Hello! I’m 35 years old and thin/fit. I had an extended deep plane neck lift and platysmaplasty (NO lipo) last year to address genetic sagging. My incisions start at the top of my tragus and continue around the ear to the top of the back of my ear. They do NOT extend along the hairline behind my ear. I also have an incision under my chin. My original goal was to remove loose skin under my chin and improve the shape of my neck- which was sloped/ obtuse / c-shaped - to a more of a 90 degree right angle. I am now more than 6 months post-op and extra skin is still present and the shape didn’t improve. He said my hyoid bone had an “average” position - not low, not high. I was offered a revision to remove more skin using the incision in back of ear only. I’m looking for advice on what at has to happen during the revision to get a more defined, 90 degree angle neck? I trust my doctor but want to be well-informed.
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April 18, 2025
Answer: Correction of post necklift residual skin excess.
If a platysmaplasty was done three months ago with wide undermining, there may have been skin laxity that was not optimally re-draped, and that skin is now re-adhering to the platysma. Or the platysma may not have been sufficiently released so it is still banding across the neck angle.
An...
With regard to the hollows, the usual necklift in a presumably thin patient may remove the fat above, but not below the platysma. In difficult necks with obtuse angles and subplatysmal fat, additional surgery is done including removing subplatysmal fat and shaving off the anterior surface of the...
Much more information is needed, such as a full set of facial and neck photographs from all angles with your hair, pulled back behind your ears, your age, and a copy of the operative report to find out what was accomplished in the first procedure.