As we age, our skin loses its elasticity and begins to sag or droop. This natural process, along with gravitational forces, makes the neck a common area of dissatisfaction for patients. Many patients present with complaints of “having too much skin in my neck” or “it looks like I have a turkey gobbler.” A neck lift is an excellent option for those patients seeking a smoother, more youthful, refined neck appearance. Every patient is different, and depending on their individual presentation, a neck lift can be performed in isolation or coupled with a facelift to provide optimal results.
Dr. Hall takes an individualized approach to each patient. There is no one size fits all model and this stands true for neck lift. In younger patients with minimal skin laxity, but sigfnificant fat deposition under the chin and anterior neck, liposuction with tightening of the underlying muscle (platysmplasty) is an option. This is accomplished through a small incision under the chin in a natural skin crease, which becomes unnoticeable over time.
For patients with more significant skin laxity, small incisions behind the ear and along the hairline are necessary to lift and remove any excess, redundant skin. In some patients with severe skin laxity, a direct neck lift may be necessary. In this procedure, an incision is made directly over the redundant skin and any excess skin and fat is excised. The resulting incision is then closed meticulously using scar camouflage techniques, such as a z-plasty or running w-plasty, to minimize the appearance of the resulting scar.
Regardless of which procedure is necessary, a natural, tighter neckline is achievable without noticeable scarring.
Following their neck lift procedure, patients are able to go home the same day. We recommend someone be with the patient for the first 24 hours after surgery and we can arrange for a home nursing service if desired. There will be a dressing in place that is to remain on overnight. There are no surgical drains to worry about and every patient is seen in the office the following day. At this visit, the dressing is removed, the healing process is examined, incisions cleansed and wound care is taught. Sutures are removed one week later.
Most patients do not experience significant pain following their procedure. Some neck discomfort and tightness is common. Pain medication is prescribed for pain relief but most patients are able to wean themselves off in 1-2 days, taking Tylenol only as needed.
While often done simultaneously, each procedure can be performed in isolation. As the name implies, a neck lift primarily addresses the neck. It is an excellent option to treat cervical skin laxity, platysmal banding, and excess fat. A facelift primarily addresses facial skin laxity, soft tissue decent, jowling and the jawline. During your consultation, Dr. Hall will be able to determine which procedure is best for you.
Dr. Hall believes in providing a private, comfortable, honest environment to discuss each patient’s goals. He allots ample time for each consultation to not only address any and all patient concerns, but also to develop a strong rapport with each patient. He believes the keys to successful facial plastic surgery are natural, long lasting results coupled with a strong relationship between patient, surgeon and the rest of the staff.
At the beginning of your consultation, you will meet with a member of our staff who will tell you a little about our practice and what to expect going forward. They will also obtain your medical history which Dr. Hall will review so he can customize his treatment accordingly. Dr. Hall will then listen to your concerns and discuss various treatment options with you in detail. We are committed to providing you with all the information necessary for you to understand and make an informed decision about your treatment. At the conclusion of your consultation, you will be provided with a quote for the procedures or treatments discussed and you will have the opportunity to schedule if desired.
We know that questions arise after your consultation. We are happy to answer your questions via phone or e-mail and Dr. Hall is happy to see patient’s as often as necessary in follow up/second consultation.
A neck lift can be performed in the office under local anesthesia, with oral sedation if desired. It can also be performed under IV sedation (twilight anesthesia) if the patient prefers to be less aware of the procedure itself. General anesthesia is not required.
While each patient heals a little differently, most patient’s are social between 7-14 days. You can resume work during this time, or earlier if desired, as long as your job does not require physical labor. We recommend avoiding exercise and strenuous activity for at least 2 weeks. At two weeks, light, low impact activity may resume and at three weeks you have no limitations. Residual swelling and firmness can last for a few months, continuing to improve during this time, but this is usually not apparent without close inspection.