Necklift and Muscle Tightening Without an Incision Under the Chin - Is This Possible?

Is it possible to have a necklift with muscles tightened without making an incision under the chin? How much must the incision be? Thank you.

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8 Doctor Answers | Asked by BrookeinCO in Colorado

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"Incisionless Necklift"

Neck aging is extremely variable. From slight skin excess or prominence of the platysma muscle bands to the the extreme "no neck", "turkey neck" etc. Mild forms of aging can be treated with SCITON's SKINTYTE (google it or look it up on YouTube) and muscle pillars can be nicely smoothed with expert Botox applications. I use both in my practice with pleasing results. For the more advanced cases, a surgical procedure is needed if the outcome is to be pleasing.

Neck lift incision

The submalar incision is very small and is not noticeable after healing occurs. I don't know why a patient would prefer facelift incisions, which are longer and more likely to be noticed to an incision under the chin, which is less than an inch long. To get to the platysma bands, you do need the sub mental incision.

Neck lift and muscle tx without midline incision

If you have significant neck bands centrally, you will have to have a midline submental incision to treat them properly.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Cosmetic Neck Lift without Incision

The appearance of the neck is a combination of skin, muscle, fat, and bone primarily. Each patient has unique anatomic variations. Younger patients primarily have a excess neck fat or inadequate bone, which contribute to a soft, underdeveloped neck. Older patients more commonly have excess, sagging neck skin and muscle. Potential options to improve the neck & jaw line without an incision or surgery including Botox Cosmetic or neck liposuction. Some patients may benefit from a... more

Neck Lift without muscle tightening or repositioning

This is all a matter of terminology. Muscles can be suspended or repositioned without necessarily tightening. The neck muscles, namely the platysma can be repositioned by pulling them superiorly and laterally with a neck lift accomplished via the MACS lift technique using a very small incsion under the chin and larger incisions behind the ears.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Necklift can be done without a chin incision, but may not be enough

A necklift certainly can be done without an incision under the skin. Using the standard facelift incisions around the ears, the muscles can be pulled back, fat suctioned, and the skin tightened. However, if the muscles have a visible separation under the chin and/or there is a great deal of fat below the chin, more will need to be done. A very small incision in the crease below the chin allows the muscle separation to be closed, the muscles tightened, and the excess fat... more

Neck Lift without incision under the chin

Occasionally, with someone who is young and has only excess fat, liposuction of the neck will be all that is needed. This does require a very tiny incision under the neck, however. Neck lifts, otherwise, are usually a part of a Facelift. When done with one of the modern techniques, such as the MACS Lift, the ligament from the ear to the posterior edge of the muscle is reconstructed and the muscle is tightened without the incision under the chin in up to 90% of cases. The advantage of... more

Incision under the chin helps

Generally, agressive improvement in the neck requires attention to excess laxity of skin and the platysma muscle. The plastysma muscle is a very thin muscle that runs all along the chin and jawline to the collarbone. With the incision under the chin, the surgeon can suture the middle portion of the platysma together creating a corset to tighten the central neck. The platysma does run almost all the way to the ears. So commonly, the surgeon can also elevate the muscle ... more