What is a Neck lift?
A neck lift is a surgical procedure designed to address sagging skin in the neck, banding, extra fat, or a combination thereof. Blunting, or a more obtuse, cervicomental angle is a common sign of aging. There are several variations of the procedure depending on patient anatomy, amount of skin, platysma muscle, etc.
Who is a candidate?
Any patient who is concerned about sagging, banding, extra fat, and extra skin in the neck. The patient will need to come off of any blood-thinning medications and be healthy enough for anesthesia. Smoking significantly increases the risks of anesthesia and the surgery.
What does the procedure involve?
While there are variations to the procedure, most are done under IV or general anesthesia. If significant adipose tissue is present, a small amount of liposuction is done at the beginning. Next, a small incision is hidden behind the submental crease. The skin and subcutaneous tissue are then carefully freed from the underlying muscle. If platysmal bands are prominent, the muscle will be tightened in the midline to alleviate the bands. If there is significant skin laxity, a periauricular incision will be made to elevate and remove the extra skin. This is similar to a facelift, but generally with smaller incisions. The dissection is limited to the neck, and not the cheek.
What is the recovery like?
The recovery is similar to a mini-lift in that there will be some swelling for the first week. At that time there will still be some redness to the incisions and possibly some resolving bruising. Generally patients can go back to work in 7-10 days.
Can a Neck lift be performed with other procedures?
Absolutely. It is very common to address other aging changes during the procedure, combining downtime and anesthesia. Common adjunct procedures include laser resurfacing, brow lifting, fat grafting, and/or eyelid surgery.