What to do to improve my neck lines? (Photo)

Question

I am a 67 year old female that had a neck lift 17 months ago. It left me with extreme vertical lines from chin down. My surgeon has given me 4 rounds of Morpheus 8 to try to diminish them but it really hasn’t worked. What went wrong and what to do now? The surgeon offered me a redo, but honestly, I hate to go through the surgery again. I have some neck and jaw nerve damage as well. I’m just thinking in 10 years, these lines will sag and it will look worse than before I had this procedure done

Camille Cash, MD · Answer

If you didn't have any improvement from Morpheus8 you could try FaceTite. This is a minimally invasive RF treatment and requires no general anesthesia. If that doesn't help you will likely need to consider a revision for further improvement.

Robert M. Lowen, MD · Answer

When there is too much loose skin, an isolated necklift just won't do.  As you have learned, skin tightening devices have their limitations.
 At this point I would consider a face lift in addition to a necklift. You need to pull up the slack between the clavicles and the midface with upward traction on the SMAs/platysma, then re-drape and remove  the excess skin of the neck/lower face.

Gianfranco Frojo, MD · Answer

I would recommend a deep plane face/neck lift. This would best address the deep structures below the platysma muscle in the neck and also treat the loose platysmal fibers in the neck that are causing the vertical bands. The skin will also be released and re-draped after proper lifting of the face and tightening of the neck. You need to find an American Board of Plastic Surgery certified surgeon; ideally, this surgeon has also completed an aesthetic fellowship accredited by the Aesthetic Society.

Jeffrey M. Darrow, MD · Answer

The laxity under your chin can be best improved by re-elevation of your neck skin, lateral/superior suturing of your platysma muscle to smooth it’s contour and additional traction (within reason) of your neck skin.  This will help to smooth the lines as much as possible.  Your prior Morpheus 8 treatments may make your skin slightly less pliable, so this should be taken into account.

John L. Burns Jr., MD · Answer

I'd suggest a revision.  You need to fully release the skin from the underlying muscle.  Pulling the skin laterally might improve the vertical lines.  Excess skin in removed through incisions behind your ears.  The muscle could then be re-tightened centrally and laterally as well.

What to do to improve my neck lines? (Photo)

Answers (9)

Answer: Revision is most likely to give best outcome.

Answer: Revision is most likely to give best outcome.

Answer: Necklift

Answer: Necklift

Recommended reading

Everything you need to know about Neck Lift

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

What to do to improve my neck lines? (Photo)

Answers (9)

Answer: Revision is most likely to give best outcome.

Answer: Revision is most likely to give best outcome.

Answer: Necklift

Answer: Necklift

Browse related questions

Recommended reading

Everything you need to know about Neck Lift

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