Palm Beach Neck Lift doctors

Tim Abou-Sayed, MD Tim Abou-Sayed, MD
Palm Beach Plastic Surgeon
1620 S Congress Ave Suite 100, Palm Springs
2 answers
David Bogue, MD David Bogue, MD
Boca Raton Plastic Surgeon
660 Glades Road Suite 380, Boca Raton
1 answer
David J. Levens, MD David J. Levens, MD
Coral Springs Plastic Surgeon
1725 University Drive Suite 300, Coral Springs
1 answer
Jacob D. Steiger, MD Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
4800 Linton Blvd. Suite D502B, Delray Beach
1 answer
Jonathan Berman, MD Jonathan Berman, MD
Palm Beach Plastic Surgeon
670 Glades Road Suite 240, Boca Raton

Recent Answers

Botox Neck Lift

I read about a Botox neck lift. What is this and does it work? I thought Botox was for frown lines?

A: Botox and necklift

Botox has been described as a partial remedy for platymal bands in the neck, although the FDA has not approved it for that purpose cosmetically. Because of the cost and temporary nature of the product, as well as the fact that neck bands are usually accompanied by loose skin, I do not consider it a great solution. A lower facelift/necklift with formal platysmaplasty is still, by far, the procedure of choice to deal with neck bands.

Botox may offer a short-term, minimally-invasive stopgap maneuver to make the bands less prominent, but results certainly may vary. Again, remember that Botox has a very specific cosmetic indication approved by the FDA, although it is commonly used in other areas with favorable results. Speak to your surgeon at length to learn about your options after a proper, comprehensive consultation and examination.

Tim Abou-Sayed, MD
Palm Beach Plastic Surgeon
Are Drainage Tubes Used for Neck Lift and/or Face Lift?

I need a revision to my neck lift. Some doctors are saying the use of drainage tubes is obsolete. My original surgeon used them and I was left with alot of scar tissue where the tubes were. He said it was a fibrotic reaction. A friend had a face lift without the tubes and had a great amount of swelling from built up fluid that caused problems with healing. I am confused. If my original surgeon does the revison he will use them again. Is there anything I can do to prevent the fibrotic reation?

A: Drains and facelifts

Drains are used by many plastic surgeons (myself included) for facelifts, usually for a short period of time (1-3 days) to eliminate fluid that might collect between the skin and the underlying muscle layer. Drains do not prevent hematomas from developing but might alert the surgeon to unusual bleeding. If the drain emerges from a separate small hole (usually way back behind the ear in the scalp), that hole might leave a scar, which is usually small and typically well hidden. The tract if space occupied by the drain could, theoretically, fibrose (or scar down), leaving an irregularity, but I have not seen that in my practice. Some surgeons elect not to use drains, either because they feel they are completely unnecessary or they do not want to encumber the patient with an extra device or accessory that has to be managed postoperatively. It is discretionary for the surgeon, based on whatever gives that surgeon the best results in that surgeon's hands.

If you are concerned about an issue with your result, it is best to communicate that directly to your surgeon. We on this board can not specifically advise you about your particular result.

Hopefully, any issues you are having presently will be minor and short-lived, as are most postoperative concerns in the majority of patients. Hope you get the result you are looking for! Best wishes.

Tim Abou-Sayed, MD
Palm Beach Plastic Surgeon
How Should I Look 2 Weeks After Lower Facelift / Neck Lift?

I had lower face and neck lift surgery 2 weeks ago. Everybody that I have spoken to who has had this surgery has had immediate results in the neck area. My neck still looks very strange and more saggy under the chin than before...is this normal? Also the edges of my face and one ear are completely numb...how long before my skin feels like it belongs to me again?

A: Healing After Facelift

Healing from a facelift can be variable based on the type of facelift, your age, and the way you heal. Conisdering that you feel as if there is fullness under the chin, you should see your surgeon to have this evaluated as there could be a collection of blood or fluid under your chin. You should contact him/her ASAP in order to let them know what you are experiencing as this may need to be taken care of.

 

As far as the numbness is concerned, all facelifts and neck lifts have numbness over the skin after surgery.  This is because the skin has to be lifted off of the underlying muslce in order to perform the procedure.  The sensation generally takes from 6 months to 1.5 years to improve. 

Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
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