Can a neck lift be performed without having to cut in front of the ears?

Question

Can a neck lift be preformed without having to cut in front of the ears? And can this be done under local? Thank you

Lucian Ion, FRCS · Answer

When the contour of the neck is smooth, and the definition is lacking, the problem comes from volume rather than skin.With an access incision under the chin it is possible to address this volume significantly and the skin tension would remain unchanged. This is referred to as anterior neck lift or short scar neck lift. Some surgeons have suggested that the procedure can be carried out under  local anaesthetic with intravenous sedation, but most surgeons would advocate a general anaesthetic. I have not heard of anybody saying they have carried out this type of surgery purely under local anaesthetic.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Good afternoon and very good question,Neck surgery can be performed under Local Anaesthetic and does not require any drains or bulky bandages. As a walk in walk out procedure, you can now have the neck you once had and one that you've wanted.Dependent on the laxity of the skin, a neck procedure using Liposuction and also using a device to tighten the skin, such as Renuvion, would be a fantastic route, no incisions by the ears are made as this is a neck-tightening procedure addressing the fat and the excess skin with minimal recovery. Better to go to a physical examination with a Certified Board Plastic Surgeon as you can express your concerns in not wanting incisions and venturing down a less-invasive surgery route.Good luck in your search.

David Hansen, MD · Answer

Getting a neck lift is always done under local and can be done under the chin in many cases so there are no scars around the ears. This is a platysmaplasty and is easy to undergo.

Ross A. Clevens, MD, FACS · Answer

Thank you for your questions. Yes, a necklift can be performed by making a small incision under the chin and a tiny incision behind each of the ears. The laser-assisted weekend necklift creates a more youthful appearance to the neck and jawline while providing recovery as short as one weekend. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy.
Best wishes,

Landon Pryor, MD, FACS · Answer

Thank you for your question!  A neck lift can be performed through a few different approaches.  Depending on the amount of improvement needed/desired, incisions for a necklift can be placed behind the ears and/or in the submental neck area, just under the chin.  Generally, incisions placed in front of the ears result in a face lift.  Whether or not this may be performed under local anesthetic also depends on how extensive of a neck lift is being performed.  I recommend scheduling a consultation with a Board Certified Plastic Surgeon to obtain a professional recommendation and treatment plan.

Zoran Potparic, MD · Answer

In selected candidates who do not have much of skin redundancy it is possible to achieve all necessary improvement in the neck and jaw area through a sub-mental (bellow chin) incision; no need for skin excision in front and behind ears. However, without in person evaluation it is impossible to tell whether you are a candidate for such a procedure. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  A necklift can be performed with incisions behind the ears and a small submental incision.  In my practice, I perform this with either general anesthesia or conscious sedation, both of which are administered by a MD board-certified anesthesiologist in my practice.  If this is being offered using only local anesthesia (without a board-certified MD anesthesiologist), this generally involves only skin tightening and not muscle tightening and will not provide a long lasting result.    This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Sanjay "Jay" Keni, MD · Answer

Hi LondonGB,An isolated neck lift, not addressing the jowls or lower face, can absolutely be performed with incisions that start at the earlobe attachment and proceed posteriorly behind the ear and a bit into the hairline.  That means that almost all of the incision is hidden behind the ear.  You will have one small incision under the chin that hides nicely, usually in a crease if you have one.And we absolutely could do this under local anesthesia with some light oral sedation.Please note that this is my preference, but not necessarily that of other surgeons.  Go for an in-person evaluation with a surgeon experienced in neck-lifting.Best wishes,Dr. Jay

David Alessi, MD - Account Suspended · Answer

A neck lift can be done with just the incision behind the ears.  It depends on how much needs to be pulled back and when the sagging is.  Seek out a consultation with a board-certified surgeon.  If the surgeon is out of the country, many will do Skype interviews.  Best wishes.

Can a neck lift be performed without having to cut in front of the ears?

Answers (9)

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