Botched neck lift resulting in ongoing pain. Any ideas what's causing this? (Photo)

Thank you for your question. The sequence of change suggests that rather than sagging, there was a band of contracture forming under the skin of the neck, which corresponds to the timeline. This also tends to produce discomfort under the chin, particularly when the scar tissue is denser.

Scar tissue is often managed with steroid injections, which tend to soften it. These injections should be done with moderate dosage and preferably in a sequence of treatments to reduce the risk of thinning the overlying skin.

For the pain, it might be better to have a conversation with a pain specialist, as there are more effective treatments available, and diagnosing the characteristics of the pain is crucial for choosing the best treatment.