Usual Method for Neck Lift?

They were supposed to have Neck lift (platysmaplasty) performed on me; instead, they  just put 2 sutures under my chin and the skin is still hanging on both sides of sutures. Is this the usual procedure during a Neck lift? What do I do now?

Doctor Answers 13

Neck Lift Usually Involves Incision Under Chin and Behind Ear

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Thank you for your question. The procedure that you describe is not the usual Neck Lift.

A Neck Lift typically involves an incision beneath the chin and behind the ears so that neck muscles can be tightened and excess skin removed.

You should not have hanging skin on either side of the repair. See your surgeon.

Usual Method for Neck Lift

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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.

It is important to be realistic with your desired results. Necklifts are designed to remove only deep grooves and #wrinkles, not fine ones. Smoothing out every tiny line in your face would leave you with an eerie, unnatural, and undesirable result. The goal should be to make your necklift look as natural as possible, simply turning back the clock a few years.  

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Thread neck lift

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Using sutures in the skin alone is a type of neck lift but it less invasive and thus less expensive and merits a discussion with a patient to make sure they understand what is being done.  This is usually an in - office minor procedure done with local anesthesia with shorter - lasting results than a true neck lift.  Make sure you are seeing a surgeon certified by the American Board of Plastic Surgery.

Samer W. Cabbabe, M.D.

Board - Certified Plastic Surgeon

St. Louis Plastic Surgery Consultants

Samer W. Cabbabe, MD, FACS
Saint Louis Plastic Surgeon

Necklift treatment

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Placing two sutures under the chin to suspend it will not treat th loose skin. This would  need incisions around the ears to take out the excess.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Necklift Options

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Necklifts are designed to treat several neck problems;

1- Excess Skin

2-Excess subcutaneous Fat

3- Platysma bands - separation of the muscle under the chin

4- Excess subplatysmal fat - not treated by most doctors but very important for the best results.

5- Reduction in Digastric Muscle mass with tightening

6- Reduction in submandibular gland prominence


A platysmaplasty should address #2,3,4,5,and 6 through a small incision under the chin. #1 will depend upon the amount of sagging skin. If there is a large amount of skin then incision behind the ears will be needed. If not, skin can be treated with redraping.

Be certain your doctor addresses all these problems or the problems will recur - and fast!

Robert M. Freund, MD
New York Plastic Surgeon
4.8 out of 5 stars 34 reviews

Neck lift method

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A neck lift typically does not tighten skin in the submental area. Platysmaplasty usually involves approximately ten sutures placed at the area underneath the chin between the Adam’s apple and the front part of the chin after the fat has been removed both above and below the platysma. If there is an excess skin problem, a full face/neck lift needs to be performed.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Not Usual

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I'm not sure what the surgeon did but this is not a well known procedure for neck rejuvenation. There are several approaches to neck rejuvenation. The submental approach utilizes a small incision under the chin to remove fat and muscle and tighten other muscles.

To really get neck rejuvenation requires an incision similar to a facelift incision but not quite as long. This allows a pull on the neck muscle, platysma, and removal of excess skin.

So see your surgeon or another one and get an appropriate evaluation and treatment.

Neck Lift method depends

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There are a lot of different ways to do a 'necklift'. Depending on how far out you are from your surgery, the results may be different. Go back to your surgeon to find out what was really done and what the goals were. Maybe your goals were not his/hers.

G. Gregory Gallico III, MD
Boston Plastic Surgeon

Neck Lift

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Dear Eveline Debary, have you returned to your surgeon? how long has it been since your surgery? Generally after a procedure to shape and tighten the neck skin the area looks too tight at first and relaxes over the first month.

You should return to your surgeon for follow up and discuss the healing process.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 126 reviews

Neck Lift Technique

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For a necklift, we usually perform a platysma muscle tightening through an incision under the chin. In addition, incisions within the back of the ears allow for further muscle tightening and better skin draping. We also remove neck fat for additional definition of the neck angle.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 48 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.