Neck Lift

Summary

Purpose (Indications)

Turkey gobbler neck

Cording in the neck area

Drapy skin in the neck

Sagging contour in the neck

What It Does

Removes fat pad under chin

Tightens muscle to remove banding and laxity in the neck

Removes excess skin

Provides youthful contour to neck

Technique

Incision in hairline and crease behind the ear / small incision in skin crease underneath chin

Dissolvable stitches used on skin and small clips in hair

Supporting sutures provide more natural contour and longer lasting effect

Turban-like dressing applied night of surgery and removed the following morning

Recovery Time

3 to 5 days in most cases

Recovery Instructions

Cold compresses for first 48 hours after surgery

No lifting over 10 pounds or straining for 1-2 weeks

Sleep with head elevated for 2 weeks

How Long It Lasts

5-10 years, in most cases

Ancillary Procedures Commonly Performed In Conjunction With a Necklift

Blepharoplasty

Forehead lift

Trans-blepharoplasty brow suspension

Nasal surgery

Laser skin resurfacing

Chemical peels

More Information

The necklift is used to treat laxity in the neck and submental area. It is especially helpful in treating the turkey gobbler neck and the deep cords or unsightly bands which often form in the neck. These are due to laxity of the platysma muscle. In the endoscopic necklift, a small incision approximately 1/2 inch is made in a small skin crease hidden under the chin. Incisions are also made in the crease behind the ear so no incisions are visible. Using a tumescent technique similar to that of body liposuction anesthetic solution is injected into the area of the neck and the submental region. Liposuction utilizing small canulas, smaller in size than a pencil are used to perform liposuction to remove excess adipose tissue in the submental area. Following this, the carbon dioxide laser is used to separate the redundant skin and muscle. Utilizing the endoscopes, sutures are placed to support the platysma muscle back into its normal position. The sutures are supported in the dense tissue overlying the bone in the post-auricular or mastoid area. The incisions are then closed with dissolvable sutures and a small stockinet dressing is applied. Individuals apply cold compresses for approximately 48 hours. They are usually able to resume social and work activities within 3-4 days and normal physical activities without restrictions at seven days. While the necklift is not a replacement for the facelift, in many cases 80 percent of the improvement that a facelift would provide to this area can be achieved with a necklift but with the ability to avoid any visible external incisions and a much reduced convalescence or healing time. This technique is especially beneficial in men who want to avoid the pre-auricular incision that is necessary in a male facelift, yet are concerned over laxity of tissue in the neck area.

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