Loose neck skin after mini lift. Can this be fixed?

Question

Mini lift under local anesthesia in Feb 2018. I noticed after there was loose skin under chin and a little jowling. I wasn’t concerned as I was told results would refine over the next 12 months.12m follow up today & expressed my concern. Doc had me step on scale & then blamed a 5 pound weight loss & advised that I “gain the weight back.” Then said that results can be affected by the side on which I sleep & too little skin to revise. Can this be fixed?

Jason Emer, MD · Answer

"A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​"

Theda C. Kontis, MD · Answer

You have a very nice profile-however not sure what your preop looked like. If you truly had a minilift, the neck was not addressed--as this is a procedure mainly aimed at improving the jowls.It may tighten the neck slightly, but in order to work on the neck, patients require a lower face and neck lift (aka 'facelift') or a necklift.Your neck has to have some give so you can move your head up and down, so there is a limit to how tight a neck can be. You could discuss with your doctor some skin tightening treatments like Infini, but I would not think that a weight change of 5 pounds would make a difference. Certainly does not need a surgical revision, I would try an energy device.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question and pictures.  Your results appear positive your neck has a nice contour, giving you a natural appearance.  You will always have a little bit of slack because skin is elasticity and needs to be able to move.  Pulling the skin even more is not the solution - the only way to try and get it tighter would be Renuvion, which is a skin tightening machine which works from the inside of the neck with a cannula.  All The Best

Dilip D. Madnani, MD, FACS · Answer

Can you post a picture of what your neck looked like before surgery. A minilift will give you some improvement in the jowl and mild improvemnt in the neck area- you have minimal neck laxity at this point and I would suggest something like ultherapy to light and tighten some of the looseness.

Joel M. Stewart, Jr., MD · Answer

Thank you for your question.
It is difficult to effectively answer your question based on the photo you provided. An exam to determine the degree of skin laxity would be necessary.
Suffice it to say that if there is excess skin, a resection or elevation of that skin will likely be necessary to "tighten" the area of concern whether that be the neck, face, or abdomen.
I recommend an evaluation by a board certified plastic surgeon.
Best of luck.

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Loose neck skin after mini lift. Can this be fixed?

Answers (9)

Answer: Unhappy with minilfit results

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