Can I Just Get the Platsymal/corset-tightening Neck Lift Done on Its Own, Without a Facelift?

Thank you for your question. Neck Rejuvenation is often used in conjunction with a Concept™ Facelift, in order to provide rejuvenation to the whole area. Neck Rejuvenation can include tightening the platysma muscle which can be an extra procedure which some patients may need to ensure a tight contour neck.  Tightening of the platysma muscle (also know as platysmaplasty) will require a small incision under the chin away from direct view to gain access to the front edge of the muscle on the neck; they are sutured together with permanent stitches.  The muscles of the neck are the foundations and building blocks of the neck are fundamental to achieving a tight and toned result. Alternatively, some patients may need neck liposuction, for those who have excess fat under the chin.  Overall, to obtain the best results a combination of neck rejuvenation procedure maybe needed.

Neck Rejuvenation is often used in conjunction with a Concept™ Facelift, in order to provide rejuvenation to the whole area. I perform my facelift and neck lift under local anaesthetic, meaning minimal bruising and swelling is experienced by patients.  This significantly reduces the recovery time experienced, therefore patients being able to return to their daily lives with public view within 5-7 days.  This is why it is important to have a comprohensive consultation with a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve. 

Best Wishes 

Thank you for your question. Yes, in some cases this is appropriate, but sometimes, this alone will not be adequate. You should see a local Board Certified Plastic Surgeon and be evaluated and see if the platysma bands alone are the culprit or if facial muscles are also a factor. After a consultation, you will be able to make a more informed decision. I hope this helps.

Platysmaplasty/necklift in isolation rarely works as well as necklift + facelift, but in a small subset of patients with adequate skin elasticity and minimal skin excess it can provide nice results.  An in-person evaluation would be the best way to determine the appropriateness of this procedure for you.  

       Pictures or an exam would help elucidate what is needed, but what you describe does not represent a possible scenario.  Find a plastic surgeon who performs hundreds of facial procedures and neck lifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD Los Angeles, CA

It is certainly possible that a more limited approach to improve your neck laxity may address your concerns.  Without photos and an exam it is difficult to determine the extent of surgery necessary.  Facial and neck rejuvenation is best tailored to each individual as you will have a unique combination of platysmal laxity, skin laxity and fatty fullness.  A second opinion regarding your needs may help clarify the matter.  Good luck!

An exam is needed but Dr. Core said it well. Many people I have seen after a so called mini or partial lift paid a lot and have the need for additional surgery in a few years. Your consultation with a board certified plastic surgeon who performs facial  rejuvenation  is a good first step in the right direction. Good luck!

Without seeing the photos, I can't give a great answer but if all you need is a little skin and muscle tightening under the chin/neck then the platysmaplasty under local anesthesia might be just the answer. It is easy to undergo and runs roughly $4500 on special. Sincerely,David Hansen,MD

Can you have a corset platysmaplasty in isolation?  The answer is maybe: only an examination will provide a complete answer.  Isolated neck lifts tend to work better for younger patients (40's, 50's) and those without a great degree of skin laxity.  When skin laxity reaches becomes an issue, Facelift incisions/ skin removal are often required to fully address the problem. 

Before and after photos as well as your age would be nice to give a better answer.  It is a common misconception that a facelift is a once in a lifetime procedure.  I perform deep plane facelifts, which is the longest lasting procedure available today.  In well trained hands a facelift can last up to 10 years with this technique.  A deep plane facelift can be performed through mini facelift incisions.  The term "mini facelift" has almost no meaning other than describing the length and shape of the scar....an S lift is the shortest incision available is is synonymous with the term mini facelift.  It is the work performed under the skin that provides longevity for a lift.  Lesser lifting techniques can fail early and need to be revised with an additional facelift.  Extra skin in the neck is almost exclusively removed with a facelift in women.  Many mini facelift techniques can fail early leaving patients looking for answers as to why they may be looking at revision surgery to correct subsequent issues.  Ulthera is a nonsurgical option, but it can be expensive and provides only a fraction of the results of a facelift. Speaking with your surgeon about all the options is the first place to start, but don't be surprised if more surgery is required to address your issues. 

 A neck lift can be performed with and without skin removal, however excess skin in the neck will  make the decision as to whether or not a neck lift with or without skin removal can be accomplished. Without the pictures, it is impossible to tell. To see the difference between a neck lift in the lower face neck lift, please see our photo gallery link below