creating a more youthful appearance. However, they do require a longer recovery time and can be more costly than non-surgical treatments.

It's important to find a reputable and experienced plastic surgeon or dermatologist to discuss your options and determine the best course of action for your individual needs. They can provide a comprehensive evaluation of your facial features, skin quality, and overall health to recommend the most suitable treatments.

I hope this helps,
best of luck !

Bora Ok, MD · Answer

Hi, thank you for this question. First of all, procedures such as a neck lift can be repeated after a certain period of time, and would go more easily than the first time.Second, it is possible to smooth out the nasolabial lines and address the hollowness in the midface with a mid face lift. For best results, I would recommend a temple lift and brow lift to create more youthful, energetic eyes and an overall well-rested face.

Donald Groves, MD · Answer

Hello and thank you for your question. From what I can tell based on the pictures you have provided, going top down, you have some prominent wrinkles in your forehead and it appears there might be some brow ptosis. Regarding your eyes- there is some significant upper eyelid skin redundancy on both sides. I see some prominence of your tear troughs but not really any lower eyelid bulging ("bags under eyes"). Based on this, I would recommend a browlift and upper eyelid blepharoplasty. 
Moving to your mid/lower face and neck- there is some minimal/moderate jowling, prominent nasolabial folds, downturned mouth corners. This occurs with age as the soft tissues of the face start to descend and as we lose volume from fat atrophy and bone loss, resulting in the characteristic changes of facial aging. You also have excess neck skin. I cannot tell if there is any platysmal banding in your neck. I would recommend a facelift/necklift, as this would be the best way to address the soft tissue descent and jowls to improve jaw definition and restore a more youthful appearing face and neck. It would also help remove some of the excess lower face and neck skin which is contributing to all the wrinkles. At the same time, facial fat grafting can also be done to address volume loss and help further improve facial balance and harmony. I would particularly focus on grafting to the cheeks to soften the lower eyelid/cheek transition and restore volume there.
I would want to see how everything looks after you heal from the facelift. From these pictures, it looks like your skin would likely also benefit from laser resurfacing to really give you the best possible results, but I would NOT do this at the same time as the facelift or browlift. When you perform laser resurfacing, you damage the skin from above, as you remove some of the outermost layer(s) to allow new, better quality skin to heal in from below. As a result, when you perform both a browlift or facelift and laser resurfacing at the same time, you are introducing insults to the skin from both above and below, further stressing/compromising the vascularity, and increasing the risk of skin/wound complications (e.g. delayed/poor wound healing, skin ischemia/necrosis, infection, etc). 
With all that said, it is difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos you have provided. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You may benefit from a traditional facelift to lift fallen tissue and define your overall face shape. Excess fat and skin can be removed to create a smooth appearance while also angulating the neckline. Botox can also be administered to reduce the appearance of horizontal forehead lines.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to review your surgical history, discuss your concerns and goals with you, and help you decide on the best course of action.

Selcuk Inanli, MD · Answer

Hello * anewgal ! Thank you for your question.I have tried to evaluate your case from the information and photos you provided,l recommend you full face lifting your age and condition are completely suitable for surgery, so your face will look younger and more aesthetic.
Thank you ! regards

David Plank, MD · Answer

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.

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