What can be done to improve my lumpy neck skin? (Photo)

The skin contour irregularities are unlikely to improve with time and nonsurgical treatments such as steroid injection. Unfortunately, this problem requires revision necklift and lower facelift to correct. Additional surgical correction is needed in the deeper neck tissues. You may need some reduction of the deep neck musculature (digastric muscles) and perhaps even some reduction (not removal) of the submandibular glands to completely correct these issues. These problems are the second most common (not far behind a failed "mini lift") reason a patient presents to my office for consultation on revision necklift or revision facelift.

Hello, and thank you for reaching out. I understand your concerns, and I’m here to offer some guidance.
It sounds like you’ve had a couple of procedures for your neck, and the lumpy appearance you’re describing could indeed be a combination of scar tissue and increased activity of the platysma muscle. Both of these are common issues following surgery, but fortunately, there are treatments that can help.
Here’s what I recommend based on what your surgeon has suggested:
Scar tissue: Steroid injections, such as Kenalog, are often used to reduce the size and appearance of scar tissue. These injections can help soften and flatten the lumps caused by the scar tissue. It’s important to monitor how your body reacts to these treatments, especially if you’re prone to keloid formation. Further surgeries should generally be avoided if you’re prone to excessive scarring, as this can make the problem worse.Hyperactivity of the platysma muscle: Botox can be very effective at relaxing the platysma muscle if it’s becoming too active and causing bands or tightness in the neck. By injecting Botox into specific points of the muscle, we can reduce this hyperactivity, which should improve the overall smoothness of the neck area.In addition to these treatments, if you’re still experiencing some loose skin, there are non-invasive skin tightening treatments like radiofrequency or ultrasound-based therapies that can help improve the firmness of the skin without the need for more surgery.
I hope this explanation helps clarify things! I would recommend following up with your surgeon to discuss the timing and plan for these treatments, and how they can be tailored to your needs. Please don’t hesitate to reach out with more questions or if you’d like more details on any of these options.