Sagging sides 9 years after neck lift surgery. Is this fixable? (Photo)

Based on your photo, you are a great candidate for a lower face and neck lift. While the skin may not look perfect, you should get a great improvement along the jawline and under the chin and neck. Be sure to see a facial specialist for consultation.

In general, the results from a face or neck lift last about ten years. At this point, it is likely that you may need to repeat the operation to get acceptable results. If your jowls returned following the initial procedure, I would seek a provider that can provide a maintenance treatment such as EmFace, TriLift, or other RF/muscle stimulation devices that can help to maintain your result.

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question and submitting your photograph.

In general, the laxity that you are concerned about is addressed better with a vertical vector. This means that it is captured by a facelift intervention, and in particular, if the facelift procedure uses scars that extend in front of the temple hairline.

This allows for removal of skin that directly addresses the laxity under the chin in a more consistent and lasting manner than when it is tensed laterally with a more oblique vector.

You need a revision full face necklace with muscle supplication based on your posted photo. Expect free to range from $10-$20,000. Best of virtual consult with.