4 months post face and neck lift, my neck is coming apart. There was no incision under chin. What can be done? (Photo)

Thanks for the question, I always find that as you heal, the fluid follows gravity. The neck, particularly under the chin often holds the fluid the longest and can stay swollen for some time. After the fluid goes away, there can be irregularities that are temporary, but it is impossible at this point based on your images to know this. Its best to see your surgeon and follow the instructions. Rushing into a new surgery is likely not ideal untill a good amount of time has past. Hopefully things will improve, Dr James Bonaparte

I would certainly go back to your surgeon as your first step.  It looks like you have irregularities due to either delayed resolution of a fluid collection underneath your neck with residual scarring underneath the skin, or irregularities due to liposuction.  In either case, irregularities can sometimes be improved with steroid injections, and/or massage, and fat grafting once the tissues are soft. If your issues do not resolve over the next several months...and it is quite possible they will not, then a revision to the neck lift would  be indicated once the tissues are soft.  Usually I would recommend waiting 12 months.

Dear Leisa1Thank you for your question and photos!  There is healing that takes place for 6 months up to a year and a half.  Please follow up with your surgeon.With Warm RegardsTrevor M Born MD