A couple of plastic surgery nurses have suggested a skin only lift for my loose and crepey lower neck, with the scar mid central at the back of the neck. What is this called and is it effective?
Is It Possible to Do a Skin-only Lift for Lower Neck?
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Neck Lift of Skin Only
A neck lift commonly tightens tissue and muscles of the neck and removes excess skin. Neck lift incisions are hidden in natural creases under the chin and around the ears. A neck lift or face lift help smooth the facial skin and restore a youthful appearance. Primary or first-time face lifts must lift multiple layers of the face and neck to have adequate, long-term results. Skin only lifts may be appropriate for minor touch-ups after already having a face lift. Lastly, neck lift incisions placed behind neck are not routinely performed.
Only after a comprehensive evaluating can a face lift plastic surgeon help determine appropriate options for you. Best of luck.
Skin only neck lift
It is certainly possible to only require a skin only neck lift that can be accomplished by only elevating the neck skin from the sides.
Think traditional necklift will work well.
I would recommend a neck lift using incisions behind your ears and into the hairline. Skin can be redraped and muscles tightened and fat aspirated, if necessary. The scars are well-hidden and heal well.
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Skin face lift for sagging neck skin.
This is called a posterior neck lift and leaves a scar in the back of the neck. If your hair is long, you may consider the tradeoff as worthwhile. Others may not be happy with a vertical scar in the back of the neck.
Skin onlt neck lift not effective
The modality to be used to im-prove neck contour is based on the physical exam. Non-invasive therapies are only useful for minor corrections. Skin only incision are not useful because skin is elastic and will only relax over time. More often than not, the underlying structure (muscle, deep and superficial fat) need to be tightened, some removed and repositioned. This type of lift tightens the neck muscle (platysma) if they are loose or splayed. During this procedure a 3cm incision is made just behind the chin crease and the muscle in the neck is accessed and tightened with sutures in way a corset would be tightened. Chin implant and liposuction can be done through this same incision.
Skin-only neck lift.
Thanks for the question. This type of lift carries a high risk of complication with possible injury to nerves in what's called the posterior triangle of the neck. Also, with skin only lift procedures there is a high incidence of recurrent sagging of the skin. I would not recommend this type of a procedure to any of my patients.
Two kinds of skin-only necklifts are commonly done depending on what the problem is. If the skin excess is more of a horizontal fold, we do a horizontal necklift where two incisions are placed along existing neck folds. If the excess causes more vertical folds, we perform a vertical necklift where the incisions are most commonly placed along the hairline in the neck. An incision in the back of the neck is technically more difficult.
The farther you are from your incision, the less the effect
I can assure you that a midline incision down the back of the neck will leave you with loose skin in the front midline of the neck much sooner than a more traditional necklift with incisions around the ears and under the chin. Also, in almost all patients, unless you do something to tighten the muscles, you won't get the beautiful angular depth you are looking for.
It is a poor idea for patients to try to dictate their surgery since they have no training or experience. The best plan is to go to the most highly regarded plastic surgeon in your area and ask them what they would suggest for you. Remember, you wouldn't tell a pilot how to fly the plane or a chef in a nice restaurant how to cook your meal either.