6 wks postop revision necklift fails to fix contour issue; PS agrees issue is digastric muscle prominence, not SMGs. Too full submental area and fat-free anterior neck shows musculature; swallowing reveals mechanics of neck function that should be hidden. Hollowed indents are uptucked under submental; digastrics converge to a point under chin. Pressing upwards into the bulging muscle makes submental flat and hollows vanish. Would reducing or removing muscle help? Risks? Experts input please.
Answers (3)
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Cobra neck deformity usually is the result of over zealous resection of fat from the submental region in combination with platysma muscles not reapproximated during a necklift. Removing the submandibular glands will not remedy these issues. In terms of partial submandibular gland resection d...
90% of my neck lifts involve both the midline platysmaplasty, which is approached via an incision under the chin. Then during the facelift, an incision is made around the ears which gives access to the lateral part of the platysma, and this is always tightened. Unless the neck laxity is m...
Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and...