Neck Firming Options
Doctor Answers 70
Necklift, Jowls, Facelift Options
Even in the absence of other signs of facial aging, a poorly-defined or sagging neck can add years to a patients overall facial appearance. When performed expertly and with great attention to detail, a necklift surgery can dramatically restore a natural and youthful neck profile, with no outward evidence that surgery has been performed. The adjective that immediately comes to mind when I review ‘before and after’ images of my necklift patients is elegant – for restoring a youthful neck contour truly makes the patient appear not just younger but also refined and elegant.
Necklift surgery can consist of a variety of surgical techniques that are carefully selected to meet each individual patient’s particular needs. It is therefore important to select a qualified physician with a great deal of experience in numerous necklift procedures. In younger patients with good skin tone, submandibular liposuction alone may produce a dramatic improvement. For some patients with good skin tone but poor definition at the angle of the neck, I add a suture-suspension necklift to sharpen the angle between the jawline and neck. This procedure is minimally invasive and has a very quick recovery. It will not, however, improve the situation if a true excess of skin is present.
Patients with more advanced aging changes in the neck generally require tightening of their neck skin as well. The neck is the one area in facial rejuvenation where a tighter and more toned surgical result looks natural and aesthetically ideal (as opposed to the face where ‘tight’ and ‘tighter’ just looks like surgery). Neck skin removal is accomplished through incisions around the ears which can be extended a short distance into the scalp if necessary. If the incisions are created and closed correctly and without undue tension, a very natural looking result can be obtained with no obvious signs that a necklift has been performed. A great deal of experience and expertise is required to avoid distortion of the ear and surrounding skin.
Neck firming fixes
Thanks for your question. As we get older a number of factors can change the contour of the neck and jaw line. These include weight gain (and loss!), weakening of the supporting structures and loss of skin elasticity. This can cause the the "turkey neck" type description you mention. The things to consider when looking to correction include: • Amount of fat • Quality of skin • Skin laxity • Position of the platysma muscle A neck lift and platsymaplasty can be performed with or without submental liposuction to address all of the above problems. Beware of marketing efforts that claim remarkable results without surgery. Generally in the case of excess skin or poor quality skin (skin without adequate elasticity) you will need more than laser or RF tightening. Be sure to find a board certified plastic surgeon. I hope this helps.
Neck Lift and Sagging Skin: Surgical Treatments to Repair Neck Skin
Excessive sagging of the neck skin is usually a result of a variety of factors including:
- Quality of skin
- Skin redundancy
- Laxity of the platysma muscle
Surgery, including a neck lift would improve the amount of skin redundancy and the laxity of the platysma neck muscles by sewing them along the midline. This can usually be accomplished through a small incision under the chin and two small counterincisions in back of the ear.
Alternative treatments that address the skin will generally not recreate the neck line or improve the laxity of the platysma muscle.
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Neck Firming Options
Generally speaking, a loose, saggy neck will require some type of a surgical neck lift to firm up and smooth the contour of your neck. In addition, a "turkey neck" usually includes extra fat concentrated in the front and sagging platysma muscles that contribute to the wattle. These require surgery to correct. The most comprehensive approach is with a standard neck lift, essentially the lower part of a facelift. However, depending on what combinations or degrees of these anatomical changes are present, you might be able to get a nice result from less extensive surgery, such as liposuction and muscle tightening performed just under your chin. As for non-surgical approaches to firming up loose skin and soft tissues of the neck, there are some technologies such as ultrasound, radio frequency waves, and light-based systems that may tighten the neck slightly, but results so far have been subtle and minimal, so your choice should depend on just how much looseness you have and how much excess tissue is present. Seek a consultation with a respected plastic surgeon who has experience treating necks.
Neck Lift Procedures
To get the best results with Neck Lift, the following is needed;
- Bringing the edges of the Platysma muscles together if indicated.
- Doing some degree of Liposuction to sculpt the area
- Re-draping the skin to help contour the entire neck
- placing a chin implant only if indicated.
Please consult a Board certified plastic surgeon with training in head and neck surgery for best results.
Hope this helped.
Turkey Gobbler and Neck Lift
If you are an older male there is the option of a direct neck lift which provides dramatic results but does leave an incision line from your chin to your "Adam's apple." Not good for some, perfect for others seeking a shorter surgical procedure with dramatic results. Not a consideration for females however.
Assuming that you are female the surgery choices include a necklift alone (skin and muscle tightening with most of the lifting shifting skin behind your ears, or a combined facelift and necklift. The benefit of the latter (more extensive surgery) is improvement of jowls and the cheek area where fat and skin settle in the 50s+ and more lifting and tightening of the neck skin. The question is what would best suit your needs, your budget and recovery.
Procedures that stimulate skin shrinkage are variable in their success and only give a temporary result but might be worth your consideration. They cannot treat the muscle bands and effectively treat substantial amounts of droopy skin.
There are many options to correct sagging neck skin
Correction of a “turkey neck”
Surgery is the best treatment for a
There are multiple ways to improve a heavy or sagging neck. Saying that you have a "turkey neck" usually implies a relatively heavy/sagging neck, however, patients use this term to describe a wide variety of conditions ranging from an abundance of sagging skin with little fat to a large, heavy neck with very few wrinkles.
As the neck ages, several changes occur. First, "banding" or vertical lines develop under the neck. These lines are actually a bunching up of a neck muscle called the platysma. In a relatively young neck with mild banding and elastic skin, these muscles can sometimes be treated with Botox or similar product to improve the appearance. Banding, however, is usually accompanied by loose, sagging skin and the best treatment in this case is to perform a neck lift (platysmaplasty). In this procedure, the muscle is tightened so that it tightly conforms to the neck again. At the same time, fat can be removed and the excess skin can be removed. The incisions are well-hidden around the ear and under the chin.
Another option is liposuction. Liposuction is very effective for improving the neck contour, however, the optimal patient should have young, elastic skin that will conform to the new shape of the neck. If the skin is less elastic, liposuction will actually worsen the appearance of the neck, because the excess skin will appear to sag even more.
There are non-surgical options to improve the neck, such as the Venus Freeze, Ulthera, and other devices. These devices may be a good option if you are looking for a modest improvement, but they cannot produce the dramatic results seen using liposuction or neck lifting.
Correction of sagging neck skin ("turkey neck")
Neck aging is an interplay between an increase in and having sagging skin, an increase of fat in the neck AND the separation of the Platysma neck muscle from its attachments on the deeper neck structures.
SOME neck improvement may be gotten without surgery by weakening the Platysma muscle bands with Botox and shrinking the neck skin with some lasers or IPL. In some people such noninvasive results are quite acceptable but they are NOT the same as a neck lift.
The neck lift that would best address your complaints would need to include the components that address your deformity. If you have a lot of fat under the skin, the fat would need to be liposuctioned. Depending on the separation and prominence of the separated Platysma muscles, they may need to have their central portions taken it and stitched together in the midline after which the sides of the muscle are lifted upwards to recreate a nice youthful neck angle. The excess neck skin is removed along an incision in front of the ear which, depending on the technique, may need to be extended behind the ear.
Peter A Aldea, MD