Is there any way to avoid cuting in or around the ear to do a Neck lift?
Neck Lift Without Cutting Near the Ear?
Doctor Answers (9)
Neck lift without ear incision
I fyou only need the muscle treated and/or liposuction than you can get away with a submental ( under the chin) incision, otherwise incisions by the ears are necessary.
Isolated neck lifts
There are three things you can do surgically to imporve the neck. Liposuction is for the young patient with excellent skin elasticity and good muscle tone who just has some extra fat. The neck lift without ear scars is also for the patient with good skin elasticity, extra fat, but also has loose neck muscles and a more chin to chest look. The third treatment involves scars around the ears where the extra skin is removed in the person who does not have excellent skin elasticity. I have examples of each on my web site.
So it all depends on which of these you are, what is your surgeon's level of experience with each procedure, and what kind of a result you are expecting in order to be happy.
Neck Lifts without ear incisions
For younger patients with a bad profile and not too much loose skin, a neck lift with an incision only below the chin may be ideal. This allows removal of fat and tightening of the platysma muscle, both important steps in correcting the 'double chin'. Our version of this procedure involves a wide interlacing technique (Neck-Lace (TM). For patients who are older and have a great deal of extra skin, or require restructuring of the deep layer (for jowl reduction), a facelift will give the best results.
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Submental Revisions Are Possible
There is a procedure which you can make a cut under the chin and reshape the neck skin to some degree. Unfortunately this procedure is limited and only for select patients. With only a neck lift, you can often just make the incision behind the ear and not in front of the ear which is easily hidden.
A cervicoplasty is a necklift done through an incision under the chin only.
Not all necklifts require skin excision. When this is the case, a cervicoplasty can be performed through an incision under the chin only. Excess fat is removed and the platysma bands are surgically corrected. The skin is then redraped over the new neck structure. Patient selection is critical because there is no removal of skin. This is an outpatient procedure that takes an hour or so.
Neck lift without incisions near the ears.
The typical neck lift procedure involves a one-inch incision underneath the neck and two one-half inch incisions behind the ears. Fat is removed both above and below the platysmal muscle. The platysma is tightened in the front through a platysmaplasty between the Adams apple and the chin. The incisions behind the ears are only one-half inch incisions to gain access for the liposuction cannula to remove fat at the angle of the jawline to improve the jaw and neck angle.
A neck lift is done through a short scar under the chin only.
First, you have to be a good candidate for an isolated neck lift (not too much jowls or loose skin). But if you are, then we can usually correct a bad neck by cleaning up the fat and muscle through a short scar under the chin. You don't need scars near the ears.
It depends on the surgeon and the surgery.
Usually you won't get as good a neck lift that way. The reason that we do it inside the ear is so the scar won't show. Also, skin must be removed in most patients and you can't do that thru a small incision under the chin. See an experienced facelift surgeon and let him give you the pros and cons of your problem's solutions.