Will I need a revision? (Photo)

Thank you for your question. Based on your photos and if you are now a year out from surgery, I believe you would need a revision. You have a cobra neck deformity which likely would require opening the neck and tightening the platysma muscle and possibly debulking some of the deep neck as well.

The neck would require revision, as the underlying muscle does not appear to have been adequately addressed. This may involve the platysma or another underlying muscle group. To achieve a smooth and natural result, the structural defect would need to be corrected surgically, as non-surgical treatments would not adequately resolve the issue.

Thank you for your enquiry and for sharing your photographs. In general, a mild midline depression with relatively good central contour, combined with some laxity or excess volume laterally, is unlikely to improve spontaneously over time. In situations such as this, a targeted revision focused on the neck alone is often sufficient, rather than a more extensive procedure.

I would strongly encourage you to discuss these concerns directly with your original surgeon, as they are best placed to assess the details of your surgery and your current anatomy. This type of contour irregularity can occur more readily in the presence of more significant sun damage, which leads to reduced skin elasticity in the lower face and neck and can limit the ability of the tissues to redrape smoothly.

What you are showing is often called a "cobra neck" deformity. This occurs because the undersurface of the neck muscle (platysma) has had some fat removed and the muscle repair that was done has become lax or split. The treatment is to open the neck (can be done under local with sedation) and the muscle repaired in the midline. This can also be helped by tightening it from the lateral aspect. Best to contact your surgeon and ask for the reivision.

All the Best,

Dr. J

Hi there, thank you so much for your question. From your question, it looks like you had a deep plane face and neck lift 1 year ago. The photo that you uploaded depicts a "Cobra-neck appearance". This can happen when the neck muscle (the platysma) was not stitched together and/or when too much deeper tissue/fat was removed in the middle of the neck.
This can be a challenging condition to address, but it would typically require a revision to stitch the neck muscle together in the middle, sometimes stitching the deeper muscles together (anterior digastric) and sometimes adding fat into that area as well.

Based on the one posted photo, yes a full open neck revision is needed expect fees to range from $8000-$15,000. Best of virtual council with for better explanation. Regards.