Neck lift (platysmaplasty)

The neck lift also called a platysmaplasty is used to improve sagging below the chin due to a combination of loose skin and muscle and accumulated fat caused by age, heredity or other factors. Small incisions are made below the chin or around the ears, the skin is tightened and repositioned, and excess skin is removed. Some cases require tightening of underlying muscles and removal of fatty tissue. It is sometimes performed in conjunction with other procedures such as a standard facelift or liposuction. Signs of aging are most apparent in one’s facial features, and this procedure is for those seeking a more youthful appearance.

There are a wide number of neck lift techniques used to obtain optimal results. The best approach will be determined for you by your facial bone structure, the condition of your skin, and the goals you and Dr. Loghmanee or Dr. Cerio discuss.

Am I a good candidate for a neck lift?

One or more of the following may indicate you are a good candidate for a neck lift;

  • You are in good physical condition
  • You are bothered by signs of aging in your neck
  • Your neck has hanging skin causing a “turkey wattle” appearance
  • You have hanging excess skin and sagging in the neck area from weight loss or age
  • You have an excess of fat causing the appearance of a double chin
  • You have a good bone structure and retain some skin elasticity

Dr. Loghmanee or Dr. Cerio will conduct an examination and discuss with you your expected outcome and determine how your desires can realistically be achieved. You must come prepared to discuss your full medical history, including any medical conditions, previous surgeries or treatments, drug allergies, current medications, and use of alcohol, tobacco or illegal substances.

Considerations:

Medical conditions: This procedure is not recommended for those with diabetes, heart problems, or a weak immune system. These factors can complicate surgery and interfere with optimal recovery.
Weight: It is important that you complete any weight loss goals prior to surgery and stabilize your weight. Extreme weight gain or weight loss will affect the long-term results of your procedure.
Expectations: It is important that you realize a neck lift will improve signs of aging, but does not stop aging. It is not a permanent procedure. It does not change underlying bone structure so it is not possible to look “like someone else.” This procedure must be for your happiness, and not to please others.

Surgery and Recovery

A neck lift is commonly an outpatient surgery, performed with general anesthesia or local anesthesia and sedation. After a few hours recovery you will be permitted to go home. Your incisions will be wrapped in gauze dressings and will likely include drain tubes to prevent the accumulation of fluid. You may be required to wear a compression garment to aid in healing and reduce swelling. You will be given detailed information from Dr. Loghmanee or Dr. Cerio detailing normal symptoms, signs of complications, and instructions for recovery.

You should be able to walk immediately following surgery and will be up and about within a day or two after surgery. Your incisions will be tender to the touch for the first few days, and you must avoid straining, bending, lifting and other strenuous activity for several days. Drain tubes are removed within a few days, and most stitches, if not absorbable, are removed within a week. Bruising will occur, but typically resolves itself within two weeks. Swelling is most prominent in the first two days post surgery and greatly improves within two weeks but it may take several weeks for all swelling to clear. Numbness may occur but resolves within several months. Dr. Loghmanee or Dr. Cerio will recommend follow up visits to evaluate your healing process. It is important to follow your doctor’s orders for the best outcome.