American Society of Plastic Surgeons
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Dee B911
3 months ago
Answered

Can this be fixed.

I had a neck lift on 1/2. Initial results were thrilling. But, I noticed a change in wk 4. I called wk 5, and was seen wk 6. I was told it was my 'anatomy' and I had to heal. I went again & expressed concern, told it was my anatomy. I went back b/c this is clearly a fail and was told there is nothing he can do. My skin was smooth and I never had these bands before surgery. Pics in second response.

Procedure: Neck Lift
Type: Question

Replies 5

Debra Johnson
ASPS Surgeon
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Since it is now over 6 months since your surgery, the results should be fairly settled. If you haven't seen your surgeon since week 6, then I would returnto his office and the two of you can discuss your concerns. Perhaps a touch-up would be suggested. If you aren't satisfied with the results of the discussion with your surgeon, perhaps seeing another ASPS member surgeon for a second opinion would be helpful. Good luck.

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Larry Weinstein
ASPS Surgeon

If you are not satisfied with your results, see your plastic surgeon and determine if he can offer any procedure to improve it. Necks can be tricky. If fat was removed by liposuction or directly, platysmal neck muscle bands may be more visible. There are minimally invasive procedures to enhance a neck. Sometimes swelling postoperative causes skin stretch that may be rectified with a secondary procedure. See a board certified ASAPS plastic surgeon for another opinion if you are not happy. Good luck and stay safe...

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Alexander Anzarut
ASPS Surgeon

Thank you for your question. There is no photo with your question. There is no single procedure that all surgeons use to perform a neck lift. Any procedure used to rejuvenate the neck is referred to a neck lift. This makes things confusing for patients and physicians alike. In my own practice I approach the neck by treating the deep layer. I remove fat from below the platysma muscle and trim the digastric muscles and sub-mandibular glands as needed. Once this is completed the platysma muscle is tightened and skin removal may be required. Some patients may also benefit from a chin implant or even mandibular angle implants. This is also known as a couture lift and was popularized by Dr. Bruce Connell. He was one of the great pioneers in neck and face rejuvenation surgery. There are many ways to perform primary and secondary surgery. I agree with the other suggestions. See a board certified plastic surgeon and ask to see their before and after long term results (>12 months postop)

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Nelson Castillo

Thank you for sharing your question. Without photographs it is difficult to comment but now into your seven month of recovery it would be best to seek a second opinion. Best wishes.

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Curtis Wong
ASPS Surgeon

It is challenging to appreciate your concerns except that you now have band in your neck. Without knowledge of what was done and what you looked like pre-op, anything said is pure speculation. Its recommended that you try to resolve with with your surgeon and perhaps your surgeon will arrange for a second opinion for you (sometimes we do that when a patient's concerns are not reflective of what we see). Regardless, if you cannot work this out with your surgeon, then its time to get a second opinion from a board certified and experienced plastic surgeon.

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