Facelift: Q&A
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Can Tightness & Swelling Following Neck or Face Lift Affect Neck Structures? Which Surgical Method Least Affects Laryngeal Area?
I'm early 50's w/ minor sag (not fat) just under chin. Lower neck & face looks fine. My ENT said "don't cut too far down" (neck) due to R thyroid nodule which is long & looks like a neck "band." (I won't remove it). What surgical method would fix chin sag without causing even initial swelling, tightness in larynx area? Is usual tightness felt in skin only, or do some feel tight deep in larynx area? Also, can tightness or swelling impair breathing or exacerbate any “airway” medical problems?
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11 Doctor Answers |
Asked by
KJay
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Minor Chin Sag under Chin and Neck Lift
In a patient with limited skin laxity, the skin from beneath the chin can be removed to improve the area. Find the plastic surgeon with ELITE credentials who performs hundreds of facelifts each year. Kenneth Hughes, MD Los Angeles, CA
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Tightness and swelling after face/neck lift
Most patients in their 50s require a lower face/neck lift, not just a neck lift only. When there is extra skin a lower face/neck lift must be performed, while a neck lift alone will only address excess fat in the neck. Any thyroid nodules will not be affected with this type of surgery and needs to be addressed prior to elective cosmetic surgery if needed. Any time surgery in the neck is performed there will be swelling for approximately 2 weeks after the procedure, however...
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A youthful face and neck..
In my practice I don’t perform any surgery to the level of the thyroid and create any type of excess swelling in that area. Essentially, I believe you can have a face and neck lift which would address the areas of concern without requiring extensive dissection below the thyroid cartilage. Although it is natural to feel some tightness after a face and neck lift procedure, in my practice my patients rarely are concerned about anything related to breathing. It is important to understand that...
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Can Tightness & Swelling Following Neck or Face Lift Affect Neck Structures? Which Surgical Method Least Affects Laryngeal Area?
There are ways to vary the amount of skin removal under the chin. The least invasive method is a localized excision of neck skin. I do this frequently and it should have no effect on the laryxn or the thyroid nodule. The procedure is minimally invasive and can be done under a local infiltration without anesthesia.
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Neck Lift/Facelift With a Thyroid Nodule
It's hard to say which technique would be best without a photo. It really depends on how noticeable the nodule is. The good news is that there are a variety of ways to do the lift that would work, depending on your specific situation. The surgeon you choose should be able to tailor the operation so that it works well for you. With regards to your questions about tightness- everyone feels some tightness after the surgery and it always resolves. The tightness is not dangerous.Your thyroid...
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Can neck lift affect larynx?
The answer is no. You don't have a thing to worry about if your procedure is done by a Board Certified Plastic Surgeon. For minor neck sag we don't even have to dissect across the front of the neck.
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Facelift/Necklift
You need to find a facial plastic surgeon who has training in head and neck surgery and can assist you with your desire for a necklift/facelift without affected your laryngeal/thyroid region. If done correctly, you shouldn't have any laryngeal symptoms, although this also depends on how large your nodule is and the current situation of your thyroid.
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Neck lift with a thyroid nodule...
As usual, a picture is worth a thousand guesses..... its hard to suggest an appropriate procedure without examining you. There are multiple options ranging from traditional facelift incision with chin incision with platysmaplasty, to MACs lift to a modified incision that is mainly behind the ear. All of the surgical options that don't directly touch the neck area from under the chin should not cause much swelling under the chin and none of these methods should impair breathing or 'exacerbate...
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Neck lift should not affect the larynx.
The type of neck lift that is best is one done by an experienced facial plastic surgeon. When the surgeon examines your neck he should be able to give u the pros and cons of different techniques.
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Will a neck lift affect neck structures?
A neck lift addresses loose skin and sagging muscle in the neck. The muscle that sags in the neck is called the platysma. This muscle is very superficial, meaning it is close to the skin. The vital structures of the neck are typically deep to the platysma muscle. While it is common for the neck to feel tight following a neck lift, it is exceedingly rare that a neck lift would have any effect on the larynx or other neck structures.
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Can facelift compromise neck structures
The only technique I know of that may compromise neck structures is the Giampapa suture lift. It is a suture placed under the hyoid and tightened from ear to ear. Even low platysma closures don't effect neck structures.
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