10 months post op Facelift and Neck Lift. Do I have a "cobra neck" ? (photos)

Question

I had a face and neck lift 10 months ago. My face has improved but the area under my chin looks strange. I feel like I have traded one problem for another. Is there anything that can be done to repair my deformity? Thanks.

Harold J. Kaplan, MD · Answer

No, this is not a cobra-head deformity. You do need a revision of your platysmaplasty and at 10 months your surgeon should be able to improve the situation. A true cobra-head comes from too much liposuction and your problem seems to be a muscle repair problem.

James Bonaparte, MD, MSc, FRCSC · Answer

Thanks for your question,After viewing the photos, i do not see a Cobra deformity but as you noticed, there is fullness under your chin. To me it appears as though there is some loose tissue however it is impossible to discuss and diagnose without an examination. I recommend seeing your surgeon or another surgeon for a 2nd opinion. James P. Bonaparte, MD, MSc, FRCSCHead and Neck Surgerypracticing in Facial Plastic and Reconstructive SurgeryAssistant Professor, University of OttawaOttawa, Ontario, Canada

Kevin Sadati, DO · Answer

Based on your pictures, you do not have cobra neck deformity. There are excess tissue at jowls area that require revision. I would discuss this with your surgeon. If he is not willing to do a revision, please seek an experienced facelift surgeon.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about facelift.  It is difficult to tell from pictures only.An in person consultation with a plastic surgeon is necessary.To be sure, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.I hope this helps.

Vincent N. Zubowicz, MD · Answer

There is too much residual skin on the lateral aspects of the neck that will require surgical revision for correction.

Toby Mayer, MD · Answer

Youhave excess lateral platysma muscle and or fat. This happens occasionally when doing a platysma plasty Because excess platysma muscle or fat is present. Return to your surgeon and he can usually do this procedure under local anesthesia to remove the excess.

Gustavo A. Diaz, MD · Answer

Hi. Lets start by saying that the preferred way to evaluate your problem would be a person to person consultation. Based of you pictures you do not seem to have a cobra deformity problem. I think that you still have some fullness on your lateral platysmal to submental area. This can be corrected easily. Go to your original surgeon for his opinion. Most of us will see the problem and correct it by a minimal charge for instruments and sutures. Usually there is no charge for the surgeons fees. Hope this helps.Dr. Gustavo A. DiazDouble Board Certified Facial Plastic Surgeon

Jeffrey K. Scott, MD · Answer

It is not possible to delineate all aspects of this post op appearance without a careful examination as well as an evaluatiion of your pre operative photos. You certainly should discuss your concerns with your surgeon if you have not yet done this. I'm certain that some form of revision would improve this appearance.

Henry Mentz, MD, FACS · Answer

Thank you for your question and photos. Based on your photos, your results don't look that great. After 10 months, you are already fully healed and you should see your final results. You may need a revision facelift and neck lift surgery. Please consult with a board certified plastic surgeon who performs at least 100 of these procedures per year. 1. Begin with a board certified
plastic surgeon and visit several offices
2. Seek a surgeon who does at least 100 of these procedures per year
3. Internet discussions do not replace the advice of your physician

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the photos and question but an examination is really neede to understand what the problem is so go back to your surgeon for advice or seek consultation with other experts in your area.Dr. Corbin

10 months post op Facelift and Neck Lift. Do I have a "cobra neck" ? (photos)

Answers (12)

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