I'm considering a lower face lift. I've noticed on here a lot of women are seeing sagging under their neck as soon as 6 months after their lower face lift!! Why would this happen and is this a typical 'side effect'?
Answer: Lower facelift Hi there. Great observation! the neck region is often undertreated in lower facelifts and mini facelifts leading to early recurrent sagging. Concept facelift is just a gimmicky name for a local anaesthetic procedure. To get the most out of a lower facelift (i.e. greatest improvement in jawline/ neck contour), the neck needs to be opened by a small incision under the chin (3cm or so) - this allows removal of excess deep tissue and tightening of muscles - both of which contribute to a longer lasting result. Good luck!
Helpful 5 people found this helpful
Answer: Lower facelift Hi there. Great observation! the neck region is often undertreated in lower facelifts and mini facelifts leading to early recurrent sagging. Concept facelift is just a gimmicky name for a local anaesthetic procedure. To get the most out of a lower facelift (i.e. greatest improvement in jawline/ neck contour), the neck needs to be opened by a small incision under the chin (3cm or so) - this allows removal of excess deep tissue and tightening of muscles - both of which contribute to a longer lasting result. Good luck!
Helpful 5 people found this helpful
Answer: Volume versus laxity under the chin Thank you for your question. The most likely situation where there is an impression of recurrent laxity under the chin following a short scar facelift is related to the volume under the chin and sometimes to the platysma muscle bands. These aspects are not treated by the facelift intervention and require a neck lift intervention, commonly a deep plane neck lift intervention. Although when lifting the cheek skin with your hands it appears that there is good correction of the contours of the neck, surgery does not have the effect of lifting the volume under the chin and it does not have the power to control the platysma bands either.
Helpful
Answer: Volume versus laxity under the chin Thank you for your question. The most likely situation where there is an impression of recurrent laxity under the chin following a short scar facelift is related to the volume under the chin and sometimes to the platysma muscle bands. These aspects are not treated by the facelift intervention and require a neck lift intervention, commonly a deep plane neck lift intervention. Although when lifting the cheek skin with your hands it appears that there is good correction of the contours of the neck, surgery does not have the effect of lifting the volume under the chin and it does not have the power to control the platysma bands either.
Helpful
March 27, 2023
Answer: Sagging in the neck after a lower facelift This is common when the neck has not been addressed as part of the initial surgery. One has to remember the neck is in continuity with the jawline. Usually if the neck is operated on at the same time with a platysmaplasty this will improve the result and prevent the issue of recurrent laxity as you say. Of course there are situations when the neck does not need to be corrected at the same time. This is why an accurate assessment is needed before the surgery and the correct plan made for the procedure
Helpful
March 27, 2023
Answer: Sagging in the neck after a lower facelift This is common when the neck has not been addressed as part of the initial surgery. One has to remember the neck is in continuity with the jawline. Usually if the neck is operated on at the same time with a platysmaplasty this will improve the result and prevent the issue of recurrent laxity as you say. Of course there are situations when the neck does not need to be corrected at the same time. This is why an accurate assessment is needed before the surgery and the correct plan made for the procedure
Helpful
March 19, 2019
Answer: Lower face/neck lift There was really no change in the way we do face and neck lifts based on SMAS concept in the past 20 years or longer. A number of new procedures coming out with different names however, do not include SMAS concept which is a gold standard and provides best durability. Lower face/neck lift involves tightening and rearranging anterior neck muscles, cleaning and reshaping fat deposits in the neck, along jawline (jowls) and lower and mid face lifting. This creates the longest lasting but it doesn't grantee lifelong result (average lift in our practice lasts 8-12 years). Neck is, unfortunately, the first where signs of aging reappear after surgery. Using remedies like radio frequency, ultrasound, thermal energy in addition to surgery may improve durability. A consultation with a board certified plastic surgeon with long experience and good reputation in facial rejuvenation and discussion about your goals and expectations is recommended. Good luck.
Helpful 1 person found this helpful
March 19, 2019
Answer: Lower face/neck lift There was really no change in the way we do face and neck lifts based on SMAS concept in the past 20 years or longer. A number of new procedures coming out with different names however, do not include SMAS concept which is a gold standard and provides best durability. Lower face/neck lift involves tightening and rearranging anterior neck muscles, cleaning and reshaping fat deposits in the neck, along jawline (jowls) and lower and mid face lifting. This creates the longest lasting but it doesn't grantee lifelong result (average lift in our practice lasts 8-12 years). Neck is, unfortunately, the first where signs of aging reappear after surgery. Using remedies like radio frequency, ultrasound, thermal energy in addition to surgery may improve durability. A consultation with a board certified plastic surgeon with long experience and good reputation in facial rejuvenation and discussion about your goals and expectations is recommended. Good luck.
Helpful 1 person found this helpful
May 16, 2021
Answer: Face lift with SMAS Key to a good neck lift is addressing the SMAS or platysma muscle. The muscle needs to be elevated and fixated with permanent stitches. Also positioning the neck properly during surgery allows for best possible results. Unfortunately some people swell after surgery and require additional procedures later. 90% of my cases do not require additional touch ups within two years. See a board certified ASAPS plastic surgeon ion consultation. Good luck....
Helpful 1 person found this helpful
May 16, 2021
Answer: Face lift with SMAS Key to a good neck lift is addressing the SMAS or platysma muscle. The muscle needs to be elevated and fixated with permanent stitches. Also positioning the neck properly during surgery allows for best possible results. Unfortunately some people swell after surgery and require additional procedures later. 90% of my cases do not require additional touch ups within two years. See a board certified ASAPS plastic surgeon ion consultation. Good luck....
Helpful 1 person found this helpful