A neck lift, or lower rhytidectomy (or platysmaplasty), is a surgical procedure that improves visible signs of aging in the jawline and neck, such as excess skin or fat, prominent muscle bands or other asymmetries. The procedure can be performed alone or in combination with other facial rejuvenation procedures, such as face or brow lift. Often a neck lift is combined with a face lift, ideally for patients that have excess skin on both the face and neck. Neck lift alone may be performed for patients that have excess skin limited in the front of the neck. Isolated fat deposits under the chin, without excess skin or with limited excess skin, can also be addressed non surgically with Kybela injections available in our office. Dynamic wrinkles of the neck, due to overactive muscles, without excess skin or with limited excess skin, can be improved with Botox injections, also available in our office.
Neck lift surgery is routinely performed under general anesthesia. The incisions are placed behind the ears and below the jaw line, on both sides. Superficial fat deposits and lax skin may be removed and the platysma muscle may be approximated in the middle to decrease banding.
The treatment that best fits your needs and expectations, can be further discussed with your surgeon during your consultation.
A neck lift treats the following:
- Jowls, the excess fat and skin relaxation in the lower face
- Excess fatty deposits under the chin
- Loose skin in the front of the neck
- Muscle banding in the neck, which creates abnormal contours
Neck lift surgery is a good option for patients who have excess skin on their neck, are in good health, and have realistic expectations. Patients who smoke, have high blood pressure that is not under control, have blood disorders or take blood thinners, such as Aspirin, Coumadin or Plavix, may experience higher risk of healing problems.
Most patients tolerate the procedure well and are able to go home the same day. Medications for pain and nausea to be taken by mouth are routinely prescribed with an occasional short course of antibiotics. Some bruising and swelling are expected, but are generally well tolerated and improve over several days. Using extra pillows while you sleep will help reduce swelling. Strenuous exercises and lifting heavy objects should be avoided for few weeks.
If surgical drains have been used, they are routinely removed on your follow up visit. You will be provided with a compression garment at the end of your surgery and should use it every night for about 6 weeks.
All patients considering elective surgery should abstain from smoking, including secondhand smoke and avoid any nicotine containing products, both before and after surgery. Dr. Ziakas strongly advises all his patients to quit smoking for good. The sutures used in neck lift surgery are absorbable and dissolve over time. All patients are advised to use a good quality sunscreen when outdoors (minimum SPF 30) to minimize the hazardous effects of sun radiation on the incisions and the rest of the skin. The majority of patients are able to return to their routine activities in about 6-8 weeks and have their final look in about six months.
Full List of Face Procedures