”5 months post deep plane facelift w/ platysmaplasty. This ropey band on the jawline appeared two weeks post op. Surgeon says it was bleeding when releasing the retaining ligaments. I’ve received 4 steroid with F5U injections. Surgeon will not do any more. There is a distinct line of demarcation on one cheek lateral aspect, surgeon says they are internal permanent sutures. Cobra neck? Will these resolve or what are tx options?
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May 2, 2024
Answer: Cobra Neck
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Jacob Tower, MDBoard Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Pixie ear deformity is due to excessive tension on the skin at the time of closure. The best way to fix this is a revision facelift. This will permit recruitment of the extra skin/tissue laxity by lifting and tightening the deeper tissues while alleviating the tension on the skin closure.
This is a classic presentation (Cobra neck deformity) after certain maneuvers/techniques performed in facelift/necklift. There was excessive removal of the midline fat in between the platysmal bands. The prominent bulges in the lateral part of the neck are the submandibular glands. It also...
Pullin on the mouth with a facelift may not always correct the downturn mouth. Sometimes, the corners need to be addressed specifically, and the corners removed. This will leave small scars by your lips.
