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The New Neck lift is the result of 8 years of innovation of combining energy based devices with limited incision neck and lower face surgery. Because patients are looking for options for surgery that utilizes smaller incisions without compromising results we developed with out technology partners at Cynosure and ThermiAesthetics options to achieve just that. The fact that these procedures can be accomplished under local anesthesia make this the ideal procedure for early to moderate neck aging.
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 and able to pair you with your perfect match of surgical approaches based on your skin type and desired results. The type of necklift incision 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.The #scars will mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen. We find that scar reducing product, BioCorneum , appears to be very effective. If you have certain concerns about the procedures and #healing process, it is recommended to call your board-certified surgeon or their medical staff and discuss those #concerns.
If the neck has fullness only without loose skin, the neck can be treated with liposuction without ear incisions. If the skin is loose ear incisions are needed. An exception in men would be a zplasty neck lift which the bearded area can hide.
Not all necklifts require skin excision. When this is the case, a cervicoplasty can be performed through an incision under the chin only. Excess fat is removed and the platysma bands are surgically corrected. The skin is then redraped over the new neck structure. Patient selection is critical because there is no removal of skin. This is an outpatient procedure that takes an hour or so.
For younger patients with a bad profile and not too much loose skin, a neck lift with an incision only below the chin may be ideal. This allows removal of fat and tightening of the platysma muscle, both important steps in correcting the 'double chin'. Our version of this procedure involves a wide interlacing technique (Neck-Lace (TM). For patients who are older and have a great deal of extra skin, or require restructuring of the deep layer (for jowl reduction), a facelift will give the best results.
Usually you won't get as good a neck lift that way. The reason that we do it inside the ear is so the scar won't show. Also, skin must be removed in most patients and you can't do that thru a small incision under the chin. See an experienced facelift surgeon and let him give you the pros and cons of your problem's solutions.
I fyou only need the muscle treated and/or liposuction than you can get away with a submental ( under the chin) incision, otherwise incisions by the ears are necessary.
There is a procedure which you can make a cut under the chin and reshape the neck skin to some degree. Unfortunately this procedure is limited and only for select patients. With only a neck lift, you can often just make the incision behind the ear and not in front of the ear which is easily hidden.
The typical neck lift procedure involves a one-inch incision underneath the neck and two one-half inch incisions behind the ears. Fat is removed both above and below the platysmal muscle. The platysma is tightened in the front through a platysmaplasty between the Adams apple and the chin. The incisions behind the ears are only one-half inch incisions to gain access for the liposuction cannula to remove fat at the angle of the jawline to improve the jaw and neck angle.
There are three things you can do surgically to imporve the neck. Liposuction is for the young patient with excellent skin elasticity and good muscle tone who just has some extra fat. The neck lift without ear scars is also for the patient with good skin elasticity, extra fat, but also has loose neck muscles and a more chin to chest look. The third treatment involves scars around the ears where the extra skin is removed in the person who does not have excellent skin elasticity. I have examples of each on my web site. So it all depends on which of these you are, what is your surgeon's level of experience with each procedure, and what kind of a result you are expecting in order to be happy.
The corset platysmaplasty works perfectly to correct for platysma bands, subcutaneous and submuscular fat and a modest amount of skin excess. If you have lots of excess skin, then the procedure requires small incisions behind the ear, as well.
Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and...
As a board certified plastic surgeon, I usually recommend that my patients take it easy for approximately one week after a neck lift. For their safety and comfort, a private-duty nurse will stay with them the first 36 hours or so, and after this time, they can shower and relax on their own....