Neck Lift

As we age, our neck undergoes significant changes. The skin produces less collagen and elastin, leading to wrinkles, creases, and sagging. The muscles under the jawline can loosen and form neck bands, while fat deposits can accumulate under the chin and neck, altering the neck’s contour. These changes typically become noticeable around the age of 40.

A neck lift is a cosmetic procedure designed to improve the visible signs of aging below the jawline. It is performed through a small incision under the chin, where the neck is undermined, excess fat is removed, and the submandibular glands (salivary glands) may also be removed. The neck muscles are tightened, and the skin is re-draped over them to enhance the neckline without removing excess skin. This results in a more youthful, contoured, and rejuvenated appearance.

Why is a Neck Lift Done?

A neck lift, also known as neck rejuvenation, is performed to address a variety of concerns, including:

• Excess fat under the chin (double chin).
• Neck bands, which are visible vertical lines that appear on either side of the neck as we age.

Although a neck lift reduces the signs of aging in the neck and can take many years off a person’s appearance, it cannot change the fundamental appearance of the neck or stop the aging process.

Who is a Good Candidate for a Neck Lift?

Most healthy individuals without significant medical conditions are suitable candidates for a neck lift. Ideal candidates are those who:

• Have visible signs of aging in the neck area, such as a double chin, and/or anterior neck bands.
• Are bothered by the signs of aging in the neck region.
• Are physically healthy and do not have medical conditions that can impair healing.
• Have a positive outlook and specific, realistic goals for improving their appearance.
• Are non-smokers or willing to quit smoking for a significant period before and after surgery.
• Are willing to practice good skin care post-surgery.

Patients who are not good candidates include those who smoke or have complex medical conditions that can impair healing after surgery.

What Happens During the Surgery

The goal of a neck lift is to carefully remove excess fat and tighten the muscles around the neck area. Sometimes, submandibular glands (salivary glands) may be removed. Depending on the procedure that is right for you, you may be given general anesthesia or intravenous sedation to ensure your comfort. There are several methods that can be used depending on your anatomy, skin flexibility, and desired outcome. The surgeon may make a small incision under the chin to minimize visible scarring. Surgical options also include liposuction, which removes excess fat but does not correct structural problems. An extended neck lift, sometimes combined with a facelift, is another option for more comprehensive results. During the procedure, where appropriate, the surgeon will reposition the tissues and muscles, and secure the new position of the neck. The incisions are then closed with sutures and/or skin adhesives. Drains are placed under the skin to reduce bruising and swelling. The exact process of your surgery will depend on several factors, which will be discussed during your consultation.

Recovery after a Neck Lift

Recovery from a neck lift typically takes a few weeks and involves several stages. Swelling and bruising are most pronounced during the first few days, gradually subsiding over the following weeks. During the first week, it’s crucial to keep your head elevated while lying down to minimize swelling and attend all scheduled follow-up appointments to ensure proper healing. If prescribed medications, take them as directed.

By the second week, swelling and bruising should begin to subside, allowing patients to resume light activities. By the third and fourth weeks, most individuals can return to their normal activities, but should avoid strenuous activities, heavy lifting, and vigorous exercise. Within one to three months, the final results become more visible, and patients can fully return to their routine activities. Short-term side effects may include numbness, discomfort around the incisions, and tightness or tingling in the neck area.

FAQ

How painful is a neck lift?
Pain is typically minimal and can be managed with prescribed medication. Most patients report discomfort rather than severe pain.

Will there be visible scars?
Scars are usually well-hidden under the chin. They should fade over time and can be minimized with proper skin and scar management. Dr. Dorafshar uses advanced techniques to minimize scarring.

How soon can I return to work?
Most patients return to work within two weeks depending on the nature of their job and how their healing process. Jobs that involve heavy lifting or strenuous activity may require a longer recovery period.

How long do the results last?
While aging continues, the results are long-lasting. Factors such as genetics, lifestyle, and environmental exposure can influence longevity. Skincare and sun protection can also affect your results. You will see initial improvement soon after surgery, but final results will be more visible after swelling subsides.

Can I combine a neck lift with other procedures?
Yes, a neck lift is often combined with other facial procedures such as a face lift for a more comprehensive rejuvenation.

What should I avoid after surgery?
Avoid strenuous activities for at least two weeks. Wear sunscreen and protective clothing to limit sun exposure. Avoid smoking as it can delay healing and increase the risk of complications. Follow all post-operative instructions to ensure optimal healing and results. It is important to contact our office should anything unusual occur.

Complementary Procedures

Complementary procedures that can enhance the results of a neck lift include facelifts to address sagging and wrinkles in the mid and lower face, chin augmentation (genioplasty) to enhance facial contours, and botulinum toxin or dermal fillers to smooth fine lines and add volume to areas that have lost fullness. Combining these procedures can provide more harmonious results and a more youthful overall appearance.
 
For more detailed information or to schedule a consultation, please contact our office.