How can a too tight neck lift be repaired?

Hi there, nycitygirl49. I'm sorry to hear that you are frightened by the results that you have 4 months into recovery. It's tough to know exactly what's going on without seeing any photographs, but the natural course following any facial rejuvenation surgery is a continuation of the aging process.  This means that you will most likely develop increasing skin and soft tissue laxity.  Over time, I suspect that this additional laxity will allow this component of the problem to take care of itself.

Fortunately, the pixie ear appearance that you mention is also something that can be addressed, but it will likely require the passage of a more time, as well. It may be too soon to perform a revision now, particularly if you are still very tight in the neck.This problem typically occurs when there is too much tension pulling across the scar, and that happens when things are pulled too tight relative to the support of the deeper soft tissue suspension sutures. You might consider talking to your plastic surgeon about whether Physical Therapy may be helpful to improve range of motion and pain.





Once there is enough tissue laxity in the neck area, you can then consider doing a revision procedure to address the pixie ears problem. I strongly encourage you to have a very candid conversation with your plastic surgeon if you haven't already to let her/him know that you'd to improve the communication.  Take care, and best wishes to you.

Thanks for your question. Over time, your neck will loosen and will likely settle down. In the meantime, there are things that can be done. You can ask your PS if it is appropriate to inject steroids or 5-FU which can soften scars. You can discuss exercises to improve your range of motion with your PS as well. If you feel like you are not getting answers, there may be benefit to seeking a consult with a different surgeon for a second opinion. Best of luck with your recovery