Follow up to this question.
It's been about 16 months since my lower, or what my doctor called, a subtle facelift because I didn't have a lot of jowling or loose skin; unfortunately, I have it now. I had some lipo under my chin and the scar is pretty jagged and the loose, bumpy skin is visible from one side of my face.
I could tell a week after surgery that something was not right. My surgeon doesn't share my concern. Is there anything that can be done, short of revision? Steroid injection or a tightening laser?
Answer
would rectify your loose skin and muscle. This could be performed in the office under local anaesthetic if you desired.
Dr. Dominic Bray, MBBS, FRCS
Board Certified Plastic Surgeon
Answer
After 16 months your concerns will not disappear on their own. I believe you need to have your procedure revised and would approach it locally below the chin (submental approach). I do not believe that at this late date that non-surgical procedures will be of much benefit. If you have lost faith in your plastic surgeon see another who is board certified in aesthetic plastic surgery.
Dr. Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
Answer
I agree with many of the other posts that a submentalplasty is the way to go and you may need some posterior vector skin lift with revision of facelift incisions. As a caution to other readers when a doctor says "subtle face life or partial facelift" and you are not happy with the results you probably should have seen a board certified plastic surgeon who knows how to do a complete facelift. There are always shortcuts and mini procedures out there but, they may not make you look much better and in this case of course the patient looks worse! Best wishes, you should look better with proper revision surgery.
Dr. Gregory T. Lynam, MD
Board Certified Plastic Surgeon
Answer
Revision platysmaplasty and liposuction or direct excision from a midline incision likely will improve things for you . Your surgeon may need to undermine the area of concern broadly and possibly trim some of the redundant skin from the sides. Good luck.
Dr. Philip Solomon, MD, FRCS
Board Certified Plastic Surgeon
Answer
Non surgical treatment of this will be a waste of time and money. It looks to me like you need the lift redone along with a sub mental platysmaplasty, which may not have been done the first time. You say you had some sort of mini lift or not a full lift and that would explain the result. You need it revised, along with muscle tightening under your chin.
Dr. Ronald J. Edelson, MD
Board Certified Plastic Surgeon