Neck Lift or Orthodontics first?

Question

I am planning on getting a deep plane neck lift, however, I also have a posterior open bite for my molars/premolars that I'm planning on resolving with Invisalign. Does the order in which I complete these treatments matter? If I got the neck lift first, would there be any issues with my final results if I then corrected my bite afterwards with aligners? Thank you!

Lucian Ion, FRCS · Answer

Thank you for your question.

The degree of changes generated by orthodontic treatment is generally limited and is unlikely to affect the outcome of a deep plane neck lift intervention. Orthodontic treatment primarily focuses on aligning the teeth and improving the bite, which does not typically produce significant changes to the skeletal structure that would impact neck lift results.

In general, if someone is contemplating orthognathic surgery that produces more extensive changes to the skeletal support, it is advisable to complete such surgery before considering neck lift surgery. However, for standard orthodontic interventions, this consideration is not likely to be relevant.

Therefore, you can proceed with your orthodontic treatment either before or after your deep plane neck lift without significant concerns about the impact on the surgical outcomes.

Andrew Miller, MD · Answer

If you are simply using Invisalign, the order of procedures doesn't matter. If you were doing more extensive jaw surgery, then I would do that first. Be sure to see a facial specialist for consultation.

Ryan Rebowe, MD · Answer

I would address any issues with the open bite first and then perform the neck lift. It is possible that actual jaw surgery may be necessary to fix the open bite, and if braces or other positioning devices do not work your orthodontist may refer you to an oral surgeon. Jaw surgery may change the shape of your neck, therefore I would make sure that this is performed first prior to your neck lift.

William Portuese, MD · Answer

It really does not matter which procedure comes first, and you can actually do them simultaneously. Make sure your surgeon is very familiar with how to do a deep neck lift procedure properly. A deep neck lift procedure involves removal of fat deposits above the platysma muscle with liposuction, and surgical extraction of the fat causes below the muscle which also includes a platysma plasty to significantly improve the jawline.

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