Are sutures placed behind the ears a relevant option for saggy skin under chin after neck lift? (Photos)

Thank you for your question;   For the pictures you send  is clear to me that you need an open neck lift to correct no just the skin but mainly the platysma muscle contraction that is show.  The  suture behind the ear is irrelevant for the treatment that you need

Thank you for your question!  With significant neck sagging you would need a neck lift / facelift with muscle tightening (platysmaplasty). At the same time, lasers treatments (Fraxel, CO2, Erbium) or microneedling RF (Fractora, Intensif) can be performed to improve crepey skin or wrinkles. You need a formal consultation, as the neck can be treated with a combination approach: - Microneedling and laser treatments for texture - Botox, Dysport, Xeomin, or Jeuveau to help the Platysmal bands - Intensif or Fractora RF microneedling for crepey skin and lifting - Injectable fillers like Belotero, Restylane Silk, and/or Juvederm Volbella to improve lines and folds - Renuvion, ThermiRF, and/or InMode FaceTite for internal tightening - Ultherapy and Thermage for external tightening - regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness - PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production. See an expert for a full evaluation and treatment plan based on your individual situation and goals.Best, Dr. Emer

Your skin laxity will not be addressed with a platysmaplasty alone. It must also be accompanied by lateral pulls from a neck ir facelift. This approach obligated the need for incisions behind the ear.

Getting the loose skin under the chin tightened up is best addressed directly by a platysmaplasty under the chin incision.

Hello and thank you for your question. Based on your photographs and neck laxity, you may benefit from a mini facelift with a neck lift.  If good technique is used, this can be done with minimal scarring and can result in a natural look, not over-done look, with rejuvenation of your face and neck.  You will likely need more than incisions only behind your ears.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Usually this involves a combination of platysmas plication and skin excision sometimes in the submittal area but also  laterally around and posterior to the earlobe.

 The photographs demonstrate significant laxity in the neck which will require lower face and neck lift procedure in order to improve that  area. A lower face and neck lift accomplishes tightening loose  facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing any fatty deposits in the neck which also includes a platysma plasty. The incision is very inconspicuously placed in front and behind the ears.