Age 43, neck lift gone wrong & options? Face & neck lift with platysmaplasty 7 years ago (Photos)

I'm sorry to hear about your experience. Given your concerns and upcoming wedding, it's important to explore options for improving the appearance of your neck. Considering your history of a previous neck and facelift with platysmaplasty, I would recommend going in person to a facial plastic surgeon for an examination. It really depends if the source is excess submental fat, muscle laxity, or other factors. Treatment could involve addressing submental fat with liposuction, revising the platysmaplasty, or considering other techniques to improve the neck contour.
It's important to communicate your specific goals, concerns, and timeline, especially with your upcoming wedding, with your surgeon. The surgeon can then tailor a treatment plan that addresses your unique situation and helps you achieve the best possible result, taking into account the timeframe before your wedding. I tell all my patients to plan surgery at least 4 months before any major event like this. Remember that each individual's situation is unique, and a personalized consultation will provide you with a clear understanding of your options and potential outcomes.

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.

Hello,
Thank you for your question. Based on your photos, a revision necklift can help improve this area. This can be done wide awake using local anesthesia and oral medications to help you relax. Patients do incredibly well with this and it avoids the side effects of general anesthesia. You might even be able to get away with only an incision under the chin without reopening the incisions around the ears. It can be made better in time for those wedding photos.
Mark G. Albert, M.D., F.A.C.S.New York, NY

The platysma muscle is a challenging muscle to treat in the anterior neck because it has no significant attachment to the underlying structures. This can sometimes result is return of laxity after a neck lift. The muscle. can also become more visible in patients with thin skin or if too much fat is removed at the time of surgery. It is difficult to fully assess your contour concerns in the photographs alone without a physical exam. However, there appears to be midline fullness due to platysma muscle relaxation or mild redundancy with a depression adjacent to the midline (which could be due to dermal scarring vs loss of subcutaneous fat. In addition, platysma hyperactivity can result in excessive platysma banding (corrected with Botox). Platysma relaxation/redundancy can often times be treated with a neck lift revision (additional tightening/removal of excess platysma). The adjacent depression may be able to be addressed with dermal fillers in the office or nanofat grafting to the underlying dermis to eliminate the depression. I would recommend evaluation with a facial plastic surgeon/plastic surgeon who specializes in deep plane face/neck lifts for a complete examination and discussion of best treatment options.