What do I do now? Post necklift; doctor removed too much fat? (Photos)
Doctor Answers 7
Based on the photos, I do agree with the other surgeons that a formal consultation would be required to give you any clear direction. However it does seem that you will need a revision neck lift that includes better treatment of the deep layer of the neck which means removal of additional deep or subplatysmal fat in the neck along with reducing the size of the submandibular glands and digastric muscles. This can be done through an incision under the chin. For optimal results you may need some skin removed from behind the ears as well but the work done through the incision under the chin is the key component of treating this problem
Revision neck lift
In looking at your photos there are several things that can be done. 1) excision of the excess skin. This will not be perfect but will help with some of the crepy skin. Additionally a small chin implant will help stretch out some of the neck skin and improve your jawline
2) excision of the remaining fat and/or submandibular glands. This would get rid of some of the bulk that you have under your chin
3) Retightening of the platysma. By creating a sling under your chin with the muscle, it will help keep your neck tight.
Revision is required
Very sorry that your results were not ideal. I agree with most of the physician sentiments here. You would need an exam in person to be certain but I believe that you have:
1. Possible over resection of the deep (sub-platysmal fat)
2. Uneven somewhat poor re-draped sub-mental skin
3. Possible enlarged salivary glands or digastric muscles
I have treated these defects and find that a "re-do" is required that addresses the whole lower face. The best technique in my hands is a deep place facelift that releases all of the retaining ligaments of the lower face and neck exploration to reset the muscle and other excess structures. This can help create the desire sharp profile.
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Fat loose skin
After reviewing the pictures is my impression that you need a surgical revision of your neck. We need to evaluate if the layer of fat is even in your neck and if there is no adhesions on the skin with the platysma muscle in ether event that has to be corrected surgically
I would really need to do an exam to see what the problem exactly is. It may not be a case of too much fat removal. Some of your swelling might be due to large salivary glands. It's best to see a facial plastic surgeon who is experienced in dealing with facelifts and large salivary glands.
Post operative laxity
This is a difficult problem to treat.
One would need to # 1 examine your neck to determine if this is platysma muscle excess and laxity or solely skin. The former will require a platysmaplasty ( small incision under the chin with suturing and possible removal of some of the muscle). The latter would only require a revision neck lift with possibly small amounts of fat transfer.
It is key for to either return to your previous surgeon or get the operative report for the next surgeon. This will let us know what was done during the prior two operations so that you have a realistic expectation of what results can be obtained.
Best of luck
Facelift, facelift, facelift!
You have an excess of skin and fat in the neck area. The problem was not that too much fat was taken but that you had too much skin for simple defatting to correct in the first place. Get the facelift if you want to have that area look improved. That is exactly what it is designed for.
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