Loose Skin Under Chin After Lower Lift (Photos)

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.

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.

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.

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.

Hello,

Your photo suggests that that although your face and jaw are now tighter, little was done to the neck region other than liposuction.  It appears there are two, widely spaced platysma muscle bands, and a lot of scar that involves deep neck fat and the undersurface of your skin. Although this can be improved greatly, non-surgical remedies that supposedly (not sure if it really does) tighten skin will not help, because so much else is involved other than skin. 

Depending on what is found by physical exam, either a formal neck lift or a limited platysmaplasty can address all of these other issues: platysmal banding, scaring, and skin re-draping. 

If your surgeon doesn't see a problem, go to get a few consults from expert facelift surgeons.  Do not be lured into thinking that a high tech device will help you. With the right surgeon and the proper procedure, you will have a very nice neck region!

Best of luck!

Your best chance for maximal improvement is a revision of your facelift/necklift.  Though heavily marketed, the external treatments for tightening the skin don't do a whole lot (if they did, everyone would use them, right?).  Seek a second opinion from a board certified plastic surgeon.

The loose skin is a result of suction without skin tightening. Your options include a necklift or a non invasive tightening procedure like Ultherapy.  Ultherapy will help tighten the skin but not as effectively as a neck lift..  Consider additional consultation.  All the best.

Consider Sculptra, fat grafting, skin tightening, or surgical revision.  If your original surgeon is unresponsive, seek second opinions. 

Loose skin sub mental after facelift as u have is fixed only with a revision of this area. See a very experienced facelift surgeon. 

        A neck lift to recreate a smooth contour will be necessary.  Laser may make it worse.   Steroid injections will soften the scar but will do little to help the adherent tissue and loose skin.  Find a plastic surgeon with ELITE credentials who has performed HUNDREDS of face and neck lift procedures.  Look at the surgeon's website before and after photos to determine who will deliver the results.  Kenneth Hughes, MD Los Angeles, CA