Necklifts
Aging of the neck presents in many different forms, from changes in the skin, to muscles, to deeper structures like submandibular glands and fat. There are myriad techniques we use for the improvement of these many changes.
Neck rejuvenation and contouring procedures are challenging and continually advancing. Although the techniques are evolving, the anatomy is constant, and surgeons with a firm understanding of the anatomic relationships within the neck are able to deliver consistent and aesthetically pleasing results for their patients.
Neck rejuvenation and contouring procedures are challenging and continually advancing. Although the techniques are evolving, the anatomy is constant, and surgeons with a firm understanding of the anatomic relationships within the neck are able to deliver consistent and aesthetically pleasing results for their patients.
"Well, the last time I had a picture taken I could hardly see my eyes because of the weight of heavy eyelid. Then I paid attention to how I was actually using my eyes and I really noticed when I was looking at anything especially the computer I was straining my forehead to see better. Since I have had it done I no longer have to lift the forehead and tilt my head to see. It is amazing! I love..." D. Rock 63 Yrs Old with Fat Droopy Eyes - Salt Lake City, UT
What is a Neck Lift?
On occasion, an isolated neck lift is possible. More often, it is performed in conjunction with a lower face lift. Isolated neck lifts take many forms, depending upon the changes that may be present and addressed. Limited incisions behind the ears are sometimes employed to tighten some of the loose neck skin. However, a complete neck rejuvenation is rarely possible with limited incisions. A submental incision (incision hidden below the chin) is also used to remove fatty deposits in this area and to tighten muscle bands. Finally, Giampappa sutures are employed: these are criss-cross sutures which allow tightening of the deeper structures and fixation to the tissues behind the ear (mastoid fascia). As can be seen, isolated neck lift procedures take varied forms.
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Am I a Candidate for a Neck Lift?Patients that are good candidates for an isolated neck lift are patients with the following:
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"I had a excellent eye lift done by Dr. Patel. He knows what he is doing and is very pleasant. Dr.Patel was easy to get an appointment and he works with you. The office staff was very pleasant and made you feel calm." D. Gull Highly recommended for eye lift surgery - Salt Lake City, UT
How will I be Assessed?
Examination of the neck structures as described under the “Conditions” Neck section will allow one to determine if an isolated neck rejuvenation procedure is a reasonable option. It is important to remember that with the neck, tissue restitution occurs: this is a concept that is not well-known in plastic surgery or, is at least not well appreciated. Essentially, what you see immediately after surgery is NOT what you get in the medium or long term. The skin of the neck and décolleté is prone to develop fine lines, deep-set lines, loss of skin elasticity and discoloration. Neck skin is thinner than facial skin. The face has 30 times the pilosebaceous units than the neck or chest and 40 times that of the hands and arms. Therefore, neck skin responds more slowly to any surface skin treatments like lasers and chemical peels.
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What other Procedures May be Performed with a Neck Lift?The commonest procedure performed at the same time as a neck lift is a face lift. This combination gives a congruous improvement from the midface all the way down to the neck. Other procedures include liposuction of the neck, chin augmentation and platysma plication.
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What kind of results can I expect after a Neck Lift?With limited incisions come shorter procedures, but also more limited results. It is important for you to understand the pros and cons of the different procedures on the face and neck so one is not disappointed. Patients sometimes expect full facelift types of results with more limited neck lifting: this is unwise.
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Frequently Asked Questions
Where will my surgery be performed?
Most neck lifts are performed in an operating theatre for the sake of sterility and your comfort.
What kind of anesthesia will be used?
Isolated neck lifts may be performed with sedation anesthesia or general anesthesia.
What kind of sutures are used?
Most sutures used during a neck lift will be removed in one to two weeks. Deeper sutures used to address the platysmal bands dissolve slowly over many months.
Do you use lasers for this surgery?
The use of resurfacing lasers at the same time as undermining tissues in the neck is unwise. We can use fractionated lasers at a later date to improve the texture of the skin.
How long does the surgery take?
Most midface lift procedures take 60 to 90 minutes operating time.
How much bruising and swelling will I have?
Bruising is limited to the neck. There is minor swelling. We will have you use a neck dressing which provides pressure on the operated site, thereby reducing the amount of bruising and swelling. Again, the use of ice on-and-off for the first few days helps.
Does insurance cover Neck lifts?
Cosmetic surgical procedures are never covered by insurance.
How painful is Neck lift surgery?
There will be mild to moderate discomfort after surgery: prescription pain medication is usually only necessary for one to two days. There will be generalized decrease in sensation over the neck because of the extent of undermining of the tissues: this improves over weeks to months.
Are there any restrictions and when may I return to work?
You will wear the neck dressing every night for two weeks and as much as you can during the day for those two weeks. Most patients can resume normal activity within a few days, including returning to work.
What are the most common risks of Neck Lifts?
One must mostly remember that the results will be limited. You may find that some of the laxity of the neck skin and deeper bands remains after surgery. Serious side effects are rare after this type of surgery.
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