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POSTED UNDER Neck Lift Reviews

Dr. Epstein: Excellent Neck Lift (61 Y.o.) - Northbrook, IL

UPDATED FROM LaTrec
4 months post

Four Month Update Necklift

LaTrec
WORTH IT$6,935
This is my 4 month post op neck lift review. I had a neck lift only. I never had turkey waddle, but had a loosening platysma and crepey skin. The surgery corrected the platysma issue. Following surgery my neck skin was still crepey : ( I decided to change my skin care routine. I use a combo of retinol, prescription tretinoin and night cream blended together on my neck. I also use the Isavela neck band nightly. It should be noted I stopped the neck band after 3 weeks. I decided to call the manufacturer (Isavela) who stated benefits could be gleaned for protracted use of their product. I had nothing to loose and wanted the best post op result possible. At four months I'm pretty happy. My neck looks almost as good as the face (that hasn't been surgically touched: too scary for my taste). I also do Microneedling with a Dermapen (on the face and neck) every other month. While I cannot tell you which of these things has helped, or if it is all incidental, things are progressing and I am getting closer to the results I was shooting for.

LaTrec's provider

Michael A. Epstein, MD, FACS

Michael A. Epstein, MD, FACS

Board Certified Plastic Surgeon

4.9 | 81 Reviews
PROFILE

LaTrec rating for Dr. Epstein:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
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Replies (2)

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April 15, 2015
You look wonderful. I am leaning towards the same procedure. I think I am in about the same place that you were. I love your results. I don't want anyone to tamper with my face, and I, too, use Renova (retin A), and I even bought my own dermapen, after having 5 treatments last summer/fall. Love it! Thank you for sharing so much. I will be anxious to hear how the neck progresses. Did you mention to Epstein that you would have liked more of the crepey skin removed or pulled tighter? Would he have done so? I don't want someone to be too conservative with the neck. I really don't want to do it more than once.
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April 15, 2015
Oh, where are the stitches located? And, did he use staples? :)
April 15, 2015
Hi Melissa175, No staples were used. I did state that I wanted the crepey skin removed, but none was taken. I can only hazard that he thought my neck might be too tightfollowing such a revision. I believe skin pulled too tight has a higher risk of necrosis. If I hold a mirror underneath my chin I cannot see a scar, but the skin is puckered. Possibly, it is because I was lipo'd under the chin and I have very little subcutaneous fat that needed removal. I am now lacking any fat under the neck. As such, I doubt that anything will ever sag since there is no remaining fat. BTW, the puckering cannot be seen unless you were standing underneath me and looking up at my chin. I don't want to sound full of conceit, but I've always gotten numerous compliments on my skin. In my view, this surgery helped my neck more reasonably match the skin on my face. Hope this helps.
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April 15, 2015
I think you look great. You are pretty thin, and I can see there was really no fat on the neck to remove.
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April 15, 2015
If you wrote this before sorry, but did you have stitches around or behind the ears?
April 16, 2015
Hi Melissa175, No, there were no stitches around the ears. Stitches around the ears and into the hairline occur when a neck lift is combined with a lower face lift or full face lift. The operation and recuperation were rather easy. For me it was painless.
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April 16, 2015
Thanks! You are a fountain of info. I appreciate your help in answering all my questions.
May 15, 2015
Hi Melissa, I did mention the crepey skin. I don't believe any was removed. My fear is that once the neck looses tautness, firmness, elasticity, etc. there is only so much that can be done. I also believe that if skin is pulled too tight there is an enhanced risk of necrosis and other complications with healing. My second photo was my pre-op. There isn't a dramatic difference between pre and post op, but if the procedure takes your mind off something that really bugs you, it is probably worth it. That's the way it was for me. I hated my neck and when I looked in the mirror it was all that I saw. I know I must sound shallow, but unfortunately we as women are all too often judged on the basis of our looks.
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May 15, 2015
You do not sound shallow at all. When you say crepey, are you talking about the skin being a loose. How is the profile comparison? Better? I am going to see 4 doctors and try to get in the surgery in early June. Epstein will be one of them. I am going to talk to a couple female doctors, one in Oak Park and one in Geneva. Maybe see another in Glenview. I will let you know how it goes and thanks again!
May 12, 2015
You look beautiful Latrec!! Very impressed with the outcome for you! :-)
UPDATED FROM LaTrec
1 month post

61 yr Old Excellent Neck Lift

LaTrec
Just went out in strong Arizona sun to check profile. Things were looking good! Even if you don't have a lot of sagging skin, if your neck is the thing that bugs you, it's worth it!

Replies (4)

January 25, 2015
For one month out you have recovered wonderfully. Your neck looks fantastic and will continue to look better and better as time goes on. Congratulations.
January 25, 2015
Hi Imagingboomer, The platysma issue is gone, but I wish the skin were tighter. We shall see. Thanks for the kind comment.
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January 25, 2015
You look really young! I would have liked to see a clearer before picture, though. I am in the Chicago area and may use Dr. Epstein when the time comes--a year or so. So, no work on the jowl area, correct? Just the neck? Where are the stitches for the neck lift? I am curious. Keep me posted on how the skin on the neck looks. Thanks.
January 26, 2015
Hi Melissa 175, All that was done was the platysma repair. The scar is under the chin, so cannot be seen unless you are leaning back in a chair with your head tilted up. I'm relatively thin, so didn't have jowls to repair. My neck skin is a little crepier than I would like. The work was done on Dec 02, 2014. I'm nearly two months post op and have only slight numbness. I think you would be happy with Dr. Epstein and his staff. I chose him because he was highly rated and close to my home. You will need several follow-up visits. Feel free to contact me with any questions. Lautrec.
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January 27, 2015
Well, you look great! Let me know if you feel like you have to a revision for the neck. Time will tell, right. But, so far so good. What do your friends think?
January 28, 2015
Hi Melissa, None of my friends have said anything, or perhaps not noticed anything. My husband said if he hadn't known I had surgery he wouldn't have guessed.
February 7, 2015
Hi Melissa, No work on the jowls, and only slight change in my neck (pre and post op). My neck skin was a little crepey prior to the neck lift and still is (bummer). I have a repaired platysma. The stitches and resultant scar is under the chin. Thus far, it is larger than I anticipated. I realize I'm sounding a little negative. I hated the appearance of the platysma muscles and am glad I can no longer see them. Not one person I know has noticed any surgery. I did not have a double chin or sagging jowls, thus no face lift or repairs to to the mid or lower face were undertaken. As an illustration that there was no huge transformation, the first photo was post-op and the second one was pre-op. I've been trying to stave off aging with facial fillers, good nutrition, weight management, etc. My face is very thin so fillers are something I need more than nips and tucks. I also feel that for me, smaller but more frequent "tweaks" are lower risk and more manageable. I don't know if any of this helps you decide since it seems surgery versus non-invasive or less invasive techniques are an issue of goals versus the likelihood of achieving those goals through a simpler means. In my case, the Doc felt tightening my skin (through a face lift) would impose too much risk for modest to negligible benefits.
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February 7, 2015
This has been helpful!
February 26, 2015
Hi Imagingboomer, I'm a little disappointed in that my neck skin is a little loose. So far, not much difference between pre and post op. I haven't seen the doc since I've been out of town, but will see what can possibly be done. I'm not wild about cutting on my neck again, and refuse to have my face cut.
UPDATED FROM LaTrec
1 month post

61 yr Old Neck Lift

LaTrec
Just a quick update. I had my neck lift on Dec. 2, 2014. I still have much healing yet to occur. I no longer have the slightly loose platysma, but my neck skin is a bit more crepey than I would like. I don't think it is fair (to anyone)to judge a final outcome until at least 3 months post op. The biggest advantage is if I am posing normally I don't see an ugly neck that is side lit. I posted a pre op photo. I sent it through my iPhone where it wasn't upside down. I think results look more dramatic on patients who have substantial skin and fat removed. I was not a candidate for such. If I pushed to have this done I might have had a classic "wind tunnel effect." I think procedures of this sort are should be highly individualized. Admittedly, some women will get this procedure done and look 20 years younger. Mine was more of a minor tweak. No one has noticed I've had anything done. That was my goal.

Replies (1)

May 12, 2015
Hi, you look great. I just have 2 questions. (1) what is a "wind tunnel effect"? and (2) do you have a pre-op photo that would show your neck? Thanks, and continued happy healing.
May 15, 2015
Hi Danielle, The photos are not properly labeled in that photo #2 is actually pre-op. My understanding is a "wind tunnel effect" occurs where a patient receives a face lift whereby the skin is pulled unnaturally tight. Incidentally, I never had a face lift and probably never would for the wind tunnel hazard among other potential problems. I only had a neck lift. Virtually everyone I know said there was no difference. I only difference I see is a slight one where my neck is side lit. That said, for those who have a turkey waddle the procedure is well worth it. I didn't have that issue, so it isn't real clear as to whether this procedure is worth it. On a positive note, the recovery was super easy for me. Good luck.