I had a facelift in November with persistent neck skin laxity in the very center of my neck. After the initial facelift, the neck skin laxity was actually more noticeable since the rest of my face was lifted. After the revision, there is no discernable improvement in this area. Both the initial facelift and revision were done by cutting around my ears and tightening the muscle. I did not have any submental incision. Is this what I need to get this area tightened?
Answer: Disappointing results Thanks for your question. I'm sorry to hear that you have been underwhelmed with your results. It is difficult to say exactly what could or should have been done without photographs or an inperson evaluation. However, if you have heavy bands and separation of the platysma/neck muscles, opening the neck with a submental incision is usually helpful. Typically, this allows the surgeon to remove central fat, tighten the bands in the midline, and shape the tissues underneath the skin. Then the skin that is removed from the sides of the neck and behind the ear will redrape and provide a smoother neck contour. While it's not incorrect to keep the neck closed, I find that it is very patient specific and if you have had a recurrent problem, approaching it with the same surgical technique is probably not going to produce different results. Good luck, Christopher C. Chang, MD
Helpful 1 person found this helpful
Answer: Disappointing results Thanks for your question. I'm sorry to hear that you have been underwhelmed with your results. It is difficult to say exactly what could or should have been done without photographs or an inperson evaluation. However, if you have heavy bands and separation of the platysma/neck muscles, opening the neck with a submental incision is usually helpful. Typically, this allows the surgeon to remove central fat, tighten the bands in the midline, and shape the tissues underneath the skin. Then the skin that is removed from the sides of the neck and behind the ear will redrape and provide a smoother neck contour. While it's not incorrect to keep the neck closed, I find that it is very patient specific and if you have had a recurrent problem, approaching it with the same surgical technique is probably not going to produce different results. Good luck, Christopher C. Chang, MD
Helpful 1 person found this helpful
April 8, 2017
Answer: Persistent facelift laxity As indicated photos would be helpful. Persistent skin laxity after facelift surgery can be due to either factors such as skin quality or relate to the procedure carried out. You may benefit from more surgery or treatment of your skin with facial laser resurfacing or radiofrequency devices.
Helpful
April 8, 2017
Answer: Persistent facelift laxity As indicated photos would be helpful. Persistent skin laxity after facelift surgery can be due to either factors such as skin quality or relate to the procedure carried out. You may benefit from more surgery or treatment of your skin with facial laser resurfacing or radiofrequency devices.
Helpful
April 6, 2017
Answer: Neck lift with a facelift I do a neck lift 90% of the time with my facelifts, as this ensures tightening of the platysmal bands around the center of the neck. Sending pictures will be helpful to see whats going on. What you are alluding to is correct.
Helpful
April 6, 2017
Answer: Neck lift with a facelift I do a neck lift 90% of the time with my facelifts, as this ensures tightening of the platysmal bands around the center of the neck. Sending pictures will be helpful to see whats going on. What you are alluding to is correct.
Helpful
April 5, 2017
Answer: Persistent skin laxity after facelift and revision Your question is difficult to answer without examining you and knowing exactly what was done during your initial facelift and the revision. In most cases, a facelift would address excess skin in the neck and the lower part of the face. The incision for this procedure would normally begin somewhere around the temple and then come in front of the ear, behind the ear and either into the hair at the side of the head or down along the hairline on the side of the head. If your incisions were not this extensive, that could be the reason for the laxity in the neck that you are still seeing.
Helpful
April 5, 2017
Answer: Persistent skin laxity after facelift and revision Your question is difficult to answer without examining you and knowing exactly what was done during your initial facelift and the revision. In most cases, a facelift would address excess skin in the neck and the lower part of the face. The incision for this procedure would normally begin somewhere around the temple and then come in front of the ear, behind the ear and either into the hair at the side of the head or down along the hairline on the side of the head. If your incisions were not this extensive, that could be the reason for the laxity in the neck that you are still seeing.
Helpful
Answer: It sounds like you need more work done below your chin. they are different philosophies as to how to approach the neck. Some surgeons who perform facelifts do everything from around the ear,pulling the neck muscles laterally. Most surgeons use the incisions around the year but also an incision under the chin to tighten the muscles on the anterior neck. This is the approach I use most of the time if there's a problem in the anterior neck because I don't think it's easily corrected just by pulling laterally. Speak with your surgeon about this and if you are not comfortable with his answer, seek a second opinion from a qualified plastic surgeon
Helpful
Answer: It sounds like you need more work done below your chin. they are different philosophies as to how to approach the neck. Some surgeons who perform facelifts do everything from around the ear,pulling the neck muscles laterally. Most surgeons use the incisions around the year but also an incision under the chin to tighten the muscles on the anterior neck. This is the approach I use most of the time if there's a problem in the anterior neck because I don't think it's easily corrected just by pulling laterally. Speak with your surgeon about this and if you are not comfortable with his answer, seek a second opinion from a qualified plastic surgeon
Helpful