Submental incision for neck lift

Brent Moelleken, MD answers: Concern about Neck Lift scar

I am scheduled to have a Neck Lift on the 12th but I have some concerns. On my first visit, the doctor told me that the scar would be less than an inch just under my chin. My last visit prior to surgery, he tells me that because I am not having a face lift, he will need to make an incision the shape of a upside down "U" and will be about 2.5 inches. Now, I don't want to go thru with it. What are your recommendations?


Brent Moelleken, MD
5 months ago

Most of the work of a neck lift is done at the deep level, not at the skin level.

It is a mistake in my opinion to resect anything more than a minimal amount of skin from below the neck; it can cause great artifact (the exception is the direct neck excision, which we do not perform but gets nice results in highly selected, usually much older patients).

We prefer a wide interlacing technique for the neck rather than a centrally based platysmaplasty or a transsection of the platysma, which can yield a skeletonized appearing neck with visible glands.

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More answers to Concern about Neck Lift scar

A: Get a second opinion.

Toby G. Mayer, MD
5 months ago

 You can always have surgery on another day. Get another opinion from an experienced facelift surgeon and discuss the pros and cons of doing things different ways.

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