Do I need a revision? Neck lift (Photo)

Question

33 yo - had chin lipo and platysmaplasty w/ chin incision for minor neck laxity and fullness. I'm currently 5.5 mpo. I've noticed since 3 mpo a band on the right side and folding skin depending on how I position my neck. It especially looks bad when I turn my head to the left or diagonally upwards. I brought up my concern with my PS at my last appt 2 months ago and he didn't seem concerned but I'm not happy. What went wrong and what are my options to improve the outcome(ideally non-surgically)?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Edward Szachowicz, MD, PhD · Answer

In certain circumstances a necklift can be accomplished with only one incision under the chin. However, depending on the nature of the skin laxity, the neck muscles (platysma muscles) need to be drawn to the side through limited incisions behind and in front of the ears. This is especially important when liposuction is performed.
Often, some Botox to the platysma muscles can help with the muscle banding- I would suggest this as a next step.

Do I need a revision? Neck lift (Photo)

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Do I need a revision? Neck lift (Photo)

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