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

Thank you for your pictures.  To be honest with you, at this time it is too early to do anything.  by 3 months you are 80% through the healing process - the last 20% can take another 9 months! Before doing anything you really want to ensure everything has totally healed - and then some.  As such, it is important to give it time before examining and determining whether anything has to be done.  That being said, if there is an issue lingering once you are healed, it can be fixed.  Do not worry.For now, what you can do to help break up some of the swelling and irregularities is light massage 3 times a day starting in the middle (close to the midpoint of the chin) and extending out towards your ears.  make sure your skin is lubricated with either vitamin E or a moisturizer so there are no traction injuries.  Hang in there.  The recovery process can sometimes be tough.  But you will get through it and should there be a need to tweek anything, it certainly can be done.  Best of luck.  

I’m sorry that you're disappointed in the results of your facelift. You need to schedule an appointment with your plastic surgeon, because only he or she knows the specific details of your case and the technique used. I can offer some possible reasons for the appearance of your neck, but without knowing exactly what your surgeon did and without an in-person evaluation, please understand that it is only educated speculation. It's possible that residual fluid pooled in the neck, as others have mentioned. Other possibilities include fatty tissue that your surgeon may not have removed, sagging submandibular glands, or simply loose skin or muscle that was left unaddressed in your procedure. Revision surgery may be needed, but I suggest waiting a few more months to see if these issues resolve on their own. You'll need to wait a bit longer before it's safe to move forward with additional surgery anyway. Good luck.

Thank you for the question and the photos. At 4 months, a lot of the healing has occurred -- but you may not be completely done. Generally, I recommend waiting until about 6 months before considering any kind of revision or tweak. From the photos, it looks like you may need some submental work -- liposuction for the residual fat and a platysmaplasty for the bands. Depending on how much skin excess remains afterward, this may need to be removed behind the ears. For now, however, please follow up closely with your surgeon. If he won't see you, please visit a board certified surgeon for a second opinion.