When is meant by a revision neck lift due to complications/hematoma? (Photo)

As everyone else has mentioned, it is important to wait until the area softens in order to avoid further problems; usually about 6 months.  FaceTite is a device that places radiofrequency under the skin and on top of it.  This can help tighten the skin, break up some of the scarring, and coagulate vessels that can cause further bleeding and recurrent hematoma, particularly in the neck.  Your procedure will certainly require undermining in the neck that is, at least, equivalent to what you had before.

It is always better to wait with revisions since time help to "define" problem and eliminate influence of swelling and early scars. You should wait at least 6 months if not longer after first procedure, unfortunately. Skin excision and lower face/neck lift would be more appropriate based on this photo. Rushing with revision and not doing complete surgery would most likely end up with similar result. Good luck.

Thank you for your question, and I'm sorry you're having problems after your surgery. From your photo appears you only had an incision under your chin (not around your ears also). I think you will benefit from a revision procedure, likely using both approaches to remove the excess skin that is still present. This cannot be tighten/removed with an incision under your chin alone. Unfortunately it is always best to wait at least 6 months for the scars and tissues to soften so any revision surgery is easier and safer. Keep close communication with your plastic surgeon, or consider seeking secondary input from a different board certified plastic surgeon.Best wishes, Dr. Lindsay  

Hello and thank you for your question. How long ago was your surgery?  It sounds like you had a neck hematoma which has resulted in skin laxity of your neck.  This will likely benefit from a revision necklift.   I recommend that you discuss this in detail with your surgeon who can evaluate you in person or seek a second opinion consultation.


Best wishes and good luck.

Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Thank you for sharing your question and photograph.  Unfortunately a revision in your case will likely entail redoing the entirety of the skin dissection of your original neck lift.  This will allow for redraping of the skin to a smoother overall appearance.  Hope this helps.

After a hematoma, results are unpredictable. Often the area can be revised with a neck lift but you should wait until at least 6 months after the first procedure. Also, hematoma can occur even with a revision procedure...it is a risk with any lift.

It looks like you have some extra skin in your neck. It maybe best to wait 6 months to a year after your initial procedure to perform a revision. The problem is your tissue may be stiff and it takes time for it to soften so that a proper revision can be done.LASER Erbium treatment can help shrink it. Good luck...

Dear Juls,
Hello and thank you for your excellent question. Based on your photo, I do think that you may benefit from a revision. You may want to look into a body contouring procedure that combines both liposuction with laser, radiofrequency (RF), or acoustic therapy to produce the best balance of fat reduction and skin tightening and smoothing for your body type and anatomy. We use Smart / Laser Liposuction or VASER (ultrasound) to reduce dense, fibrous fat, and stimulate collagen formation; Radiofrequency-based skin tightening to maximize skin contraction; and Ultrasound, RF, or subcision (Z Wave, Venus, Cellfina) to treat cellulite, maximize fat reduction, and smooth out any irregularities postop. These procedures are usually performed in the office, with only local anesthesia. Patients go home the same day as surgery, do not need any narcotics postop for pain control, and can return to light exercise and work two days after their procedure. In my practice, we select the appropriate treatment for each patient based on their skin quality, amount of fat and surgical goals. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. Preoperative visualization with Crisalix can simulate what your body will look like after surgery and can help you make your decision. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Double Board Certified Plastic Surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

BeautyAdvisor Top Contributor

Marquis Who’s Who Lifetime Achievement Award Winner

unfortunately, biology does not care about your schedule.Young plastic surgeons learn quickly that trying to rush things almost always results in those things being made worse.  The standard recommendation is to wait until the scars fade and the tissue softens, which is usually 4-6 months.  Sorry.