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Is it possible to "redrape" neck skin as a "touch-up" procedure after SMAS facelift, necklift & platysmaplasty, 1 year post-op?

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petarossJan 23, 2016

If there is a skin (only) contour issue (slightly loose & uneven under the chin, mainly around submental incision) after otherwise satisfactory result, can incisions be re-opened, skin lifted, and re-draped (with a little skin removal if necessary) to achieve a smooth contour? Would this place tension on the skin, if the underlying muscle/tissue was adequately tightened/repositioned originally? Would all original incisions need to be reopened (submental, pre & post-auricular)? Likely success?

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Dr. John Michael Thomassen, MD
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Dr. John Michael Thomassen, MD
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Answered on Mar 10, 2016
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Dr. Manish H. Shah, MD, FACS
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Dr. Manish H. Shah, MD, FACS
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Answered on Jan 24, 2016
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John Michael Thomassen, MD

With the MACS lift the dissection is not as extensive so revisions can be performed in the office setting.  You may need placement of an additional suture to pull more tightly on the looser side.  

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J. Jason Wendel, MD, FACS

Thank you for your question about SMAS facelift.Did you have an incision underneath your chin in addition to incisions by the ears?  Often, aggressive work centrally needs to be done to address the under-chin area and central platysmal bands.You may discuss possible facelift revision with...

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George Volpe, MD

In most cases, one can resume most medications a few days following surgery. By four weeks, healing is well on its way to being established and strong. Antihistamines should not play a significant role in the time it takes to heal if initiated at this point.

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Jonathan Kulbersh, MD

Thank you for your question. MACS stands for minimal-access surgery, which I call a mini facelift or awake facelift in my practice because it is usually performed with local anesthesia rather than general. Incisions are smaller with this technique, so recovery and scarring are both reduced....

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Marc DuPéré, MD

Thank for your question.Any skin healing involves new blood vessel forming so that nutrients, proteins, oxygen, etc. can be brought in for repair (healing).  The new blood vessel formation is called "neovascularization".  It does tend to disappear over time.That being said, it can be...

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Marc DuPéré, MD

Thank you for your question.At 4 months, one has likely a final result: the swelling (edema) has resolved.The bands you are talking about may be 'active' bands: the neck muscles are repaired in a facelift, normally with a small incision under your chin, and pulled (SMAS facelift) but the muscle...

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