What Kind of Revision Would I Need?

Had platysmaplasty (sub mental lipo&skin excision from behind ears). Since then I have gained weight so my jowls are a tad bigger, but i still maintain that 90 degree angle. I recall post operatively one band being loose when i turned to right;PS said it must be a loose band. Wrinkles under chin were also noted. When i flex neck muscles, they looked normal, & still do. neck skin is very tight, just under chin isn't.Should skin be excised below tragus?not behind ears?or/& platysmaplasty?thank you

Doctor Answers 6

Time for a Consultation

There are a series of issues and concerns which cannot be easily addressed without an in person consultation.  If you have jowls present, a neck lift alone will be insufficient and a facelift may be necessary.

Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

See your surgeon for options

as you describe many issues.  And if you cannot see your surgeon, find another who can guide you through the options available.  Much of this depends on your goals and expectations.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Revision Neck Lift

You are describing a complex set of issues. In order to provide you with meaningful guidance, a physical examination will be necessary.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 48 reviews

What Kind of Revision Would I Need?

      Hard to say without photos on this.  Skin can be removed from submental incision as well if appropriate.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Revision of face.

I need to see good pictures taken now after your surgery to be able to advise you on what type of revision is needed. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews


good afternoon!


it is really difficult to comment without an exam or photos, but is sounds like a lot of your laxity is just beneath the chin.  I would consult with a board certified PS with expertise in necklift surgery to find the optimal way to give you the results you are looking for.


I hope this helps

Robert Steely, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 55 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.