Why do I have indents & a V after neck & deep plane lift & what is causing the V? (Photo)

Dear Imojine,
Since you had a platysmaplasty it is clear that the margins of the medial platysma are not together. The depression is commonly seen when too much fat is removed. Surgeons are usually wary of taking out too much fat behind the level of the platysma, since this is what happens. Re-operating the neck is challenging since there tends to be scar tissue that tethers the skin down.
You could consider fat grafting in the depression, one or more times. That may level the depression and improve skin quality. Then you could consider the MyEllevate procedure which is much less invasive as it undermines and frees the skin from the platysma, bluntly. Then the suspension suture can be introduced to tuck up remaining platysma. Also the procedure starts with cutting those central platysma bands to get a smoother appearance. This is all done through tiny punctures that do not leave a scar.

It's possible that the V-shape and indentation under your neck are a result of uneven fat removal during the chin liposuction. It could also be due to a lack of support in the tissues and muscles under the chin, which can sometimes occur after facelift procedures.

To address this issue, you should consult with your surgeon to discuss possible solutions. Depending on the severity of the indentation and V-shape, options may include additional liposuction to correct the unevenness, fat transfer to plump up the area, or surgical revision to adjust the neck and chin contours.

It's important to have realistic expectations and to work with an experienced, board-certified plastic surgeon who can guide you through the process and help you achieve the best possible outcome.