Simplicity Lift Vs. Traditional Neck Lift

Unfortunately, advertising for plastic surgery has taken a wrong turn somewhere. A quick browse of the internet can turn up a long list of "new" procedures (such as a simplicity lift) that cannot even be found in a textbook. Generally, these lifts are a form of a mini facelift, a procedure that has been around for 30 years. However, now with far reaching advertising such as TV, radio, print, and internet, it is easy to reach people and describe a "revolutionary new procedure" that is 1 hour in length, performed under local anesthesia, has incredible results, and only 2 days downtime. Sound perfect, right? These minifacelifts are really only good for a patient with minimal jowling so they should not be applied to everyone, and usually do not have a good long term result on the neck. A traditional necklift will have a nice, long lasting result that you will be happy with if performed by a qualified surgeon. Good luck.
Dr. Miller

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.​ Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Simplicity Lift is a trademarked minimal incision procedure that addresses the lower face, jawline, and neck. In other words, it is a necklift. It is marketed through participating plastic surgery and facial plastic surgery practices. Of course, there are individual differences and nuances to how different surgeons do them, so make sure you know what your surgeon plans on doing. Most plastic surgeons do their own version of minimal incision lifts. It is therefore important to ask them about their philosophy, technique and experience as not all surgeons specialize in this procedure.

There are always new techniques and branded names that come onto the marketplace, vying for consumer dollars. However, the only thing you need to worry about are the results. The Simplicity Lift is basically a lower face lift or mini lift. While it does create a pull that will lift the neck skin slightly, it does not actually tighten the underlying loosened platysma muscle, which is what is causing the neck to sag in the first place.

The best way to correct a sagging neck is to undergo a neck lift with platysmaplasty. This will give you a dramatically smoother and more sharply angled neck and jawline. However, surgery can't resolve crepey skin. A lasers can help improve the condition and elasticity of crepey skin, but cannot offer a full rejuvenation. Consult with a few facial plastic surgeons to learn more about the dramatic, results you can expect with a necklift and platysmaplasty. I hope this helps.

Trademarked Lift vs. Traditional Necklift

All the other surgeons make excellent points regarding the comparison of a traditional necklift versus a name branded facelift or mini-facelift.

In general, the less work that is performed under the skin on the deeper fatty and muscle tissues "the SMAS" the less strength the lift can support over time. If too much skin is removed with too little support, then poor scarring can occur.

Mini-lifts can still have nice incisions and scars, but the surgeon needs to be very conservative with the skin removal, in order to prevent poor scarring. Yet at the same time the results from the mini-lift will also be "mini" after the "Honeymoon swelling" goes away after the first 3-6 months after surgery.

Crepey Neck skin ... Tough problem

The additional point that I wanted to make was in regards to your "crepey skin" comment, because I think the before and after photos of our face and necklift patients don't show the whole picture.

Crepey skin, for those of you who are reading along, is very thin tissue paper like skin, which tends to crinkle when pinched, and usually has significant sun damage to go along with it. This type of skin does not look young. The elasticity is significantly decreased, and non-surgical skin tightening procedures rarely "tighten" the skin enough to smooth out the crepiness.

Lasers, light based treatments and chemical peels have limited improvement for crepiness, and does not treat excess fat or muscle bands. Lasers and chemical peels can be performed more aggressively on the face than the neck, since the skin on the face is thicker and can tolerate higher laser settings or more concentrated chemical peels.

Plastic surgery can stretch the crepey skin over a wider area by excising or removing the extra skin. It is like restretching the leather over the top of a drum that has become loosened. By stretching the crepey skin this produces some "tension" which makes the skin appear more elastic. Over the subsequent months to years, the skin elasticity continues to decrease, and much of the crepiness will return. I think a conservative estimate is the first 6 months after face and necklifts, the neck skin will look and appear younger, but with additional time the crepiness will return.
Another observation which is not visible on the Before and After photos is when the patient lowers their chin or squeezes their decolletage area together, even a nice before and after result will reveal the crepiness of the neck skin and decolletage skin. The reason for this is that the skin is not fully stretched over the neck and chest, when the person is flexing their neck down, and their shoulders together.

Illusion of youth

I believe that these facial rejuvenations procedures are good at producing a result that makes the person appear younger by repositioning the skin, fat and muscle. But the key point is that the skin, fat, and muscle doesn't actually become younger.  Certain positioning of the face and neck will reveal the "smoke and mirrors" but for most normal positions the results look very good.  In general, most patients with realistic expectations are happy with the improvement, but for those patients who expect to be miraculously transformed back to their younger selves may be disappointed.

I hope that makes some sense. I think realistic expectations prior to these types of surgeries results in more satisfied patients.

Best,

Dr. Yang 

Many patients assume that a small procedure to lift up the face, aka minilift, will help improve the appearance and avoid an overly done pulled look.  Unfortunately, the facial anatomy and aging is much complex than that.  Many patients after a minilift can look worse or the same with poor scars, ears pulled forward, and a strange look.