If the platysma muscle edge had been resected at a previous surgery, then the platysma probably would need to be sharply undermined for several centimeters on each side to allow the widely separated muscle halves to stretch and slide to the midline for the inverting approximation. Obviously most men can camouflage most of the scar in their beard line. Choosing which form of a neck lift you should consider depends on the cosmetic concern, whether it is excess skin or muscle on the neck. Dr. LaFerriere: I do not think I would do anything different in this patient. Notice how small the scar is in length and it is in the submental crease. Dr. Pitman: How would you deal with her prominent chin? The marked facelift incisions are then completed with a 15 blade and the skin flaps are raised in the subcutaneous plane with facelift scissors. You should limit all physical exertion for one week and only resume normal activity gradually thereafter. The only thing I would do differently, and probably because it is a revision lift, would be not to attempt a SMAS flap. I would excise no skin from this neck. Puckering under chin after neck lift for women. SKIN REDRAPING AND CLOSURE. New York: McGraw Hill, 2000. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Limited skin flap elevation is performed in faces with mild skin laxity and wide malar width. 1-mg clonidine patch is placed. Excess fat removal on the neck. But in this limited approach, through a submental incision, I stay away from actually trying to resect the gland. I am concerned that she has mentalis hyperfunction, and along with her lower lip complex, this might be suggestive of a previous weak chin. Dr. Feldman, is this another patient in whom you would not remove any skin from the neck? I personally do not resect glands. Puckering under chin after neck lifting. Whether you weren't satisfied with your first facelift procedure or you simply need a touch-up, Dr. Frankel is here for you. However, in this patient it appears that the tails of both parotid glands may be somewhat enlarged, accounting for the fullness in the area below the earlobes. When it is time for surgery, we'll head into the operating suite. 2017 Plastic Surgery Statistics Report, American Society of Plastic Surgeons, Available at. It is common for patients to feel areas that are a bit hard or numb in the months post procedure. Other recommended procedures. This neck lift surgery method focuses on removing excess skin from around the neck that creates a sagging look.
With minimal scarring and short recovery periods, a neck lift could provide you with an improved look to your neck without extreme disruption to your routine. General anesthesia is preferred. Notice the dramatic improvement with the patient looking downward. Puckering under chin after neck lift.com. 37 Dexamethasone (8 mg IV) is given after induction for both edema and nausea management, and 4 mg of IV ondansetron is given 30 minutes before emergence. The infiltrate solution consists of 30 ml of 0. There are various pros and cons of different neck lifts, depending on the neck's specific issue. Dr. LaFerriere: I have some questions.
It is normal for the face to look less wrinkled initially after surgery due to swelling. The excess chin skin should be excised transversely so that the resection blends into the line of the submental incision. The Pros and Cons of the Different Types of Neck Lifts. Males and patients with a history of hypertension undergo placement of a 0. SUTURES EXTRUDING AND UNFAVORABLE SCARRING RESULTING FROM THE THREAD LIFT BY ANOTHER SURGEON. The scars at that point are faint red lines that are virtually undetectable a month following surgery.
The sequence of SMAS/lateral platysmaplasty and medial platysmaplasty is debated by some authors. The 3 vectors are determined the day of surgery, depending on what priorities the patient has in terms of jowls, jawline, neck etc. Dr. Feldman: She probably has bulging submandibular salivary glands, although, as Dr. Getting Better Results in Facelifting : Plastic and Reconstructive Surgery – Global Open. LaFerriere pointed out, the submandibular bumps could be caused by excess fibrous fat clinging under the eave of the jawline, which can produce a pseudo enlargement of the glands. THIS WAS CORRECTED BY REPEAT LIFT WITH RE-DRAPING, SCAR REVISION, AND SERIAL RESTYLANE INJECTIONS. There may be a little platysma banding on the right. The decision of which SMAS technique to use is somewhat a topic of debate, including SMAS plication, 44 SMASectomy, 10, 45 extended SMAS flap, 19 high SMAS, 46, 47 and deep plane 32, 48 techniques. It is very important that liposuction is done in combination with a healthy diet and lifestyle in order for you to reap the best results. If there is sagging in the perioral area as well as her jawline, she definitely could use a lift. The submental hollow can be filled by rolling in platysma muscle during fabrication of the platysma corset.
Dr. Pitman: For the purposes of this discussion, let us assume she was not a diabetic or a smoker. Complications Of Facial Surgery Before and After 03 | Thomas Funcik MD. We do not know what work was initially done to her face. Differing techniques could target extra skin, fat, or muscle causing sagging and an aged neck appearance. 61 Targeted liposuction and/or fat grafting is used for secondary jowl bulges or jawline scalloping, respectively. Current Therapy in Plastic Surgery.
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