Revision for excess skin under chin/neck 8 months after facelift? (photos)

Question

Eight months after facelift, have developed two sagging skin sections under chin/neck either side of center of neck. Surgeon who performed the procedure is suggesting local anesthesia with an incision in the under chin scar to redrape and remove any excess skin and fat and see what’s happening. Based on the pictures, does this seem like a reasonable fix or at least potential improvement? Thank you!

Brian K. Machida, MD, FACS · Answer

The areas of swelling might represent muscle vs fat or salivary gland under the muscle.  In order to tighten the muscle further, it might require approaches from the submental area under the chin, as well as from the sides via a facelift incision.  You can get further tightening this way.  However if it is due to fat or gland under the muscle, it may look better but not totally resolved with a revision surgery, because fat and salivary gland under the muscle cannot be removed with facelift surgery.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question.  If you want an L shaped neck you would need to remove the fat, which is normally achieved by neck liposuction.  You would need to completely liposuction the area, before dragging the skin tight.  This would ensure the longevity of the results and achieve a slender neck.  All The Best

Andrew Campbell, MD · Answer

Something as simple as some liposuction on each side may give you the improvement you desire. There is very little if any downtime with this. Your surgeon's recommendation also seems reasonable.Andrew Campbell, M.D.
Facial Rejuvenation Specialist
Quintessa Aesthetic Centers

Dilip D. Madnani, MD, FACS · Answer

It sounds reasonable to go back in there and try to correct whats happened, without seeing you in person, i don't know if only a front approach will improve it, but its possible that it can be improved by taking a look and seeing whether its residual fat or the platysma muscle needs to be redraped and tightened along with the overlying skin. If there is a lot of loose skin, that may also need to be removed, but if you are only 8m after the initial surgery, its unlikely that is the case.

Ross Blagg, MD · Answer

Hello,You're doing the best thing by telling your surgeon your concerns. If he/she feels that it can be improved with an office procedure that's the easiest thing to do. All the best in your journey,Dr. BlaggAustin, TX

Revision for excess skin under chin/neck 8 months after facelift? (photos)

Answers (10)

Answer: Unhappy with neck results after neck lift and facelift

Answer: Unhappy with neck results after neck lift and facelift

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Revision for excess skin under chin/neck 8 months after facelift? (photos)

Answers (10)

Answer: Unhappy with neck results after neck lift and facelift

Answer: Unhappy with neck results after neck lift and facelift

Answer: Facelift revision

Answer: Facelift revision

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Everything you need to know about Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.