Neck wrinkled after neck lift. I'm 48, 5'2 & 110lbs. I'm in good health. Will the wrinkles resolve? Why are they worse? (Photos)

Question

I had a NL 3 weeks ago, I know it is still early on in recovery. My neck has more wrinkles than before in the middle and under the chin near the throat. It is crepey and loose. My neck looks 60 instead of 48. I was hoping that it would be tight and refreshed, but it is not. I am still quite swollen under the chin. Is this wrinkling normal? Will it get better? will I have another surgery? I did not have a FL, no incisions behind the ears, only incision under chin. Platysma bands tightened.

Jason Emer, MD · Answer

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Your appearance will continue to improve and stabilize as you move through your recovery timeline. I suggest that you discuss your recovery expectations and best healing practices with your board certified facial plastic surgeon.
Best wishes,

Jed H. Horowitz, MD, FACS · Answer

It is too soon to determine if a #revision is necessary. Your incisions will go through many changes before seeing the final result of your procedure. Swelling will also continue to diminish.Thus, you must be patient. The #scars from a #neck lift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the procedure will become apparent and the real result will be seen. 
Typically, it's best to wait 6 to 12 months depending on the reason for #revision. As with all #cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical #procedure and #revision, there are some risks of unhappy outcome or other complications which your surgeon should discuss with you during your consultation. Your procedure should always be performed by a #Plastic Surgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for additional revision surgery. If during your healing, you have any concerns, it is suggested to call your board-certified surgeon or their medical staff and discuss those #concerns.

Brian K. Machida, MD, FACS · Answer

Three weeks is too early to make any determinations about your results.  You will need to give it time and be sure to seek follow up with your surgeon about your concerns.

Kenneth D. Steinsapir, MD · Answer

If you are dissatisfied with the results of your surgery, you can discuss the outcome with your surgeon.  You are also free to seek second opinions regarding your result and concerns.  That might be reassuring or confirm that there is indeed an issue with your results.  Without a personal assessment of your concerns including a detailed physical examination, it is difficult to be more definitive.

Michael Kulick, MD, DDS · Answer

Hello,Without your pre-treatment pictures it is hard to provide you specific answers. I suggest that you contact your surgeon to deal with what looks like some asymmetry in your healing process. Sometimes, using a selective pressure chin strap may help with this. Hope this helps.Dr. K

Walton Montegut, MD · Answer

It is too early to see your final results.  You need to give it time and be sure to ask your surgeon what you can do to help improve the situation.  There may be some skin treatments you can have that may help improve the situation.  I hope this helps.

David F. LaPatka, MD (retired) · Answer

It is still early on in healing and without pre op pictures it is impossible to give an answer. Yes, there is some laxity or creepiness  in the mid neck . This may be due to the quality of your skin  ( sun damage and thickness) . I would go back to your surgeon and tell him or her your concerns . It is way to early for a second opinion since you are  early in the healing process.  Looking at your pre op photos with your surgeon may be helpful . Don't fret, the worse that can happen is you will eventually need a " touch up" procedure .

Val Lambros, MD, FACS (retired) · Answer

waaay to early to make any conclusions. It will take months. IMO, necklifts take longer to stabilize than face and neck lifts,

Neck wrinkled after neck lift. I'm 48, 5'2 & 110lbs. I'm in good health. Will the wrinkles resolve? Why are they worse? (Photos)

Answers (9)

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