Successful Neck Lift Results for Keloid Prone Skin?

The deformity of your neck that you have described is a common one. The "Turkey Gobbler" deformity of your neck is caused by a combination of skin laxity, submental fat, and laxity of the muscles of the neck (platysma). In someone who is not prone to keloid formation, there are several options for a neck lift procedure. In someone who is prone to keloid formation, generally darker pigmented skin, the incisions need to be hidden or kept quite small in order to hide any potential scars. Your surgeon and you will discuss your particular problem and it may be that you will have to trade a perfect result for a good result in order to minimize the potential for unfavorable scarring. I feel, however, that when placed in the appropriate positions, the scarring should be minimal even in Keloid formers during a neck lift procedure.

Ultherapy may be an excellent option for a revision neck lift or a primary neck lift in patients who are prone to keloids. Raffy Karamanoukian MD FACS

The risks of forming keloids after a neck lift outweigh the advantages and benefits of a neck lift. It is better to just do a neck liposuction to remove the fat and later do skin tightening with a laser.
Regards

Depending on what is contributing to your turkey neck, Botox might improve a tightening of the platysma muscle bands, Thermage may help tighten the skin and muscle component, although you won't get the same great result of reshaping compared with a neck lift, and liposuction can be done to remove fat but the insertion sites of the liposuction could become keloids too. If you do have a treatment, and start to notice thick, tender or painful scars, do not delay a followup appointment with your surgeon as there can be better improvement of hypertrophic scars and keloids if they are treated at an earlier stage. Be careful and see a board certified plastic surgeon to evaluate your neck lift.

Despite the best of skills, Keloids can develop and there is no definitive way to prevent their development. We tend to use techniques that minimize trauma, but keloids are unpredicitable and at times unavoidable.