Loose Skin Under Chin After Lower Lift (Photos)

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.

It would appear that there are 2 issues contributing to the less than ideal result:  1) irregular contours of the deep structure (platysma muscle and fat) and 2) excesss skin.  An ideal correction will likely require a revision open procedure with a dual approach:  a) from the front (submentoplasty) to recontour the platysma and fibrofatty tissue and b) from the back (face-neck lift) to tighten the platysma-fascial layer and remove the excess skin by redistributing it from front to back.

Mario J. Imola, MD, DDS, FRCSC.