A neck lift surgical
procedure is normally done with either general anesthesia or
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.
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.
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.
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.
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.
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.