The platysmaplasty still feels uncomfortably tight in a vertical direction, & there are a few areas where the skin seems to be tethered, which looks very ugly, especially when I swallow. Surgeon says to wait & see how it heals, but if it doesn't resolve then re-opening incisions to repair is risky as it will create more scar tissue. I can't bear to think that I'll have to live with this deformity. Is tethering a difficult/risky thing to fix, & is it caused by too much fat removal (I had lipo)?
Answer: Neck Lift Thank you for your question, heartsense. I suggest you continue to follow your surgeon's recovery guidelines to finish the post op recovery, and certainly mention your concerns to the board certified facial plastic surgeon who performed your surgery. It is not too early to begin planning for a revision so that if the healing does not remedy the issues then you have concrete steps to take next. Best wishes,
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Answer: Neck Lift Thank you for your question, heartsense. I suggest you continue to follow your surgeon's recovery guidelines to finish the post op recovery, and certainly mention your concerns to the board certified facial plastic surgeon who performed your surgery. It is not too early to begin planning for a revision so that if the healing does not remedy the issues then you have concrete steps to take next. Best wishes,
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April 27, 2016
Answer: Touchup to necklifts Hi heartsease. I am sorry that you have concerns after your procedure. The tightness that you are feeling will continue to lessen with time. Contour irregularities after surgery, including lipo, change throughout the healing process and early findings are not representative of your final result. The release of tethering and adjustments to the platysma muscle, fat grafting into the tethered areas, etc. can be completed through an easily concealed incision under the chin if necessary . Be sure to discuss your concerns and your surgical options at your next postoperative visit with your plastic surgeon and ask for any interventions (e.g. massage) that might help. Good luck!
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April 27, 2016
Answer: Touchup to necklifts Hi heartsease. I am sorry that you have concerns after your procedure. The tightness that you are feeling will continue to lessen with time. Contour irregularities after surgery, including lipo, change throughout the healing process and early findings are not representative of your final result. The release of tethering and adjustments to the platysma muscle, fat grafting into the tethered areas, etc. can be completed through an easily concealed incision under the chin if necessary . Be sure to discuss your concerns and your surgical options at your next postoperative visit with your plastic surgeon and ask for any interventions (e.g. massage) that might help. Good luck!
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April 27, 2016
Answer: Tethering after corset platysmaplasty Without examination (or at least high quality photographs) it is difficult to judge how best to address your concerns. After 6 months, it gets less likely for spontaneous resolution. Although revision surgery is best delayed until 12 months, planning can begin.
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April 27, 2016
Answer: Tethering after corset platysmaplasty Without examination (or at least high quality photographs) it is difficult to judge how best to address your concerns. After 6 months, it gets less likely for spontaneous resolution. Although revision surgery is best delayed until 12 months, planning can begin.
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April 27, 2016
Answer: Tethering of skin after platysma plasty Tethering of the skin can be corrected very easily through an incision under the chin. After platysma plasty there can be abnormal movement of the platysma at times. The area off abnormal movement can also be cut through the same incision to improve the overall appearance. The existing scar tissue should not be any hindrance and revision surgery.RegardsDr. J
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April 27, 2016
Answer: Tethering of skin after platysma plasty Tethering of the skin can be corrected very easily through an incision under the chin. After platysma plasty there can be abnormal movement of the platysma at times. The area off abnormal movement can also be cut through the same incision to improve the overall appearance. The existing scar tissue should not be any hindrance and revision surgery.RegardsDr. J
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April 26, 2016
Answer: Tethering Of Neck Skin After Platysmaplasty A question such as yours should always be accompanied by photographs so that we can have a more clear idea of the deformity you are trying to describe. However, with that said, since you mention that fat removal was performed in the neck by liposuction, it is possible that too much subcutaneous fat was removed in some areas, causing direct attachment of the deep dermis to the underlying platysma muscle. This can cause deformities that may be similar to what you are trying to describe. Unfortunately, if this is the case, it is a very difficult thing to fix, and the treatment plan would be based on the quality and tightness of your tissues, which we cannot see. In this particular case, it may indeed be advisable to wait up to a year after your initial surgery to allow all the tissues to heal and relax before deciding to embark on a definitive repair, if it is necessary.
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April 26, 2016
Answer: Tethering Of Neck Skin After Platysmaplasty A question such as yours should always be accompanied by photographs so that we can have a more clear idea of the deformity you are trying to describe. However, with that said, since you mention that fat removal was performed in the neck by liposuction, it is possible that too much subcutaneous fat was removed in some areas, causing direct attachment of the deep dermis to the underlying platysma muscle. This can cause deformities that may be similar to what you are trying to describe. Unfortunately, if this is the case, it is a very difficult thing to fix, and the treatment plan would be based on the quality and tightness of your tissues, which we cannot see. In this particular case, it may indeed be advisable to wait up to a year after your initial surgery to allow all the tissues to heal and relax before deciding to embark on a definitive repair, if it is necessary.
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