The Naked Truth About Plastic Surgery: 3 Facts about Neck lifts Part 1


What is a necklift?

Genetics, time and gravity, environmental factors such as dry climate, and behaviors such as sunbathing and smoking all contribute to the aging process, leaving some with unwanted grooves and wrinkles in their lower face and neck.  A necklift is a surgical or non-surgical procedure designed to smooth out these wrinkles and folds that occur with age by tightening the tissues that lie beneath the skin and removing extra skin around the neck and jawline.  Necklifting methods are tailored to each patient to give their desired youthful result, reversing the visual effects of the aging process.

Is a necklift right for me?

If you feel your aging face does not reflect your youthful self inside, a necklift may be the procedure for you! 

The only way to know if this is the best procedural option is to schedule a consultation at our office where Dr. Horowitz, a renowned board certified plastic surgeon, will sit down with you to evaluate your skin type and bone structure to come up with a custom surgical plan.  Oftentimes, patients may add on a blepharoplasty or a mid-face/cheek lift with their necklift to optimize their results.  Dr. Horowitz will walk you through the details of the surgical techniques and offer additional recommendations to help you achieve your aesthetic goals. 

How does a necklift work?

A necklift is not a singular procedure with a singular method, but rather is an umbrella term describing a large range of operations with varying incisions and skin-lifting techniques, which have been developed and improved upon over the years.  Your board certified plastic surgeon will be familiar will be able to pair you with your perfect match of surgical approach based on your skin type and desired results. 

The type of necklift incision Dr. Horowitz will recommend will depend upon your gender, your hairline and preferred hairstyles, any scars from previous surgeries, and a variety of other factors.  As a general rule, a necklift incision starts right in front of or within the hairline on the temple, follows the curve of the front of the ear, travels underneath the earlobe, and ends at the hairline behind the ear.  There are also shorter scar techniques preferred by many patients, which do not have incisions in the hairline.  Some patients who wish to have liposuction or tightening of their neck will need an additional incision under their chin, which can be hidden in a natural skin fold.

Local anesthetic is usually used in combination with intravenous anesthesia during a necklift operation, allowing you to sleep peacefully through the procedure.  Though general anesthesia may be requested, it is not necessary in most cases.  A necklift and any additional procedures you may add on are outpatient procedures usually performed in a surgery center.  In some cases your surgeon may advise you to stay in a post-op care facility for a single night. 

Through all these factors, it is important to be realistic with your desired results.  Necklifts are designed to remove only deep grooves and wrinkles, not fine ones.  Smoothing out every tiny line in your face would leave you with an eerie, unnatural, and undesirable result.  The goal should be to make your necklift look as natural as possible, simply turning back the clock a few years. 

If your small wrinkles and lines are a concern, our experienced staff at BioSpa can recommend a variety of skin treatments such as microdermabrasion or a range of chemical peels which can help to enhance your result. 

Article by
Orange County Plastic Surgeon