Unnatural Looking Chin/Neck after Neck Lift (Photos)

Question

Hi, I had Neck Lift surgery June 2020. The doctor did liposuction on my chin during the surgery without my permission. I now have wrinkled skin (which I did not have before the surgery) and fat pockets on both sides of the incision scar on my chin. The skin was not tucked in properly on the chin incision so I have unnatural looking fat pockets. I was told to give it some time after surgery which is what I did but it has only gotten worst. I have decided to do a revision. Can this be fixed?

Randal Haworth, MD, FACS · Answer

I'm sorry to hear that you had a negative experience with your Neck Lift surgery.

A revision neck lift could help you - in good hands - with this issue.

Of course, an “in person” exam is necessary.

I hope this helps,
best of luck !

Richard G. Schwartz, MD · Answer

Without examining your skin, I can't be totally specific about my analysis, but your photos show uneven contour of subcutaneous fat (under the skin) in the front of your neck.  It is possible that due to fat removal either surgically or with liposuction, the platysma muscles were uncovered, and now their fibers are showing through the skin surface.  It is also possible that there is a relative excess amount of subcutaneous fat just beyond the flattened area under the chin.  I think most of your contour problems can be corrected with careful fat removal under direct vision.  However, you also have loose muscles and or skin there, then you might also need more lifting or tightening of either the muscle or skin.  The other think to keep in mind is that sometimes there is fullness just to the side of your chin on the the upper neck, due to large submandibular salivary glands, and the surgery to reduce them and flatten that area is not performed by all plastic surgeons due to increase complication risks.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

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