I have excess skin under my neck (a turkey waddle) and dropped muscles. I need to have a plastysmaplasty. I have consulted with two fine surgeons who have different approaches to this matter. One proposes the use of local anesthesia with oral sedation, the other, local anesthesia with IV sedation. Both have almost the same approach to neck lift--a cut in front to back ear, down the neck. One surgeon also recommends a small incision under the chin I am OK with this, better than drooping.
June 12, 2016
Answer: Lower face and neck lift with local anesthesia and twilight sedation I have performed well over 2,500 lower face and neck lifts under local anesthesia with oral sedation for the past ten years. Without doubt it is safe and well tolerated by patients. Compare to the traditional facelift procedures that are performed under general anesthesia, the post operative complications associated with local anesthesia cases are lower and risk of bleeding is minimized. The key to a successful facelift procedure using local anesthesia is selection of the right patient by the surgeon and his or her comfort doing these cases.
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June 12, 2016
Answer: Lower face and neck lift with local anesthesia and twilight sedation I have performed well over 2,500 lower face and neck lifts under local anesthesia with oral sedation for the past ten years. Without doubt it is safe and well tolerated by patients. Compare to the traditional facelift procedures that are performed under general anesthesia, the post operative complications associated with local anesthesia cases are lower and risk of bleeding is minimized. The key to a successful facelift procedure using local anesthesia is selection of the right patient by the surgeon and his or her comfort doing these cases.
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July 15, 2015
Answer: Anesthesia Concerns and Options for Neckline Improvement Dear beachgirlca,You are not alone in your concerns with anesthesiology. Keep in mind that a board certified anesthesiologist is monitoring your anesthesia during the entire surgery. Beforehand, the anesthesiologist and I - your board certified facial plastic surgeon - will have identified the right type of anesthesia for you, our patient, and will have described what the entire procedure entails so that you can feel comfortable in our expert hands.As far as the 'turkey neck' and drooped muscles are concerned, a Laser-Assisted Weekend Necklift will produce the improved look that you desire. I created and refined this technique that employs laser technology to give patients a very attractive neckline in less time and with less recovery time. Please see the link below to view pictures of my patients of the Laser-Assisted Weekend Necklift. Sincerely,Ross A. Clevens, MD, FACS
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July 15, 2015
Answer: Anesthesia Concerns and Options for Neckline Improvement Dear beachgirlca,You are not alone in your concerns with anesthesiology. Keep in mind that a board certified anesthesiologist is monitoring your anesthesia during the entire surgery. Beforehand, the anesthesiologist and I - your board certified facial plastic surgeon - will have identified the right type of anesthesia for you, our patient, and will have described what the entire procedure entails so that you can feel comfortable in our expert hands.As far as the 'turkey neck' and drooped muscles are concerned, a Laser-Assisted Weekend Necklift will produce the improved look that you desire. I created and refined this technique that employs laser technology to give patients a very attractive neckline in less time and with less recovery time. Please see the link below to view pictures of my patients of the Laser-Assisted Weekend Necklift. Sincerely,Ross A. Clevens, MD, FACS
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June 29, 2015
Answer: Anesthesia and sedation for neck lift It sounds like you have two good choices for surgeons at hand. I prefer to perform neck lift and platysmaplasty surgery under IV sedation. For neck lifts I also use incisions behind the ear and into the hairline in the back of the scalp and for platysmaplasty I like to have direct access to the muscles and use a small sub mental incision as well. The procedures that you are looking to have done provide a great deal of improvement in the appearance of your neck for your investment. Both IV and oral sedation supplementation to local anesthesia are very safe and choosing between the two is less important than choosing the right surgeon.
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June 29, 2015
Answer: Anesthesia and sedation for neck lift It sounds like you have two good choices for surgeons at hand. I prefer to perform neck lift and platysmaplasty surgery under IV sedation. For neck lifts I also use incisions behind the ear and into the hairline in the back of the scalp and for platysmaplasty I like to have direct access to the muscles and use a small sub mental incision as well. The procedures that you are looking to have done provide a great deal of improvement in the appearance of your neck for your investment. Both IV and oral sedation supplementation to local anesthesia are very safe and choosing between the two is less important than choosing the right surgeon.
Helpful