What to do with neck laxity when general anesthesia isn't an option?

I'm a 39-year-old with mild/moderate neck laxity, but I'm not after a face lift. I understand that invasive lifting has the highest guarantee of success, but for medical reasons, I prefer not to have general anesthesia (especially considering its an elective procedure).

I have consulted 7 MD's who are respected and reputable plastic surgeons in the Stanford/Palo Alto area (head and neck and general Plastic surgeons) and have had a range of responses. One suggested a "mini" facelift (which is basically a face lift) with submentoplasty and chin implant, a couple recommended an isolated submentoplasty and chin implant, 2 recommended an isolated neck lift, and one MD said I'm not a candidate for face/neck lift surgery and should get a chin implant, Botox in the platysmal bands, resurfacing, and Titan Laser. One also said Active/Deep FX all over my face and neck would be the best. I'm now frustrated and feel as if there's no hope but to live with my prematurely wrinkled neck. Any advice?

4 answers to “What to do with neck laxity when...”

A: All facial procedures can be done under local anesthesia

Robert M. Freund, MD

A combination of sedation and tumescent local anesthesia will do a great job of making for a comfortable surgical procedure.  Although I am not suggesting the type of procedure for you, a word of caution, Lasers and radiofrequency procedures are expensive and temporary. The only way to get a durable... more

A: Tumescent local anesthesia works fine for surgical neck lifts.

David Hansen, MD

Your surgeon can do the same surgical neck lift with just tumescent local anesthesia without general anesthesia.  Many anesthesiologists now do the local anesthesia instead of the general anesthesia for face lifts and neck lifts.  If you've decided on your surgeon , then the next step is for you to... more

A: As you can see, there are multiple options!

Richard P. Rand, MD

There are a wide variety of options to rejuvenate the neck. Because you are young, some of the more conservative options might be the most reasonable but it really depends on your anatomy and your expectations. You are hand-cuffing the doctors by placing restrictions on the anesthesia. I would suggest going... more

A: There are multiple ways to rejuvenate a neck

Shahram Salemy, MD

While it's difficult to know what options you have without examining you, what I think you are seeing is that depending on the surgeon, there are multiple options for neck rejuvenation. I think you have been offered a wide range of options, some more invasive than others, and each with its advantages and... more

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