These are my results following neck lift revision surgery, what are my options? (Photos)

Question

Had neck lift revision surgery, these are the results. I'm devastated. what are my options.

Brian K. Machida, MD, FACS · Answer

Your only solution is a revision after waiting for it to heal. If you’ve already had two surgeries, you need to wait a year after your second surgery. It looks like a midline platysmaplasty was done causing the thick cord. Also the platysma has been skeletonized due to lack of fat in the submental area. The two lateral swellings could be anterior digastic muscle or submandibular gland. Your revision should not be more of the same technique. Your third surgery needs to be the last one so you should choose your surgeon carefully. The skin needs to be elevated leaving as much fat under the skin as possible. Then the platysma needs to be elevated but no muscle excised. Any submental subplatsymal fat should be leveled but not overresected and finally the anterior digastric muscle and submandibular glands addressed and partially resected…all done under the platysma to keep the result smooth. Lastly you might consider a deep plane lift incorporating a platysmal hammock to pull in the lateral submandibular area. Best of luck in your search.

Jason Emer, MD · Answer

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.

Darryl J. Blinski, MD · Answer

Thanks for series of nicely posted photos. I would offer full open neck lift revision with mini facelift combination. Fee $10,000+ Best to virtual consult with...

These are my results following neck lift revision surgery, what are my options? (Photos)

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