A necklift is a procedure that specifically addresses the neck and is often performed to complement results of a facelift or chin implant procedure.
Loose or sagging skin in the neck can be one of the first signs of the aging process. Although there are many minimally-invasive technologies that address aging changes in the face, the neck receives less attention due to the difficulty of achieving satisfactory results that are cost-effective. Our necklift in Los Gatos, California procedure serves to improve the appearance of the neck by getting rid of unattractive excess skin, fat and muscular banding, leading to a youthful and confident you.
A necklift is also the procedure of choice for younger patients with good skin tone but an ill-defined neck or double chin due to excess fatty deposits under the skin, to improve the contour of the jawline and neck. This is often paired with a chin implant procedure in patients with weak, receding chins.
Our necklift in Los Gatos, California is performed under local anesthesia with oral sedation or IV sedation, depending on the needs of the patient. The surgery takes place either in an office setting in our state-of-the-art operatory or at an outpatient surgical center. The procedure involves making a small incision under the chin and removing excess fat from between the skin and underlying neck muscle, either by liposuction or direct excision. A platysmaplasty is then performed, which involves tightening the superficial muscle in the neck called the platysma muscle to allow for favorable neck contouring. In younger patients with good skin quality, the skin is simply re-draped and the incision closed. In patients with looser skin, carefully placed incisions are made around the ear to lift the skin and remove any redundancy. These are the same “stealth” incisions used in a lower facelift, and Dr. Roy goes to great lengths to make sure scarring is minimal. On occasion, direct excision of loose neck skin can be performed under the chin utilizing a variety of scar camouflage techniques to minimize visible scarring. No surgical drains are used and oftentimes, a compression neck dressing is all that is needed to allow for proper re-draping of the skin. Dr. Roy will sometimes use a specialized biologic glue under the skin to help this process and reduce the risk of bleeding in patients who have had an extensive necklift.
Face and neck bandages are placed overnight and removed the next day. Depending on the procedure performed and techniques utilized (i.e. the use of skin glue), this dressing may need to be re-applied and kept on for two additional days. Stitches are removed after one week. Recovery from necklift surgery generally entails some downtime, with most patients beginning to return to social activities within 7-10 days and normal workout routines in 14 days. Swelling and bruising are normal side effects of surgery and should subside within this initial recovery period. Minor swelling could persist longer, but complete resolution is expected within three months.
Frequently Asked Questions:
1.How do I know if I need a necklift?
Different patients will have different individual needs. During your initial consultation, Dr. Roy will evaluate your concerns and determine what type of procedure will be best suited for you. It is important to be sure you discuss all your concerns so your surgeon can make an informed decision. The goal of the consultation will be to make sure you understand what a necklift surgery can and cannot achieve, as well as potential risks.
2.What is the difference between a necklift and facelift?
This is one of the most common questions patients have when considering facial plastic surgery for aging changes in their face and neck. Generally, a facelift (or lower facelift) describes a procedure that addresses the lower face, including but not limited to the neck, jowls and jawline. A necklift is a focused procedure addressing the neck only. Oftentimes, a lower facelift includes a necklift, but not vice versa.
3.Will there be any visible scarring after a necklift?
Whenever incisions are made to address the neck and face, there will be scars. This does not mean, however, that these scars will be obvious or visible. Dr. Roy utilizes advanced techniques during his facelift and necklift procedures to minimize the risk of visible scars.