What can I do to improve my neck lift results? 1 year post op (photo)

Question

1yr ago I had a neck lift (neck lipo, internal neck lift, and laser resurfacing) I have maintained a steady weight but this is what my results look like. What can be done to improve them ?

David Parizh, DO · Answer

The superficial anatomy of the neck consists of the platysma and subcutaneous fat. To get an optimal cervicomental angle and a nice neck line you need to be assessed for those deep structures. Unfortunately, if you have excess ski this may involve incisions to reframe that skin. 
A board certified plastic surgeon can help examine you and guide you through the above. Best of luck!

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. You may benefit most from a neck lift revision with platysmaplasty to tighten the muscles of the neck. Lifting the deeper tissues prior to excising loose skin can produce firm, natural-looking results and create a well-defined neck and jawline contour.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to review your surgical history and determine the best approach to help you achieve your aesthetic goals.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Dilip D. Madnani, MD, FACS · Answer

hi, can you show pictures of what it looked like before surgery ? did you have incisions under the chin and around the ears?  it looks like you need a full neck lift, as there is plenty of skin excess that needs to be removed.  That means we make  incisions under the chin, tighten the muscle and incisions around the ears to lift and tighen the skin.

Kevin Dieffenbach, MD · Answer

Aloha. Sorry to hear about your bad experience and thanks for sharing your photo. Returning to your original surgeon is generally the best option. But getting a second opinion[in person] from an experienced Surgeon, Certified by The American Board Of Plastic Surgery[ ABPS] and a member of The American Society of Plastic Surgeons (ASPS), can be helpful. Mahalo and Best Wishes, Dr Dieffenbach

Brian K. Machida, MD, FACS · Answer

You would benefit from a traditional lift with pulls from the sides. But in addition, you seem to have residual bulk centrally.  I assume you had a platysmaplasty which everyone else is referring to.  In addition, I would recommend exploring the area under the platysma to look for subplatysmal fat, prominent digastric muscle, and enlarged submandibular glands.  Submandibular gland reduction can be done, but it's usually not part of the routine face or neck lift, and gland reduction carries some additional risks that your surgeon can detail. Plus, not everyone is comfortable with this gland reduction surgery, so you might have to look around.

Zoran Potparic, MD · Answer

Considering your current result, you look like someone who would benefit from a more agressive neck lift.  It should be done through incisions behind the ears and underneath the neck, to shape the fat, tighten platysma muscle and create better neck angle. Small chin implant may be considered in that case. Good luck.

Cagil Meric Erenoglu, MD · Answer

Hi dear nikiforas! 
First of all, I would like to say that there is a solution to improve your neck lift results that you feel unhappy after the procedures you have had. The issues you mentioned can be addressed to a well-executed a total neck lift operation with skin excision in the right hands. This procedure includes removal of fat, excess skin, and connective tissues under skin and tightening the skin. You can achieve slimmer, younger, tighter and elegant jawlines like before it sags. Regards

Darryl J. Blinski, MD · Answer

The 1 posted out of focus oblique view photo not really helpful. But appears your previous "neck lifting" was not successful. Best to consider full open neck lift with muscle plication. fee $8,000. Best to virtual consult with....

What can I do to improve my neck lift results? 1 year post op (photo)

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