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Hello! A cobra deformity occurs when the platysma isn't addressed correctly in addition to improper tension during closure. This can lead to banding and odd appearance of the neck. If done properly, the neck shouldn't appear wider. It should be refined with improvement especially on profile view. The deep plane lift addresses the deeper layers so that the skin is repositioned naturally. The results look quite nice. Hope this helps.
I agree a revision would help. It appears the platysmaplasty was a bit aggressive and too tight. It can be redone but would require a second facelift
A small acoustic neuroma will require ongoing observation to determine if surgery is ever required. However, it should have no bearing on planning for a facelift. It should be included as part of the discussion of your medical history, but will not change the approach to the procedure.
Hello, hope you are well. It's not crazy at all to travel out-of-state for surgery. Patients travel from around the world seeking the best, and offices like ours are set up to facilitate this experience. Not only for deep plane facelift surgery, but for other procedures where expertise is rare...