Neck lift revision - already I have sagging again under my chin (photos)

Based on your photos, it appears to me that you have sagging platysma muscle bands. If they were fixed with surgery, then they have returned quite early. If they weren't that visible before surgery, then they are now more apparent due to a depression between them probably due to fat removal. Although I can't tell without a personal exam, it appears that you might have some fullness to the sides of your platysma muscle bands due to submandibular salivary glands. Options depend on the firmness or looseness of skin in the front of your neck. If firm, then I might suggest a limited procedure to tighten the platysma muscles via a short horizontal incision under your chin. But if the skin there is also loose, then a repeat necklift to include tightening the muscles from in front or towards the sides of your neck with skin tightening, is necessary. For any bulging of the submandibular glands, a surgical reduction of the glands is possible, but there are increased complication risks with that technique and not every surgeon feels comfortable doing the gland reduction.

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.

Hello, hope you are well. The two 'bands' that you see under your chin appear to be the anterior bellies of the digastric muscles. This muscle hypertrophy may not have been identified and addressed prior to, or at the time of neck lift surgery. Moreover, if submental fat was removed, it may account for the hollowed appearance centrally (where you see the concavity), and accentuated muscle bellies. Sometimes this appearance is referred to as a 'cobra neck deformity'. A revision can address this--possibly through a limited approach with the excising submental incision (under the chin). If there is still excessive skin laxity, a more aggressive revision may be needed. That would be determined at the time of in-person consultation. Hope this helps!
Best,Dr. Tower

It is not uncommon for some patients to experience some degree of sagging or skin laxity after a neck lift or lower face lift, particularly if they have not followed proper aftercare instructions or if their skin has lost elasticity due to age or other factors. However, there are several options for revision surgery to address this issue.

One option is a revision neck lift or lower face lift, which can help to reposition the underlying tissues and remove any excess skin. This can be done using a variety of techniques, such as liposuction, platysmaplasty (tightening of the neck muscles), or skin excision.

Another option is a non-surgical treatment such as radiofrequency or ultrasound therapy, which can help to tighten and lift the skin in the neck and jawline area. These treatments can be less invasive than surgery and require little to no downtime.

It is important to consult with a board-certified plastic surgeon who has experience in revision neck lift and lower face lift surgery to determine the best course of action for your specific needs and goals. They can evaluate your current condition and recommend the most appropriate treatment plan to help you achieve your desired results.

I hope this helps,
best of luck !