Why is my neck and lower face like this after having a concept face lift? (photos)

Question

The procedure was done 9 months ago and it was called a concept facelift which addresses the Smas muscle and cuts away loose skin. My disappointment caused me to ask surgeon who said lower face is ok but maybe lipo in the neck will smooth it out? I don’t have any excess fat is this the way forward?

Brian K. Machida, MD, FACS · Answer

At this point, you might consider a more extensive face and neck lift, which addresses the platysma as well as the SMAS.  It looks as if your jowls and neck need to be further addressed.  Its best to go for a personal consultation for any further discussion.

Samuel Mattine, MBChB, MRCS, FRCS · Answer

Thank you for sharing the photos. I am sorry to hear of your disappointment, but I am not sure what exactly you have had as you have all features that would be considered absolute and classical  parameters necessitating a face/neck lift (Obvious and prominent jowls, marionette lines, droopy lateral corners of the mouth, sagging tissue over the lower mandibular border and severe platysmal bands with ill defined jawline and obtuse cervicomental angle). If these pictures are post-surgery, you are most likely to need a revision to get a satisfactory outcome.

Lucian Ion, FRCS · Answer

In general, short scar facelift techniques have better outcomes when the skin elasticity is good. In the context of more significant sun damage the tension created in surgery is short-lived. Addressing your concerns would require a more significant intervention on the SMAS layer in the face  and platysma muscles in the neck. There is no significant amount of fatty tissue under the skin of the neck, and liposuction is not likely to produce the results that you hope for. Depending on the degree of neck definition that you seek, volume reduction under the chin can be achieved by the deep neck techniques.

Jag Chana, MD, FRCS(Plast) · Answer

The concept facelift is a procedure marketed as a particular surgeon's own type of local anaesthetic minimal facelift. Unfortunately for more effective results you need a more complete procedure which involves more extensive work on the SMAS and platysma ideally under general anaesthetic. You have some muscle bands in the neck and combined with a SMAS elevation a platysmaplasty would be recommended

Gurkan Kayabasoglu, MD · Answer

Hello,
Based on your photos you can benefit from correction of your jowls and neck,  a deep plane facelift that deals with both these areas you need to have. It can be achieved by lifting your SMAS and platysma layers in your cheeks and repairing the platysma muscles under your chin.
In-person examination is needed to make certain assessments and create customized treatment plan, be sure that your surgeon is professional, experienced facial plastic surgeon.

Pejman Aflaki, MD · Answer

Hello and thank you for the question. You should discuss your concerns with your board-certified plastic surgeon. There is persistent skin laxity and you benefit from a formal facelift procedure. Best

Callum Faris, MD · Answer

Thanks for the question.
Concept lift is a minimal facelift technique. It is not designed to address significant signs of ageing unless you are willing to accept minimal results. You would however be an excellent candidate for a Deep Plane extended Face and Neck lift combined with neck liposuction. This will blend both maximal rejuvenation changes in both the neck and the face.
I hope this helps.
Dr. Callum Faris

Farhad Rafizadeh, MD · Answer

I tell patients, any time you hear a facelift with a name, just walk out. Most these names are for marketing and are misleading. At this point you show under correction of hour jowls and neck. You need a facelift that deals with both these areas. This would be done by lifting your SMAS and platysma layers in your cheeks and repairing the platysma muscles under your chin. This is what I call a facelift. Some would call this operation face and neck lift. I don't think there is any other way to give you long lasting results.

Konstantin Vasyukevich, MD · Answer

Hello and thank you for your question. I understand your concerns. Concept facelift is a type of mini-face lift designed to reduce down time, however it might no produce the most optimal results for patients with advanced facial aging.I believe, at this point adding a small procedure like liposuction would not necessarily show much improvement in the areas of your concern. Moving forward I would consider a more advanced SMAS face and lift for the most optimal results. I think this would be a good time to schedule a consultation with a surgeon who specializes in facelifts (better two or three consultations with different surgeons). It is always recommended to have more than one opinion on any kind of cosmetic surgical procedure.I wish you the best of luck in your search and hope you get the results you are looking for!

Marcus Davis, MBBS, MRM, FRCSEd (Plast) · Answer

Many thanks for your pictures and questions.
Your pictures are slightly hard to compare as they are from differing angles, however it is clear that you have jowls and nasolabial folds that can all be improved upon, not to mention the skin of your neck and bands formed by your platysma muscles that can be improved.
Consult with at least one board certified Plastic Surgeon for in-person assessment and advice - as I am sure you know in the U.K. this means having FRCS (Plast) after their name and being on the GMC specialist register for Plastic Surgery.
I wish you all the best.
Marcus

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