I had a lower face and neck lift in Aug. 2024, and while I’m satisfied with my jawline, my neck still has significant loose skin and sagging. It also has “ripples” when I look up. My skin is thin but I’m seeing before and after pictures of much older women with similar-looking skin/before pictures that look much better than I do. You’d almost never know I had a neck lift. Am I exaggerating or not being realistic, and if not, should I go back for a revision with the same surgeon?
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June 3, 2025
Answer: Revision Considerations
Jacob Tower, MDBoard Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Hello, hope you are doing well. It is possible to undergo successful revision platysmaplasty. I would advise you to wait another 6 months or so before pursuing revision surgery to allow scar tissue to mature and stabilize.
Best,
Dr. Tower
Hello, hope you are doing well. A central hollowing/depression in the neck after neck lift surgery is sometimes referred to as a 'cobra neck deformity'. This generally occurs when contouring of the soft tissue under the chin is done too aggressively. It is not expected to happen, and it can be...
I would recommend a secondary neck lift. There is still significant platysmal banding which may require direct band excision or release of the deeper attachments of the platysma on the deeper cervical fascia. I would recommend a re-evaluation by a very experienced plastic surgeon certified by...