Necklift Re-do, Will It Change my Face?

I agree that it is not likely that the neck lift revision will adversely affect your face.  You will just have new incision which will need more time to heal and mature

Hi Thompson5530,

I agree with your surgeon's opinion.

If you are happy with the facelift already, this means that if you had any sagging at the jawline (jowls) the facelift already smoothed the jowl area.  If you still have some loose skin under your chin, the correct procedure is to repeat the necklift.  If there is a significant amount of skin left, especially directly under the chin, then sometimes the necklift incisions behind the ears may not be enough to remove that excess skin under the chin, and a direct necklift may be the only option other than trying to tighten the facelift even more in a vertical direction.  

Since I don't like the look of a over tightened face, I tend to discuss the option of a direct necklift more often than my colleagues.  In general, the necklift does not affect the face unless it is performed in conjunction with a lower facelift.  Often times a patient who has had a necklift only may wonder why no one has noticed a change other possibly losing some weight, but deep down they were hoping for more of a comment of looking younger.  Especially in the front view, a necklift may not look that different, unless the patient has enough sagging to show on the front of the neck, and the after photos show a clean area under the chin and neck.  The shape of the cheeks and eyes don't look any different.

I hope these responses help. 

Best,

Dr. Yang

WIth a revision of a neck lift, it is very common to tighten the platysma muscle from a small incision under the chin.  Unless something is done in the area of the cheek, the facial contour should not change significantly except for better definition along the jawline.  Continue the open communication with your surgeon to make sure you get the results you are seeking.  Good luck.