Facial Plastic Surgery Questions and Answers: Part 4

Question: Age 52 loose skin, do I need a neck lift?
Answer: It’s important to look at a full set of facial photographs from all angles in a chin neutral position in order to make a determination about either a neck lift, or a lower face and neck lift. If you have loose and inelastic skin, you’re probably going to be a candidate for a face and neck lift procedure. In our practice, a lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck, in addition to a platysma plasty to significantly improve your jawline.

Question: Thread lift after skin only facelift?
Answer: A mini facelift, or a skin only facelift, would be a very poor choice, because all of the tension is now placed on only the skin, which will give poor/visible scars. It’s very important to tighten the muscles underneath the skin, and not put in any tension on the skin itself when performing a lower face and neck lift procedure. Thread lifts have minimal to no benefit.

Question: What is the best option for treating my turkey neck
Answer: A full set of facial and neck photographs from all angles are usually required to make a determination about how best to proceed. The laxity in your neck will require a lower face and neck lift procedure to tighten that skin in that location.

Question: What can I do to minimize the appearance of red surgery scars 7 months post op? 
Answer: Unfortunately, too much tension has been placed on you skin creating the red scars. You’ve got wide and hypertrophic scars, in addition to improper placement of the previous incision. You also have a pixie ear lobe on both sides. You should probably wait at least a year, and then, if there’s enough laxity in your face, you need to undergo another facelift procedure in order to be able to place the incisions in a much more inconspicuous position. The amount of facial laxity will be a key driver on what you can accomplish trying to completely remove these old incisions. The pixie earlobes can also be repaired simultaneously. Choose your second surgeon very wisely based on extensive experience producing natural results. Study your prospective surgeon’s before and after facelift photo gallery, and pay attention to the detectability of the incision itself in the after photos.

Question: What can I do about my chin/lower face? 
Answer: The Limited Photographs demonstrate a recessive chin profile And fat deposits in the neck. Consider placement of a chin implant to augment the chin forward, and give additional width in the pre-Jowl sulcus area. A neck lift procedure with removal of fat in the neck and a platysma plasty would significantly help your profile. At age 39, no skin removal should be required.

Question: 45, I would love surgery to look my best now, what do you recommend?
Answer: It really depends upon what is specifically bothering you. From your side profile photographs you have a recessive chin, so consider placement of a small chin implant which would not only help with the augmentation in the forward projection, but also give a bit of augmentation on the side of your chin just in front of your jowls which is called pre-jowl sulcus. You also have jowls, and significant fat deposits in your neck located both above and below the platysma muscle in your neck. To address those issues would require a lower face and neck lift procedure. In our practice, this accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing both compartments fat above and below the platysma muscle and a platysma-plasty to significantly improve your jawline. Choose your surgeon wisely based on producing lots of natural looking results.

Question: Am I at 41 years old a candidate for a neck lift after prior liposuction under my chin? 
Answer: The photographs appear to show platysma bands which can be addressed with a platysma-plasty which is part of a neck lift procedure. Age 41, your skin tone should be just fine, however in the event that your skintone is quite loose, You’ll need a lower face and neck lift. This will probably need to be sorted out in-person.

Question: Help! I’m 34 with a saggy neck – suggestions? 
Answer: Much more information is needed which includes a full set of facial and neck photographs from all angles, and any other associated medical history as to why there’s such significant laxity in your neck at such a young age. Was there a massive weight loss situation? When there is significant laxity such as noted in the photographs, a lower face and neck lift may be required.

Question: Can another facelift/necklift revision fix this sagging? 
Answer: The inelasticity in your neck Will require a revision lower face and neck lift, which would accomplish tightening loose facial and neck skin, tightening loose facial neck muscles, Performing scar revision, lifting the jowls, and removing any residual fat deposits in the neck.

Question: Can I do revision rhinoplasty and fat transfer to the face at the same time?
Answer: Yes, both procedures can be performed simultaneously. Revision rhinoplasty is one the the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so it’s important to choose your plastic surgeon based on extensive experience.

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