Neck Lift Problems? What should I do to fix?

If you are continuing to have problems even after revision, then it's reasonable to seek 2nd opinion. Remember, it's not that your surgeon is not correct, just other surgeon may offer a different perspective on the same problems that you are describing. If it's this important to you, why wouldn't you consider seeking another opinion? Maybe it will reaffirm your original surgeon's treatment plan. At least give yourself the peace of mind that you are doing everything you can with it.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

     An adherent skin flap without fat tissue intervening can be improved with fat grafting, but pictures may illustrate a different problem.

You need to see a very experienced facelift surgeon for a second opinion.  This is a difficult problem and you  do not want to be worse. 

Based on the surgical experience you describe, I think you should listen to your "inner voice" telling you something may not be right, especially if the opinion of your original surgeon continues to change when the surgical problem at hand has not.

Adherent skin, too much fat excision, and tethering after surgery may be telling you that the original approach to your cosmetic concerns may not have been optimal. Certainly different surgeons can have different opinions, and often several surgical approaches might be considered for a specific cosmetic concern, but excisions and V-Y advancement flap reconstructions sound misapplied to this (loose neck skin and some "extra" fat) cosmetic concern.

I'd suggest additional consults (at least two) with ABPS-certified plastic surgeons experienced in facelift/necklift surgery. Your present recommendation just sounds a bit "off" to me, and I worry that your surgeon may not be a fully-trained and American Board of Plastic Surgery-certified plastic surgeon. Please verify credentials, and don't just accept a doctor telling you s/he is a "board-certified plastic surgeon." (Certified by what board? Plastic surgeon, facial plastic surgeon, or "cosmetic" surgeon?) Please do this before undergoing any additional surgery by your initial surgeon; even if this recommendation is absolutely on the up and up, at least you will have peace of mind, and will be aware of any other options available to you! Best wishes! Dr. Tholen

What you are describing is a difficult problem to correct. I would seek multiple opinions from very experienced facial plastic surgeons who have done revision work in the past. You do not want to keep doing revision procedures that could ultimately make a suboptimal situation worse.

Hi.

I suggest you get two other opinions.  Removing too much fat is not rare and it is quite difficult to improve.

Without a picture its hard to give you adequate advice. You need to get a second opinion, for better results.