How do you know if you need more skin cut after neck surgery? (Photo)

Question

I had a neck lift Dec 2023. I’m starting to see more laxity and can still pull this much skin. Does that mean more needs cut off? Is it possible after 7 months to have this much laxity again?

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photograph.

It’s important to distinguish between skin elasticity and laxity when evaluating the outcomes of a neck lift procedure. The primary goal of a neck lift is not to produce excessively tight skin, but rather to achieve good contours that look natural and remain consistent both in a neutral position and during neck movements.

If these goals are achieved, there is no reason for the skin to be tighter than necessary to remove excess. Excessive skin tightening can lead to undesirable outcomes, such as displacement of the earlobes and very poor-quality scars. In fact, over-tightening the skin is one of the worst things that can be done during a neck lift intervention.

The amount of skin you can pinch and pull on the side of your neck is likely a reflection of your skin’s elasticity rather than an indication of poor surgical results. If the overall contour and appearance of your neck are satisfactory in both neutral and animated positions, then the procedure has successfully achieved its intended goals.

I hope this information helps to address your concerns.

Ryan Rebowe, MD · Answer

It is possible that some laxity has returned depending on the inherent quality of your tissues. Occasionally, there are some other noninvasive or minimally invasive procedures that can also be performed in order to tighten this skin that would not involve surgery. I would certainly discuss it with your provider.

Darryl J. Blinski, MD · Answer

Would be best to post before photos of your surgery and then after photos and more views or virtual consult with. But appears like that’s normal laxity of your skin with a nice Neck lift  result.

How do you know if you need more skin cut after neck surgery? (Photo)

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How do you know if you need more skin cut after neck surgery? (Photo)

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Our mission is to create a world where every investment in modern beauty is Worth It.