Will any procedures help to smooth my neck? (Photos)

Question

3 months ago had platysmaplasty and lower face and neck lift. Is there anything I can do to smooth neck?

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Robert M. Lowen, MD · Answer

If a platysmaplasty was done three months ago with wide undermining, there may have been skin laxity that was not optimally re-draped, and that skin is now re-adhering to the platysma. Or the platysma may not have been sufficiently released so it is still banding across the neck angle.
  An in-person exam and review of the operative details would be helpful if you wish a second opinion.
Sometimes liposuction or defatting of the neck can be excessive and make the skin look too thin. 
  Options, after an in-person evaluation, would include allowing at least six months for healing an softening of the neck skin/muscle interface. Treatment could include minimally invasive non-incisional cannula undermining and re-draping of the neck skin over the muscle.
  Sometimes fat grafting can improve the appearance of thin skin or irregularities noted after platysmaplasty.
   If at some time, revisional surgery was felt necessary, MyEllevate would be an option for undermining and platysma release without surgically separating the skin again from the underlying muscle.

Tanveer Janjua, MD · Answer

A tightening device like Sofwave will help for the deeper layers and a non-ablative laser like Resurfx will help the skin surface. 
Regards
Dr. Janjua

Lexie Wang, MD · Answer

to me, this looks like you have some residual skin textural issues in your neck. a true face/neck lift will not address that (alone) -- therefore, doing treatments to work on improving the skin texture will likely be what you need to explore next. this may be RF microneedling, lasers, etc.

Sean Fisher, MD · Answer

you are early in your recovery- I would be patient before considering any need for revisionary surgery. It is difficult to tell from the isolated photo, however you to be quite thin. In thinner patients with thin skin, contour irregularities can arise if the skin is not elevated at a deep enough plane or if there are irregularities. At 3 months, this internal scar formation is still maturing. You can work on scar massage to try to help these areas soften. I these contour irregularities persist at near 1 year they are unlikely to resolve on their own. In this case, a revision or contouring with fat grafting may be necessary to improve the appearance. 
Sean FisherAesthetic Plastic Surgeon Seattle, WA

Darryl J. Blinski, MD · Answer

Based on only one post to photo, my initial recommendation would be repeat mini neck lift with Endo’s lift. Fee $5000-$8000. Best of virtual consult with.

Will any procedures help to smooth my neck? (Photos)

Answers (6)

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