Cobra neck fix? Will I need to undergo a full revision? (Photo)

Question

I am 15 months post lower FL & necklift. Not only are the indentations under my chin unsightly, but they are very tight & restricting. What is causing this and will I need to undergo a full revision to fix it or is there a less invasive procedure that can be done? Thank you.

Derek Fletcher, MD · Answer

I am sorry you have had a less then optimal result, that is very stressful. It is difficult to determine the problem without seeing your preoperative photos and operative report. It looks like subplatysmal (deep) fat was removed, which is an important part of a deep neck lift. However, it also looks like the submandimbular glands and digastric muscles were not correctly contoured and that the platysmaplasty sutures failed. Get a second opinion from an experienced facial surgeon and bring your preoperative photos and operative report. Best of luck and stay optimistic.

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.

Zoran Potparic, MD · Answer

This type of deformity would require revision using existing scar. That involves rearrangement of tissues to fill the gap, possibly fat grafting. Good luck.

Brian K. Machida, MD, FACS · Answer

There is no limited fix for this type of result.  This type of result cannot be corrected with another SMAS lift which will only accentuate the problem. Your best solution would be from a deep plane vertical lift technique with a mandibular skin release.  You should be aware that some of the lateral submandibular fullness may be due to your salivary gland.  Also, even as good as this technique is, the concavity under your chin may not totally resolve.

Cobra neck fix? Will I need to undergo a full revision? (Photo)

Answers (4)

Answer: Full revision

Answer: Full revision

Recommended reading

Everything you need to know about Neck Lift

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

Cobra neck fix? Will I need to undergo a full revision? (Photo)

Answers (4)

Answer: Full revision

Answer: Full revision

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Recommended reading

Everything you need to know about Neck Lift

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