2 rounds of liposuction and one facelift done, left with uneven droopy neck. Are there options for fixing this? (photo)

Question

Have had 2 liposuction procedures and a face lift and I still have a droopy, uneven, floppy neck. Is there any hope or should I just live with these results?

Michele A. Shermak, MD · Answer

Hello!
Yes, this may be fixed. The muscle needs to be released from overlying skin and reopen your prior face incisions. The platysma muscle needs to be repaired in the midline and suspended at the sides. You will need to allow time to heal from your last surgery. I would strongly recommend you visit with an experienced, board certified plastic surgeon. You can find one at plasticsurgery.org.
Best of luck to you!

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. You are likely a candidate for a lower rhytidectomy, also known as a neck lift. This procedure targets the neck and throat directly by removing submental fat and tightening the skin.
You may require an additional procedure known as platysmaplasty to tighten the muscles around the neck to achieve the best results. Lifting the deeper tissues prior to excising loose skin can produce natural-looking, long-lasting results. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and medical history prior to suggesting the best option for you.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photograph.

I am sorry to hear regarding your difficulties following surgery.

In general, this type of problem requires a necklift intervention to release the tethered skin under the chin and redraping over the platysma muscles. It may also benefit from a deep plane neck contouring to enhance the definition of the lower jaw.

It would be worth discussing this with your surgeon to understand whether they would be comfortable and happy to offer this treatment.

Salvador Medina, MD · Answer

Hello Generous202648.To correct that deformity we need to do an incision under the chin to work the muscles and then do a neck lift pulling laterally to flatten the neck.Probably redoing all the face and neck for a better result.But it is possible to achieve a flat neck.
Dr. Medina

Zoran Potparic, MD · Answer

This is very limited photo! Based on this photo, you will benefit from neck revision which will include not only anterior neck, but very likely, whole neck and face. Unfortunately, without in person evalaution it is impossible to give you more accurate evaluation and plan of treatment. You should seek a second or third opinion of a surgeon with a good reputation in face/neck lifts. Good luck.

Brian K. Machida, MD, FACS · Answer

In the future, please include full-face views so we can see the status of your lift.  Liposuction has skeletonized your muscle and caused adhesions to the skin.  This will improve somewhat by waiting an entire year,  The fullness on the right side is likely under the muscle and may be prominent digastric muscle or submandibular gland.  On revision, the area under the muscle may need exploration and reduction of those structures. Repeat liposuction will likely not be helpful.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! Sorry that you're experiencing trouble. There are options available. If the platysma muscle hasn't been properly addressed in the midline, that might need to be done. This would be a form of a revision of the neck and possible facelift. If there is damage to the underlying dermis of the skin, Morpheus8 or fat transfer may help to provide smoothing and contour improvement. I would seek consultation with a facial plastic surgeon to see what options exist if you're uncomfortable with returning to your prior surgeon. Hope this helps!

Darryl J. Blinski, MD · Answer

Sorry for your poor outcomes. Based upon the 1 posted photo I guess a full open neck lift with SMAS plication is needed. Fee $10,000. Best to virtual consult with....

2 rounds of liposuction and one facelift done, left with uneven droopy neck. Are there options for fixing this? (photo)

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