Neck Lift (Platysmaplasty)
A great benefit to having a Utah necklift is restoring a smooth neck and jawline. There are many reasons patients come to Utah Facial Plastics to pursue a neck procedure which addresses loose skin, neck banding, and double chin concerns. Procedures can range from simple chin liposuction to a deep plane facelift. Utah Facial Plastic's double board-certified surgeons expertise is unmatched when treating areas of the face and neck. We offer a variety of neck corrective procedures and with a thorough consultation our providers will help guide you to the best neck procedure for you.
What is a direct necklift?
Utah Facial Plastic's direct necklift is a procedure that specifically addresses central neck laxity by removing the loose skin and underlying adipose tissue that is often referred to as a “turkey neck” or “turkey-gobbler” deformity. The idea is that we directly cut out the excess tissue and remove it. We then suture the tissue together in the midline, instead of pulling laterally and removing excess skin from behind the ears as we usually do with a traditional face/neck lift.
In addition to removing the tissue, we typically perform a midline platysmaplasty (operation to tighten neck muscles) by suturing the medial edges of the platysma together to further tighten the underlying musculature of the neck. Because the tissue is directly excised from the front of the neck, there is a scar in that area when you heal, however much of it hides under the chin, and the rest of it heals very nicely. Often this procedure is done with a chin implant, submental lipo-contouring, and/or eyelid surgery to further enhance results.
What Is Deep Neck Contouring?
Deep Neck Contouring is a procedure that can be done for individuals who want to reduce submental fat, soften marionette lines, and improve the neckline. This procedure involves liposuction to the subcutaneous fat along with a platysmaplasty (tightening of the neck muscles). The incision is made under the chin crease and is about 2.5-3 cm long. Oftentimes patients may be experiencing a recessed chin or deeper marionette lines. A chin implant may be recommended as well for overall facial symmetry and improvement.
Necklift by Facelift
As we age, the facial muscles begin to descend and our skin loses collagen and elastin, causing it to sag. In reality, the face and neck are essentially one unit. When these aging factors become apparent in the face and neck area, it is best addressed with a deep plane facelift. This technique allows for the most uniform and natural results. It is best to consult with one of our surgeons to truly determine the best course of action if you are considering a neck lift procedure.
Candidate for a Necklift
A direct neck lift or deep neck contouring procedure with the team at Utah Facial Plastics targets specific aging issues, such as these:
- Loose neck skin
- Muscle banding
- Double chin
- Fat pockets and relaxed skin at the bottom of the face
- Fat pockets under the chin
Frequently Asked Questions
Some people can have success treating neck banding with Botox injections, but this varies widely between patients. Kybella, an injectable that consists mainly of deoxycholic acid, is effective for reducing double chins. It does this by breaking down fat that has accumulated under the chin. So, if you’re mainly concerned about a double chin caused by fat, Kybella, liposuction, or deep neck contouring could be a good alternative.
However, if your major problem is loose, sagging skin, not fat accumulation, the only alternatives to a surgical neck lift would be laser and radiofrequency energy treatments, such as Morpheus8 and FaceTite. Unlike surgical rejuvenation, these treatments are not near as effective nor are permanent solutions.
As with all surgery, modern anesthesia ensures you won’t feel a thing. Recovery after a neck lift isn’t as much an issue of pain, but the hassle of limiting your head movement and the duration of this requirement. These aren’t overly painful, as our neck doesn’t have the same number of nerves as our facial skin.
Facelifts/neck lifts are major surgical procedures, and they involve those same risks: excessive bleeding, poor incision healing, infection, and reaction to anesthesia. As for facelifts combined with neck lifts, these are the specific risks:
- Injury to the nerves that control facial muscles (usually temporary)
- Numbness or tingling around the incision areas (temporary)
- Hair loss at the incision sites
- Skin discoloration (rare but can continue for several months)
- Skin healing issues (more common with smokers)
Unlike the rest of the body, the skin on the neck is truly hanging. Due to the function of the throat, the skin can’t be overly taut and constricting. If you pinch the skin on your neck you can pinch much easier than everywhere else on your body. Gravity loves this inherent looseness. That’s why sometimes a person’s face doesn’t show much aging, but his or her neck does. Wrinkling on the neck skin, neck bands, a “turkey wattle,” jowls — they’re all courtesy of the passage of time and your neck.
Candidates for this procedure are patients that are in their teens into early 40s that want improve the neckline, deepen the cervicomental angle, improve the marionette lines, and reduce submental fat. Younger patients can get an improved neckline this way without the facelift incisions around the ears. In older patients, this procedure is not the best measure of treatment when addressing jowls and excess skin of the lower face and neck. Age is not always a determining factor, it mostly depends on the individuals facial anatomy and if there is excess skin that needs to be addressed.
It is best to consult with one of Utah Facial Plastics surgeons. They will be able to evaluate your individual features and recommend the best course of treatment. Patient's often have a procedure in mind, but it may not always be best for correction and could leave you underwhelmed or disappointed. We will give the best recommendation and educate on what you expect.
Our necks are involved with our head movements, so recovery from neck lift surgery isn’t a simple process. Some things seem obvious, such as the need to keep your head straight and minimize twisting or bending of your altered neck tissue. But one thing that applies in most recoveries — applying ice to minimize swelling — is forbidden with neck lift surgery. Why? In this area of the body, ice can compromise blood flow to the neck, leading to tissue death. Also, keeping your head elevated is very important.
It’s usually 10 to 14 days of recovery. An ace bandage will be worn for the first 5-7 days. Swelling won’t dissipate quickly, in some cases lingering for months. So, don’t expect instant feedback with your neck lift. Your results will show in time. Any strenuous exercise, particularly anything involved twisting of the neck, is a no go for six weeks. You need to keep blood pressure from elevating up to the face and neck.
What To Expect During Your Necklift Consultation
Utah Facial Plastic's double board-certified facial plastic surgeons have extensive experience performing necklift procedures. During your consultation, they will discuss your concerns as well as your goals and motivations for surgery. An exam and review of your current and previous health history will also take place.
They will then examine the structures of your face and neck, assess the quality of your skin tone and bone structure, and will make recommendations they feel will help you achieve your aesthetic goals.
They will advise you to avoid taking aspirin, ibuprofen products, Vitamin E and certain herbal medications before surgery, as these medications can cause increased bleeding and/or bruising. They will also insist that any smoking be discontinued for at least one month prior to surgery to ensure proper healing, if applicable.
A Patient Care Coordinator will then provide you with all the financial details and scheduling dates available if you decide to move forward with a procedure.