What exactly is a neck lift?

Plain and simple and very unfortunately, the flesh on my neck has started to sag. I'm a thin person and I've always been a thin person so I wasn't prepared for this to be my problem when I thought about how my body would betray me as I aged. I'm really intrigued and excited when I heard about neck lift surgery. What takes place during a neck lift and are there certain problems that it's more effective at treating? I'd love to get more information and any guidance you can offer.

magnolia2

F, 58, Kansas

Tags:woman age 55-64 neck sagging

 Hi, I can understand how sagging facial and neck tissues can be upsetting.  I have performed many facelifts and neck lifts over the past 30 years.  Non smiling photos of your face from the front and side would help in the evaluation.  Depending on the amount of loose skin in the neck and presence or absence of anterior platysma bands, you could be a candidate for a minimally invasive neck lift or requite a formal neck lift.

 Using a small, curved incision under the chin some excess skin can be removed from the neck.  liposuction can be performed using the same incision.  This minimally, invasive procedure has a very quick recovery and will not preclude you from having a formal neck lift sometime in the futures should you choose to do so.  

 If you have anterior neck bands or are looking for the maximum amount of neck skin removal, this will require a "formal" neck lift.  In this procedure a small, curved incision is placed under the chin (similar to the one discussed above) which allows lax platysma muscle to be plicated (tightened).  Following this, an incision is placed approximately 3 inches inside the posterior hairline as long as the neck is wide (in the vertical dimension).  The scalp and neck tissues are dissected from this point all the way across the neck to the same location on the opposite side of the head and into the posterior hairline.  The outer edges (lateral) of the platysma muscle are tightened, excess loose neck tissue is lifted up and back with the laxity removed through excision and removal of loose scalp.  This is an extensive tissue dissection which requires post op drains, pressure dressing and about 3 1/2 hours of surgery time.  The recovery is several months before the final result will be seen and some hair loss can occur with the scalp incisions and dissection.  That being said, the formal neck lift is the "gold standard" for obtaining the most youthful neck possible.  The final consideration between these two versions has to do with the tissue vector or direction of pull used in the formal neck lift.  Because the neck tissue is lifted up and back at approximately 45 degrees, any laxity along the jaw line (lower face) referred to as "jowls" will need to be addressed with a lower SMAS facelift to take up the resultant laxity in front of the ears.  If this is not done, tangential pleats of skin can appear above and just below the earlobes.   

Hope this helps.

A necklift removes excess fat in the neck, tightens the neck muscles, and resuspends both the skin and muscle behind the ear to enhance the jawline and make you look more youthful. The results are wonderful. Depending on the severity of the sagging, you may also consider FaceTite. It's an awesome brand new (to the US) technology that works to tighten the skin from the underside with heat. Few of us board certified plastic surgeons offer it now but it's going to be the new thing soon. Hope this helps!

Jonathan Zelken has 4 Facelift, Necklift before & afters:

Facelift, Necklift before image performed by Dr. Jonathan ZelkenFacelift, Necklift after image performed by Dr. Jonathan ZelkenFacelift, Necklift before image performed by Dr. Jonathan ZelkenFacelift, Necklift after image performed by Dr. Jonathan ZelkenFacelift, Necklift before image performed by Dr. Jonathan ZelkenFacelift, Necklift after image performed by Dr. Jonathan ZelkenFacelift, Necklift before image performed by Dr. Jonathan ZelkenFacelift, Necklift after image performed by Dr. Jonathan Zelken

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