How to improve unevenness, 15 months after FaceTite, chin lipo & platysmaplasty? (Photos)

Question

Post op 15 months from facetite, chin lipo and platysmaplasty. Just started laser for scar improvement. Wondering if there is anything non surgically I can do to improve the area to the side of the incision that is puckered out. Also anything I can do to help with the vertical lines in the skin when stretching my neck out, I’m mid 30s and I feel like that ages me. Edited to add before and after photos.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Mats Hagstrom, MD (license on probation) · Answer

To make a good assessment regarding the outcome of a plastic surgery procedure, we generally always need to see proper before and after pictures. If you don’t have before, and after pictures, ask your surgeon to forward the pictures they took.
The outcome of cosmetic surgical procedures are generally based on the patients candidacy in the first place and secondly the skill and experience provider.
Revision surgery is complex, and generally speaking more difficult than primary procedures. Delivering consistent quality liposuction results is more difficult than most people realize. The number of plastic surgeons this procedure are in a small minority. Procedure is not done well as the primary operation then the chance of having improvements not that great.
To really understand your outcome really need to see what you look like before the operation.
Best,
Mats Hagstrom, MD

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