What are my options to permanently fix jawline irregularity after neck lift & chin lipo? (Photos)

Question

After neck lift and chin lipo, I noticed this concavity to my mandibular angle. It appears facial tissue was removed. What are my options to permanently fix this?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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.

David Tuggle, DDS · Answer

I would consider sculptra or Volux if you want to add volume to an area post surgically. This can give a nice result and minimal downtime

Mats Hagstrom, MD (license on probation) · Answer

A facelift and the neck lift are more or less interchangeable terms. A facelift treats the lower one third of the face and neck. The procedure can create loss of the subcutaneous fat in front of the ear. Tissue is not removed from this area, and if anything fat is sometimes grafted in the mid face as part of the procedure by some providers.
While not ideal, what you experienced does happen from time to time from this procedure.
Volume restoration can be done using fillers or fat grafting.
Fillers are temporary, but offer many advantages. Fillers in comparison to fat transfer tend to be more precise, predictable, and more forgiving if the patients don’t like the outcome.
Talk to your provider about your concerns or consider having second opinion consultations with other plastic surgeons in your community.
Best,
Mats Hagstrom, MD

What are my options to permanently fix jawline irregularity after neck lift & chin lipo? (Photos)

Answers (4)

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