40, 2 years post facelift - Will Ultherapy fix this? (Photos)

Question

I had a neck lift facelift at 38. Im 40 now with this thing happening Will ultherapy affect these ligaments or whatever it is?

Kally Papantoniou, MD, FAAD · Answer

Ultherapy can help with mild skin laxity, but it won’t “fix” post-facelift changes or tighten ligaments in a meaningful way.
At two years out, what you’re seeing is usually a combination of normal aging, skin quality, and underlying structure. Treatments like Ultherapy or other collagen-stimulating options can offer some tightening, but results tend to be subtle.
If the concern is more noticeable or structural, it often requires a different approach, so an in-person evaluation is important to determine whether a non-surgical option will be enough or if something more targeted is needed.

Wutinan Sithipolvanichgul, MD · Answer

Thank you for sharing your photos. Based on what can be seen here, the concern may be related to residual skin laxity, soft tissue fullness, or structural changes following your previous facelift procedure. Energy-based treatments such as Ultherapy may help improve skin tightening in some patients, although results can vary depending on skin quality and the underlying cause of the concern.
Since it has been two years since your facelift, an in-person assessment would be helpful to better understand which treatment approach may be most appropriate for your goals.
Wutinan Sithipolvanichgul, MDMember, American Society for Laser Medicine and Surgery (ASLMS)

Harpreet Singh, MD · Answer

Thanks so much for sharing the photos. Try not to stress&mdash;what you're seeing is actually incredibly common, even after a beautifully done neck lift!
Those prominent vertical lines are called platysmal bands. They pop up when the underlying neck muscles separate a bit or become overactive when you speak or swallow. Because this is strictly a muscle issue and not a skin issue, Ultherapy won't be able to fix it, as Ultherapy only targets skin laxity.
For a really natural, refined result without going back to the OR, the easiest and most effective fix is a neuromodulator like Botox or Dysport. We inject it right into those bands to relax the muscle, allowing everything to lay smooth and flat again. It's a very quick appointment, though you would need to maintain it every 3-4 months.
If you are looking for a permanent structural fix, you would want to touch base with your original surgeon about a minor revision. I usually recommend trying the injectable route first to see how you like the result before considering more surgery. Hope this helps!

40, 2 years post facelift - Will Ultherapy fix this? (Photos)

Answers (3)

More Ultherapy Questions

51, female. Are my jowls mild or moderate? Will Ultherapy help? Could it be caused by filler migration? (Photos)

Can ulthera help address crepey skin and laxity on neck?

Ultherapy for sagging skin around chin and cheek area?

Is Ultherapy helpful for reducing nasolabial folds? (Photos)

Neck lift, Ultherapy or Morpheus8 to treat neck wrinkles? (Photos)

35 year old with jowls - how can I lift the area? (Photos)

WE SEND PRETTY
EMAILS