Skin stuck to muscle after neck lift and fat removal, what can be done, adhesion release? (Photo)

Thank you for your question and sharing your photograph. I am sorry to hear about your concerns.

In general, releasing the adhesion will not produce a lasting impact unless there is an interposition of tissue to prevent the scar from reattaching the undersurface of the skin in that region to the platysma muscles. Fat transfer is a reasonable option, and during the fat transfer, it is possible to perform subcision in that area, which is effectively a more limited form of adhesion release.

It may actually be necessary to carry out a sequence of two fat transfer interventions. The first procedure allows the tissue to soften, and the second allows for additional fatty tissue to be placed under the scar and under the chin for a better result.

You should also carefully consider whether, at the end of your treatment for the autoimmune condition, the swelling of the submandibular glands may reduce. If this occurs, it could lead to excessive volume in the central part of the neck. For this reason, a more conservative approach is likely to provide the best outcome.