Lower face and neck lift. Is this sagging at the corner of my mouth and neck normal after 11 months? (Photo)

Question

I had a lower face and neck lift and have sagging at corner of my mouth and neck. Is this normal? I was told to do RF. And have had several. I really thought once i did the face/neck left i wouldn't have to continue spending so much money. Went to my doctor who said its normal. I'm 51 procedure was done 11 months ago.

Brian K. Machida, MD, FACS · Answer

The most common reason for the laxity in your neck is the loss of elastin in your skin due to age.  There is not much sagging at the corners of your mouth.  There are a few small marionette lines.  Also, lifts do not treat wrinkles in the lower half of the neck.  At some point, you can see if your doctor will offer a revision which is a policy common among surgeons.

Jason Emer, MD · Answer

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

Brian M. Harmych, MD, FACS · Answer

Thank you for sharing you photos and question. There appears to be only a small amount of excess skin. In general, you should expect some degree of recurrence excess skin over the first few months to one year as swelling resolves. Keep in mind that much of the accumulated sun damage has decreased skin elasticity. So, your skin is not as resilient as it once was. It is not possible to completely eliminate  the excess skin. That being said, it looks like you have a very good result. I agree with continued treatments to improve collagen and elasticity, such as RF microneedling. If microneedling ineffective, you might consider one or two laser resurfacing treatments. A fractionated CO2 laser would be most effective, as long as your skin type makes allows for this treatment. Lastly, a very small percentage (maybe 1-2%) of all patients undergoing a facelift or neck lift will require secondary surgery, such as a revision facelift or revision neck lift. Although, based on your photos this does not appear to be the case. It would be most appropriate to stick to nonsurgical treatments for further improvement. I hope you find this information helpful. Thank you again for sharing. I wish you all the best. Kind regard,
Dr. Harmych

Lower face and neck lift. Is this sagging at the corner of my mouth and neck normal after 11 months? (Photo)

Answers (3)

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Everything you need to know about Lower Facelift

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Lower face and neck lift. Is this sagging at the corner of my mouth and neck normal after 11 months? (Photo)

Answers (3)

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Everything you need to know about Lower Facelift

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