I have scars and a saggy neck after face and neck lift. What now? (Photo)

Question

I had a face and neck lift in march of 2022. Now it’s have scars, a deep pleated bank account, and a saggy neck

Semih Yildiz, MD, FEPOBRAS · Answer

In the photo, there appears to be residual neck looseness and some vertical banding, but a single front-facing photo cannot show the scars, skin quality, or deeper neck anatomy well enough to make a firm plan. Since your surgery was in March 2022, the result and scars are mature enough to be evaluated for revision rather than waiting for normal healing changes.

What can be done depends on the cause. If the main issue is visible or widened scars, treatments may include silicone, steroid injections for raised scars, laser, microneedling, or scar revision. If the main issue is recurrent loose skin, platysma banding, or deeper neck fullness, a revision neck lift, platysmaplasty, limited liposuction, or skin redraping may be needed. I would see a board-certified plastic surgeon or facial plastic surgeon who does revision face and neck lift work, bring your operative report if possible, and ask specifically whether the problem is scar quality, loose skin, platysma bands, or deep neck fullness.

Ali Riza Öreroglu, MD · Answer

Based on the photographs, I believe you are a suitable candidate for both facelift revision surgery and necklift surgery. The scar tissue and cervical skin laxity resulting from your previous face and neck lift procedures can be effectively corrected with these procedures. Facelift revision aims to address the scars and contour irregularities from the previous surgery by reshaping the underlying tissues and tightening the skin. The necklift procedure involves tightening the platysmal bands and removing excess skin and fat to correct the sagging in the neck area. With these procedures, we can achieve a smoother and more youthful appearance.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos there is a high probability of scarring in every surgery, even if it is minimal, but as far as I can see from your photos, you need to have a revision surgery, I suggest you first tell your surgeon who operated on you about the situation.
It would be better face to face consultation.
Best Regards!

Ajaya Kashyap, MD · Answer

Thank you for your query. You will benefit from further tightening  of your neck and possibly the face skin with an upper lip lift . Injection of  fillers or autologous fat  will also help improve the contours. I do not see the scars in the photograph but those can be improved as well. Please discuss all your concerns with your plastic surgeon who should be able to help. All the best.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of any plastic surgery procedure, we generally need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the picture they took.
The picture included does not allow us to make a good assessment regarding your procedure.
Consider reposting with a complete set of proper before and after pictures.
Plastic surgery outcomes are primarily due to two variables.
The first is the patient candidacy for the procedure and the second is provider selection or the skill of the surgeon.
If you’re unhappy with the outcome, then you may need a revision procedure or have the surgery done by somebody who is more experienced.
Surgeons are responsible for surgical outcomes.
Patients are responsible for provider selection.
Best,
Mats Hagstrom MD

I have scars and a saggy neck after face and neck lift. What now? (Photo)

Answers (5)

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