What is a direct necklift?
Dr. Henstrom’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.
Who is a good candidate for a direct necklift?
Good candidates for a direct necklift at Utah Facial Plastics are patients who have severe central neck laxity, who are primarily interested in improving the neck only and not the jowls. This works great for men who have this problem and have difficulty wearing a button up shirt and tie. This procedure is also great for patients who have lost a lot of weight-such as post gastric bypass surgery-and just have hanging skin in the neck that they’d like to get rid of. This is a great neck option for patients looking for less downtime and recovery, but still addressing the needs of the neck.
What are the benefits of a direct necklift?
- Directly addresses loose central neck skin
- Can be done in-office
- No general anesthesia
- Less downtime
- Easier recovery
- Less cost compared to face or necklift
What to Expect with Recovery from a Direct Necklift
Post-operatively you will be asked to wear a bandage around your neck and head to give support to the healing tissue. This is 24/7 for the first week until the stitches are removed. After that, the dressing can be worn just at home or when your sleep for a few more days. Typically it takes about two weeks for the bruising and swelling to go down, although individual responses do vary. The incision will continue to heal over a number of weeks, but an individual can begin wearing makeup to help conceal the incision once the stitches and steri-strip bandages are off.
What to Expect During a Consultation
Dr. Douglas Henstrom, a double board certified facial plastic surgeon in Utah, has extensive experience performing direct necklift surgery. During your consultation, he 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.
He will then examine the structures of your face and neck, assess the quality of your skin tone and bone structure, and will make recommendations he feels will help you achieve your aesthetic goals. Dr. Henstrom will discuss the procedure(s) he recommends and give information on where incisions will be placed, possible risks and complications, and make any non-surgical recommendations to enhance the overall surgical outcome. These options may include dermal fillers, botox, laser treatments, and/or professional skincare, some of which may be included in your surgical package.
Dr. Henstrom 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. He will also insist that you discontinue smoking for at least one month prior to surgery to ensure proper healing, if applicable.
Dr. Henstrom’s Patient Care Coordinator will then provide you with all the financial details on any procedure discussed at your consultation and give financing options if applicable. She can also help facilitate the next step in the process and/or provide additional resources, such as before and after photos, articles, educational videos, etc.