Im1year post op from chin liposuction and unfortunately my surgeon did not do a great job. He was very aggressive and removed too much fat leaving me with neck bands showing -noticeable when I look up or make certain facial expressions. Is there a way to correct this with fat grafting? Where do I go to find a reputable surgeon to correct this? Please help!
Answer: Tread Lightly Hello, hope you are well. As you learned, there is a 'sweet spot' in submental adiposity. Fat can be removed to a point, but can skeletonize deep structures if removed too aggressively. Conversely, fat can be added by grafting, but one needs to tread lightly, and it can be a challenge to camouflage platysma bands without going to far or potentially causing other problems. The main issue with fat grafting is that there is always a degree of uncertainty with how much of the graft will survive and if it will do so evenly, and so on. Sometimes multiple treatments are required. Alternatively, you could try botulinum toxin treatments to the platysma which can be very effective in eliminating or reducing the visibility of bands. Or a surgical platysmaplasty (via a small incision under the chin) would be a reasonable approach to eliminate the banding. Determine your best option, advantages/disadvantages, and the nuances of each treatment by meeting with a specialist in plastic surgery of the face and neck. Hope this helps!
Helpful
Answer: Tread Lightly Hello, hope you are well. As you learned, there is a 'sweet spot' in submental adiposity. Fat can be removed to a point, but can skeletonize deep structures if removed too aggressively. Conversely, fat can be added by grafting, but one needs to tread lightly, and it can be a challenge to camouflage platysma bands without going to far or potentially causing other problems. The main issue with fat grafting is that there is always a degree of uncertainty with how much of the graft will survive and if it will do so evenly, and so on. Sometimes multiple treatments are required. Alternatively, you could try botulinum toxin treatments to the platysma which can be very effective in eliminating or reducing the visibility of bands. Or a surgical platysmaplasty (via a small incision under the chin) would be a reasonable approach to eliminate the banding. Determine your best option, advantages/disadvantages, and the nuances of each treatment by meeting with a specialist in plastic surgery of the face and neck. Hope this helps!
Helpful
May 9, 2023
Answer: Need to come in to consult For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.
Helpful
May 9, 2023
Answer: Need to come in to consult For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.
Helpful
May 7, 2023
Answer: Platysmal bands showing after aggressive lipo
Helpful
May 7, 2023
Answer: Platysmal bands showing after aggressive lipo
Helpful
May 7, 2023
Answer: Consider A Nonsurgical HA Filler Necklift For Treating Vertical Neck Bands You might wish to explore the use of HA fillers for treating this problem. A robust HA filler can be used to lift and pull the bands laterally to smooth them and a low viscosity, cohesive, malleable HA filler can be used in boluses in the midline for further smoothing and the promotion of new collagen and elastic fiber synthesis. I gave up fat transfer many years ago. For one thing, the procedure is relatively expensive. For another, it is a two step, minimally invasive (means expect downtime and swelling) and usually requires the use of larger cannulas. For another, despite promises to the contrary, much of the transplanted fat, separated from its original blood supply does not survive in the new location, And finally, fat retains the characterisiics and properties of the area from which it is taken. So, if it is taken from the buttocks, thighs and belly, when these areas develop midriff bulge, so, too, may the fat transplanted into the neck. You would be wise to consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.
Helpful
May 7, 2023
Answer: Consider A Nonsurgical HA Filler Necklift For Treating Vertical Neck Bands You might wish to explore the use of HA fillers for treating this problem. A robust HA filler can be used to lift and pull the bands laterally to smooth them and a low viscosity, cohesive, malleable HA filler can be used in boluses in the midline for further smoothing and the promotion of new collagen and elastic fiber synthesis. I gave up fat transfer many years ago. For one thing, the procedure is relatively expensive. For another, it is a two step, minimally invasive (means expect downtime and swelling) and usually requires the use of larger cannulas. For another, despite promises to the contrary, much of the transplanted fat, separated from its original blood supply does not survive in the new location, And finally, fat retains the characterisiics and properties of the area from which it is taken. So, if it is taken from the buttocks, thighs and belly, when these areas develop midriff bulge, so, too, may the fat transplanted into the neck. You would be wise to consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.
Helpful
May 6, 2023
Answer: Liposuction results Delivering consistent quality, liposuction results is more difficult than most people realize. For this reason, I recommend patients be very selective about using providers. I recommend patients have multiple in person consultations before scheduling surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients in the past. And experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Helpful
May 6, 2023
Answer: Liposuction results Delivering consistent quality, liposuction results is more difficult than most people realize. For this reason, I recommend patients be very selective about using providers. I recommend patients have multiple in person consultations before scheduling surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients in the past. And experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Helpful
