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Neck Lift - Platysmaplasty



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A neck lift surgical procedure is normally done with either general anesthesia or twilight sedation.  This procedure can take anywhere from two to three hours.  Most surgeons will discuss what type of anesthesia will be right for you during your consultation.  A neck lift procedure normally takes 2 to 3 hours to perform.  If it is combined with other procedures the surgery will take longer.







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Loose neck skin, sagging jowls and fat accumulation under the chin may be corrected with an extensive neck lift. The extensive neck lift incision begins in front of the ear lobe and wraps around behind the ear ending in the lower scalp.







                                      2010 Copyright ASPS & ASAPS - Used with permission                  

Once healed, the incision lines from a limited neck lift are well concealed within the hairline and in the natural contours of the face and ear.




  • Incision Location:

Incisions are made according to the type of neck lift procedure that will be done. Most neck lifts include small incisions behind the ears. The surgeon will separate the fat and skin from the underlying muscles. The muscles will be lifted to ensure that when the skin is tightened all creases and folds will be minimized. The skin is lifted on the neck area all the way down to the collarbone, with the skin being pulled up and back. The excess skin is then removed. Scarring is different on every patient, but most take at least nine to eighteen months for fully heal.




  • Vertical Incision Neck Lift:

Some surgeons do not use the incision under the chin and they place a vertical incision directly down the center of the neck. This is done to excise any "turkey wattle". This is pretty invasive, as the incision can be large, however; the surgeon can directly look at the platysma muscles and sew them together and then sew the skin together. The main problem with this approach is that this can leave a long scar.




  • Full Neck Lift without a Lower Face Lift:

With a full neck lift without the patient having a lower face lift, the incisions can be limited to the area behind the ears. The only problem that exists with this is if the patient has too much loose or sagging skin on the lower face area, they could possibly develop a "pleat" in front of the ears. To correct this from happening, an incision would be needed to remove this pleat of skin. In essence, the patient would probably need a lower face lift with the full neck lift if there was too much lax skin. 




  • Endoscopic Approach:

For a less invasive approach, your surgeon may be able to make smaller incisions and use an endoscope (small camera attached to a thin tube) to complete your surgery.

Most patients will feel a skin tightness and pulling sensation after the neck lift procedure.




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It is important to have an idea of what you want to have changed before you go to your consultation.


Patient Common Complaints about their Neck Area:

  • Chin:  too small or too angular

  • Neck:  too much fat, neck platysmal band (turkey neck), loose or lax skin

  • Jaw:  lax droopy skin forming jowls along the jaw line










Chin Area

  • forms a triangular shape to the facial area

  • projects as far forward as the lower lip in women

  • chin appears flat


Neck Area

  • Forms close to a 90 degree angle with the chin

  • No banding of the platysmal muscle or "turkey neck"







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