Deeply unsatisfied with my results - did my Neck Lift fail? (photos)

Question

for reference I had a full neck lift w lipo and platysmal plasty I have maintained a consistent weight since post op and followed aftercare instructions to a T. my surgeon claims my results are optimal but I am deeply unsatisfied with my results. Did my neck lift fail?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding dissatisfaction with your results and whether your necklift failed. In examining your pictures carefully, it appears that you reaccumulated fat in the neck and your cheek region. I'm not sure the necklift failed, but the face and neck lift need to be revised. I would suggest facial liposuction of the cheek and neck region to be combined with that same time or several months later by a facelift and a necklift. The liposuction needs to be aggressive to remove excess fat. Commonly liposuction is not performed with a facelift or neck lift. I hope this helps to answer your question regarding dissatisfaction with your results and whether your necklift failed. 
Sincerely,
Dr Katzen

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

It is obvious from the images submitted that there has been improvement and it correlates with the description of the intervention which suggests that it has been carried out at a high standard.

I believe that the problem you are faced with is that your volume excess under the chin is situated deep to the platysma muscles and can be addressed with deep plane neck lift surgery rather than with typical neck lift surgery.

The structures that are generally reduced in order to operate such changes include some fatty tissue deep to the platysma, the fullness of the digastric muscles and the lower part of the submandibular glands.

The characteristics of these elements is often influenced by heredity and is not significantly influenced by weight. However, the deep plane neck lift can improve on these features.

Joshua Jacobson, MD - Account Suspended · Answer

You may need more liposuction. Sometimes if there is still some fat, it may not show right after surgery because the skin is pulled tightly but once the skin tension settles, the fat shows itself.

Deeply unsatisfied with my results - did my Neck Lift fail? (photos)

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