Cobra Neck 6 months post op - is surgery my only option besides botox? (Photos)

Visible mass is due to bulky digastric muscles; this will need revision. Possibly some fat grafting over entire area. However, you should wait at least another 6 months for result to settle and scars to mature. Hope this helps. Good luck.

Thank you for sharing your question and photos. Unfortunately, neither Botox nor massage will provide the improvement you are looking for in your platysma bands. In your case, I would recommend a revision neck lift, which can often be performed through your previous incision under the chin. This approach allows the surgeon to plicate (tighten) the medial platysma bands, resulting in a smoother, more defined neck contour. I suggest consulting with a facial plastic surgeon, as they specialize exclusively in the face and neck. It’s also a good idea to obtain your operative notes and medical records before your consultation so your surgeon can better plan your treatment.

Based off your photos - it appears that likely the neck needs to be re-operated on again. Unsure of the surgeon's original technique - but the muscles there (platysma) looks as if they didn't get repositioned centrally to better contour the neck. This could be something to mention to your surgeon and revisit options - botox, intense massage likely won't fix that; otherwise seek a few other opinions and see the consensus and see if you are comfortable with that surgeon. Reoperation a year or more post your first procedure would be ideal to enter and plicate the muscles and possibly tighten skin more as well.

Based on your before, and after photos, it appears you did have an improvement, but still have some residual laxative, the skin and the neck muscles. Where are the neck muscles suture in midline? That is the most important question. Best option is virtual consultation. I would recommend a full open necklace with Reese suturing of the neck muscles Fee $15,000-$25,000. Best of virtual concert with.