I had neck & facelift 3 months ago. I already have sagging skin on the left side of my neck. What can I do? (Photo)

Question

My doctor is supposed to be very good but I’m not pleased with outcome. One side of neck already has loose skin. The other side is taught. I have an indentation in center of my neck. Dr. Also did liposuction. He told me he couldn’t remove all the loose skin on my neck. Is this normal? I’ve already spent over $11,000 & don’t have much more money for plastic surgery. What can I do?

George A. Toledo, MD · Answer

From what I can see from these photos, it appears too much fat was removed from your submental area and the anterior platysma muscle bands were not approximated. The only treatment (in my hands and with 34 years of experience) is to wait a full 6 months and perform a revision. This revision may possibly be accomplished through the submental incision but will be difficult to perform. It will require undermining and redraping of the skin, precise approximation of the edges of the muscle and even adding fat grafts. Stay away from any laser.

Gregory Turowski, MD, PhD, FACS · Answer

Thank you for your photo and question. You are still recovering from surgery and I would not recommend performing any surgery on the area again until you have fully healed (at least 6 months). However, once you are fully healed, you should consult with a board certified plastic surgeon that is very experienced with primary and revision facial surgery as they will be able to assess your situation better in person. I think that you would benefit from a surgical procedure called J-plasma (Renuvion) which is a way to tighten the skin from the inside by heating the skin until it shrinks. Again, talk to a surgeon who will talk to you about all your options.

Jonathan Kulbersh, MD · Answer

Unfortunately, it is difficult to make any type of assessment from the images you provided. It is possible you have the indentation under your chin because too much fat was removed in that area. Residual laxity in the neck could be attributed to different factors, such as not tightening the neck muscles sufficiently when the loose skin was excised. I encourage you to schedule a follow-up with your surgeon to see if additional treatment is required.Your surgeon may recommend you wait a bit longer to allow the area to heal completely before undergoing any more procedures. Make sure you are working with an experienced, board-certified plastic surgeon that has the qualifications necessary to provide you an optimal outcome.

Jason Emer, MD · Answer

A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.
I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.

Philip S. Schoenfeld, MD, FACS · Answer

Though it is difficult to address the images that you have provided it does appear that two issues are taking place.  It appears that there wasan abundance of fat removed from the submental area and the platysma muscles are separated in the midline of your neck.  Your surgeon can perform a platysmaplasty that will tighten up the neck appropriately and alleviate that indentation underneath your chin.

I had neck & facelift 3 months ago. I already have sagging skin on the left side of my neck. What can I do? (Photo)

Answers (6)

Answer: Skin Tightening for the Neck -- Kybella, Ultherapy, Thermage, PDO NovaThreads vs VASER Hi-Def, ThermiRF, Renuvion, BodyTite

Answer: Skin Tightening for the Neck -- Kybella, Ultherapy, Thermage, PDO NovaThreads vs VASER Hi-Def, ThermiRF, Renuvion, BodyTite

Answer: Loose neck skin 3 months after face and neck lift

Answer: Loose neck skin 3 months after face and neck lift

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.

I had neck & facelift 3 months ago. I already have sagging skin on the left side of my neck. What can I do? (Photo)

Answers (6)

Answer: Skin Tightening for the Neck -- Kybella, Ultherapy, Thermage, PDO NovaThreads vs VASER Hi-Def, ThermiRF, Renuvion, BodyTite

Answer: Skin Tightening for the Neck -- Kybella, Ultherapy, Thermage, PDO NovaThreads vs VASER Hi-Def, ThermiRF, Renuvion, BodyTite

Answer: Loose neck skin 3 months after face and neck lift

Answer: Loose neck skin 3 months after face and neck lift

Browse related questions

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.