For people with loose sagging skin under the chin, vertical bands in the neck, “turkey wattles” or necks that are too heavy, neck lift surgery – either alone or in combination with other cosmetic procedures – can produce very gratifying results. The loss of youthful contours in the face and neck can be due to a
variety of factors, including heredity, gravity, environmental conditions and stress.
Most facelifts will have a positive influence on neck contour but in some patients, when the angle between neck and chin is poor or where muscle bands are very visible (platysma bands), a platysmaplasty will be necessary. This will restore tension in the platysma muscle beneath the neck skin. It is sometimes done from behind the ear (lateral platysmaplasty) but may require an incision under the chin (anterior platysmaplasty). Very gentle fat contouring using a syringe is frequently
The quality of the result will depend upon the elasticity of the neck skin and degree of sun damage to the area. As a restorative surgery, a neck lift does not change your fundamental appearance and cannot stop the aging process.
Who is a good candidate for a neck lift?
In general, good candidates for a neck lift include:
• Healthy individuals who do not have medical conditions that impair healing
• Individuals with a positive outlook and realistic expectations
• If you have a turkey wattle that makes you look much older than your age
• If you have excess of fat and skin in your neck
• If you have lost the distinct jawline
Some people feel they are not ready for a full facelift because the upper face is still pleasing. However, many patients will note excess wrinkling of the neck skin, a double chin or “turkey wattle” and jowl lines. When the neck area doesn’t match the upper facial appearance, a neck lift may be a good solution.
Are there any reasons for a patient to not have a neck lift?
Patients who are actively smoking or on blood thinning medications such as aspirin and warfarin are at a high risk of complications such as bleeding or wound infections and delayed wound healing. It is advisable to not consume nicotine in any form for six weeks before a neck lift and a similar time after. Medication such as aspirin or warfarin may need to be stopped (if this is not for an essential or lifethreatening condition) at the appropriate time before surgery.
What to expect from a neck lift consultation?
You would normally meet Our surgeon for at least two pre-operative consultations. The first of which is mainly about assessment and the formulation of an operative plan specific to your neck. It also involves taking some photographs. Our surgeon usually summarises this consultation in a letter to you and if you decide to move forward towards surgery, a second consultation is scheduled to go over things once more and discuss the possible complications in more detail.
When you meet with Our surgeon, you’ll have an opportunity to share your feelings about the results you want to achieve, learn about what will happen during your surgery and help design a procedure that meets your individual needs. It is often helpful to bring a photograph of yourself from the time when you thought you looked your best. Our surgeon will:
• Take a medical history and ask about any previous facial and neck surgery
• Discuss normal differences in facial and neck symmetry you’ve probably never noticed before
• Gently lift your facial and neck skin to assess what you might be able to expect after your surgery
• Explain some of the other effects of surgery, like the fact that the position of your hair in front of your ear may be elevated and that, in men, the beard may be advance under and behind the ear requiring shaving in that area
• Discuss the extent and position of scars you can expect
• Take photographs
• Discuss likely outcome of a neck lift and any risks or potential complications
Recovery after neck lifting
After neck lifting, bruising, pain, tension, numbness, and swelling may occur in the neck of the patient. These are expected. However, pain is not expected to disturb the patient. The degree of recovery of patients is clearly good in 2-3 days.
The edema in the region decreases thoroughly in 10 days. However, complete resolution of swelling may take almost 3-6 months. It also depends on the body structure of the person. As the swelling decreases, both the tension and numbness in the region lose their effects.
Patients should avoid smoking for up to 3 weeks after the operation. It is also important to protect the skin from exposure to the sun. If relevant, sunscreen with a protective effect of over 30 factors should be used.
Considerations after neck lifting
- Vitamin E, aspirin use, and smoking are prohibited in our patients for 10 days before the surgery. If patients adhere to the recommendations, they can recover with the least likelihood of experiencing problems.
- Since anesthesia is administered during the surgery, pain is not experienced much afterward.
- Special bandages are used for up to 4-5 days.
- On the first day, patients stay in the hospital because the drain will have been placed. It takes a week to get back to work and normal life. During that period, patients should stay away from engaging in strenuous work and sports-related activities.
- Patients may need to raise their pillows a little bit in the first days following the surgery. Ice packs need to be applied to the area of intervention to prevent edema and bruises.