Failed platysmaplasty/necklift? But I can’t see this going to improve. Any hope? (Photo)

Question

13 Weeks post op: at rest, or slight movement of face, one band and loose skin is strongly visible and with movement several seem to show up. There’s still irregularities throughout that area. There is some firm, slightly tender tissue at the top of the band. My ps says to wait till the 6 months mark. But I can’t see this going to improve. Any hope?? Thank you

Brian K. Machida, MD, FACS · Answer

Your doctor is correct in waiting until the six month mark before revising the neck. This can be addressed at that time. The irregularities which you describe will likely resolve with time and whatever is left can be revised then. Best of luck!

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Please continue to wait until you are fully healed before you evaluate your result as final. Always work with a board certified facial plastic surgeon.
Best wishes,

Sanjay "Jay" Keni, MD · Answer

Hi Anonymous,Sorry to hear of your frustrations.  I agree with your PS -- wait at least 6 months before considering any touch up or revision work, which may include an additional platysmaplasty.  In the meantime, you could consider botox to the platysmal band.Best wishes,Dr.Jay

Parit A. Patel, MD, FACS · Answer

Thank you for your question and photos.  I also agree with your plastic surgeon, waiting until you are 6 months post operative is best before any further intervention is considered.  Your neck does show improvement after surgery.  The presence of irregularities and firmness can be normal at 3 months after surgery and should get better with more time.  I recommend monitoring the area and following up with your plastic surgeon.  Good luck and I hope this helps.

Val Lambros, MD, FACS (retired) · Answer

your neck is clearly better. There is no failure here....... unfortunately skin stretches and the platysma bands can recur as any plastic surgeon will attest.  Sometimes a revision makes a difference and sometimes not, it depends on your own individual tissues, age sun exposure eye color etc.   botox in the bands is a good idea which couldn't hurt talk to your surgeon

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