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.
Necklift and Muscle Tightening Without an Incision Under the Chin - Is This Possible?
Doctor Answers (9)
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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 lower face lift with an incision around the ears, but without an incision under the chin.
Incisions under the chin are very well tolerated by patients. It's hidden from view and blends with the natural crease. Incision in this area may be required as part of a lower face lift or neck lift, or chin augmentation with implant. Incisions are very small, typically less than a couple centimeters.
Only after a comprehensive evaluation by a plastic surgeon specialist can he/she help determine appropriate options for you.
No incision neck lift??
The modality to be used is based on the physical exam. Non-invasive therapies are only useful for minor corrections. 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.
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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.
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.
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 removed. The results will be fabulous and the scar not noticeable. Let your doctor recommend what will be best for you.
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 this technique is that you also correct the problems in the lower face that are always present with the neck deformity. The procedure is also no more involved and has no longer recovery than a neck lift alone. If you choose a neck lift alone, however, to achieve a significant, long lasting result, an incision under the chin is almost always required.
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 , pulling on the platysma laterally to suture it to a higher position giving a tighter look. Depending on your physical exam and your desired results, you can discuss with your surgeon which approach or combination of approaches work best for you.