Best Solution for Redundant Lax Neck Skin After SMAS Lift?

It’s not unusual to see a small amount of loose skin return after a facelift, as unfortunately a surgical facelift cannot address actual skin quality. If the amount of lax skin that has returned is small enough, you may benefit from a non-surgical skin tightening option such as the Titan laser. Otherwise, a minor revision necklift may be done at least a year following your previous facelift. I would suggest discussing your concerns with your plastic surgeon to come up with the best plan. I hope this helps.

A small amount of relaxation of skin is normal and expected after a facelift.  This generally begins to show around 3 - 6 months after surgery but it is a small amount and occurs as a result of 'give' from the skin stretch from the surgery.  Depending on how you're aging, genetics, skin quality, the skin excess may increase with time even as soon as 2-3 years.  It sounds like you have a good rapport with your surgeon so I would reapproach him and discuss your options.  If you are a candidate for nonsurgical tightening modalities, he or she will discuss this with you though these devices are based on a certain amount of elasticity innately present in the skin and this decreases with age decreasing the effectiveness of these devices.  Getting a 'tuck up' with the same surgeon will be best option if this bothers you as he or she will most likely discount the procedure since you had the first one with them as well. 

If laxity is minimal, you may want to consider Ultherapy. Ultherapy is a great non-surgical way to treat minor sagging skin. If the sagging is significant, then you may need a limited revision facelift. Discuss this with your plastic surgeon as he can asses your situation. 

A facelift addresses the jowl and neck by tightening the underlying SMAS and platysma. The neck improvement depends on how extensive your surgeon addtiionally addressed this area. For example was a separate incision made under your neck and a playtysmaplasty done?Was there extensive undermining of the skin in the area of the "turkey waddle", etc. Each of these maneuvers improves the result if applicable to you.

Also realize that in most cases after the  swelling resolves afterwards together with the  natural loss of elasticity in most patients, subsequent skin relaxation to a degree will be seen in some patients.Three to  six months after facelift surgery is when this usually is apparent. This can be corrected if desired in most cases

It's great that you're pleased with the results of your facelift.  Small revisions can be done around 8-12 months after the initial surgery and all of the swelling has resolved.