Puckered skin in front of ears after neck lift. Any suggestions? (photos)

Skin bunching in front of ear after neck lift?  This is what happens if a isolated neck lift is done without extending the incision inside the ear more superiorly. This may go down with time but if still present after 3 to 6 months you will need a revision.

Thank you for sharing with the physician community here on RealSelf.com.  It does appear that you did indeed have an isolated necklift (versus a jawline and necklift combined approach). By having a isolated necklift (without the lower face and jowls being addressed), your surgeon started his/her incision in front of the earlobe and went underneath it and behind the ear in the back crease (with ending in the hairline behind the ear, most likely). There appears to be no incision along the front contour of the ear. Due to the apparent laxity and quality of your skin and the lack of incision in the front of the ear, the skin in the front of each earlobe was bunched up during closure. Usually in time (up to 6 months perhaps), this pleated skin can smooth out to some degree and appear just as normal wrinkles, which is acceptable. There is a chance that they remain bunched and unacceptable, and at this point (more than 6 months post-procedure) you may consider a small procedure to relift just that area of skin and adjust how it lays down. So for now just give it time to heal on its own.  Light daily massage over the area may be beneficial, but please check with your surgeon before doing so. Good luck!