Neck Lift / Liposuction Beverly Hills

Conveniently located to serve the areas of Beverly Hills and Los Angeles

Description

For many individuals, the neck is the first region of the body to show negative effects of the aging process. For men and women who have lost weight, an unfortunate side effect may be leftover, loose-hanging skin that has lost its elasticity. A neck lift operation can remedy neck-related aging issues such as: fatty jowls (double chin), vertical bands along the neck, or laxity of the neck muscle. At Gabbay Plastic Surgery, Dr. Joubin Gabbay, M.D. is excited to offer his patients a variety of plastic surgery procedures that will resolve any number of neck-related aesthetic problems, while utilizing the very latest surgical technological advancements.  The specific problems Dr. Gabbay can resolve with a neck lift surgery can be summed up in three basic categories:

  • Loose Skin: Loose skin is a common feature of the aging process and is accentuated by gravitational pull.
  • Muscle Sagging: Sagging muscle, known as plastysmal banding, is a result of how the aging process.  It impacts the thin wide muscle sheet (the platysma) that extends all the way across the neck, on either side. During the aging process, the edge of the muscle on each side of the neck begins to sag downward, leading to two visible bands that extend from just below the chin toward the collarbone. This combination of sagging skin and muscle is often described colloquially as a “turkey gobbler” deformity.
  • Excess Fat: Patients with excess fat in the neck region have unwanted fullness below the chin that contributes to a poorly defined jawline and the appearance of a double chin.

Options

Neck-lift surgery can be performed in a number of ways, depending on the needs and goals of the patient. Three possible neck-lift procedures include: liposuction, cervicoplasty, and platysmaplasty. Generally, a neck-lift surgery will include liposuction for the removal of fat, cervicoplasty for the removal of excess skin, and platysmaplasty to tighten up the neck muscles and eliminate unflattering band lines. Neck-lift surgeries can also be performed in conjunction with other facial surgeries, such as a forehead lift, facelift, or eyelid surgery. Dr. Gabbay has performed numerous neck lift operations, and during your consultation, he will evaluate your facial anatomy and aesthetic goals, and work with you to devise a customized treatment plan for your neck lift surgery.

The neck lift procedure is generally performed on an outpatient basis, and under local anesthesia with IV sedation or general anesthesia – depending on wether other operations are performed at the same time.  Neck lift patients may undergo one or more procedures during their surgery, and therefore, the total time a patient spends in surgery ranges from one hour to several hours. The procedure usually does not involve an overnight aftercare facility stay, unless performed in conjunction with a facelift. During a neck lift, one-inch incisions are placed under the chin and/or behind the ears to tighten up neck muscles that have become lax over time. After the skin has been tightened, excess skin is removed via additional incisions around the ear.

After surgery, there may be bruising or swelling around the neck, jaw, and ears, but this should begin to improve within a few days. Antibiotics and oral pain medications will be administered to reduce pain and prevent infection, and stitches will be removed 3-7 days after the procedure. Scars after neck lift surgery tend to be small, and easily concealed under the chin; although occasionally they are long and visible. The degree of scarring is related to the neck lift technique utilized during the surgery, and Dr. Gabbay will do everything possible to ensure that any scarring is as minimal and inconspicuous as possible. The final results of your neck lift surgery will be evident immediately, and continue to improve over the next 3 to 6 months. If you would like more information about neck lift surgery, please contact Gabbay Plastic Surgery and we will be happy to answer any and all of your questions, and to schedule an initial, complimentary consultation with Dr. Gabbay. You may also click the link below to read a more in-depth description of the neck lift procedure.

Indications

There are three overarching reasons patients seek out neck lift surgery: loose skin, muscle sagging, and excess fat in the neck/chin region. In 1980, Dedo (Dedo, D.D. The Aging Neck) proposed a classification system to describe the degree of visible aging in the neck region:

  • Class I: normal, younger patients with a well-defined cervico-mental angle, little fat and good skin and platysma tone
  • Class II: these patients present with laxity of the cervical skin without significant fat deposition or muscle pathology
  • Class III: patients with a pathologic layer of subcutaneous fat (either genetic or acquired), who require liposuction to improve cervical contour
  • Class IV: patients present with varying degrees of platysma pathology and fat accumulation, requiring some form of surgical manipulation of the platysma
  • Class V: patients have retrognathia (abnormal posterior positioning of the mandible) that contributes to their aging neck, and may require chin augmentation as well as a neck lift
  • Class VI: patients present with an abnormal hyoid position

Evaluation

If you are interested in learning more about neck lift surgery, please call Gabbay Plastic Surgery and let us schedule your personal consultation with Dr. Gabbay.  During your meeting, Dr. Gabbay will discuss your overall expectations and aesthetic goals, in order to determine whether neck lift surgery is a suitable option for you.

You should come to your consultation prepared to discuss your medical history (including any past surgeries), present medical conditions, allergies, and medications.  It is imperative that you are honest and provide complete information, as numerous medical conditions can potentially increase the risks and complications associated with surgery.  If Dr. Gabbay feels that you are a good candidate for neck lift surgery, he will explain the different techniques, costs and potential side effects before scheduling your procedure.  When choosing Dr. Gabbay, you can be assured that you are in the hands of a surgeon who has undergone extensive training and is highly esteemed by his colleagues and patients alike.

Option Details

There are many different types of procedures and techniques that can be utilized for neck lift surgery, including:

Platysmaplasty (realignment of the muscle sheet):  surgical procedure designed to specifically address the loose skin in the front of the neck, which is colloquially referred to as “turkey wattle.”  During the surgery, Dr. Gabbay will make incisions behind the ears or under the chin before re-aligning the neck muscle bands to help create a better angulation of the neck.  When this procedure is combined with liposuction, platysmaplasty surgery takes approximately 60-90 minutes from start to finish. 

Two of the most common techniques used during a platysmaplasty include:

  • Corset Platysmaplasty:  effective for patients suffering from neck banding, or patients whose neck skin hangs off of slack neck muscles
  • Hammock/Purse String Platysmaplasty: this technique is more suitable for a male patient because of the deeper structures of a man’s neck. The hammock platysmaplasty uses mesh (Alloderm) as a “hammock” to capture loose muscle and keep the neck musculature tight.  When platysma banding is present, the neck muscles will be tightened through a hidden incision made below the chin, and the edges of the two sides of the muscle will be quilted together to create a new neckline.

Other techniques include:

  • Cervicoplasty: this procedure is used to remove excess, drooping or sagging skin from the neck region and the repositioning of the neck tissue to create more youthfully firm neck contours
  • Neck Liposuction: fat removal often has the most dramatic effect on neck re-contouring and can be used for volume reduction and tissue tightening.  Neck liposuction can be performed under general or local anesthesia, and involves a small incision underneath the chin, followed by the use of a vacuum device attached to a cannula (thin surgical instrument) to suction away excess fat.  Micro-liposuction utilizes smaller liposuction instruments to perform more detailed contouring in certain areas of the neck.
  • Laser-Assisted Liposuction: laser-assisted liposuction involves the removal of neck fat for a more defined silhouette of the neck or jaw line.  During this procedure, the patient is first injected with a tumescent solution (a mixture of local anesthesia and epinephrine to minimize pain and reduce bleeding), which causes the fat to swell and firm up, allowing it to be more easily removed. A CO2laser is then used to treat the inside or back surface of the neck skin and musculature, and the thermal heat from the laser permanently destroys the fat cells.
  • Cervical Lipectomy:this procedure involves a small incision made beneath the neck, and is suited for patients with excess fatty tissue in the central region of the neck. The cervical lipectomy technique is often performed in conjunction with neck liposuction or platysmaplasty.
  • Submentoplasty: the submentoplasty technique is appropriate for patients who present with a limited amount of skin laxity in the neck, and this procedure combines neck liposuction, cervical lipectomy and platysmaplasty through a well-concealed T-shaped incision beneath the chin.

Recovery

Immediately after your surgery, bruising, swelling and stiffness can be expected; however, these symptoms generally subside within 2-4 weeks. Although rare, potential neck lift complications can include: swelling, bruising, numbness, tingling or burning sensation, skin tightness, bleeding, infection, adverse reaction to anesthesia, problems with wound healing, seroma, hematoma, permanent scarring, facial asymmetry, and mottling of the skin.

Frequently Asked Questions (FAQs)

What is a neck lift?

A neck lift, also known as platysmaplasty or Cervicoplasty, can help people who are looking to combat the signs of aging in the neck and jaw area.  During a neck lift procedure, the muscles and soft tissue of your neck are repositioned and excess skin is removed.

How are neck lifts performed?

Neck lifts are performed under both sedation and general anesthesia.  For a neck lift with platysmaplasty (tightening of the neck muscles), Dr. Gabbay will make a small incision under your chin and ear.  Your muscles will then be manipulated, or removed, before the skin is firmed and incisions are closed.  For the Cervicoplasty procedure, Dr. Gabbay will trim the skin, re-drape it, and secure it with stitches or tissue glue.

How do I know if I am a good candidate for a neck lift?

The best neck lift candidates are those who want to eliminate the loose skin on their neck and under their jaw line, and they are in good health, both physically and psychologically.

How long does recovery take after a neck lift procedure?

You will be provided with a complete set of instructions to follow before and after surgery, to help insure that your recovery goes smoothly.  During the first few days, you will be advised to sleep with your head slightly elevated at a 30 degree angle, to minimize swelling, and you will be encouraged to minimize the rotation of your neck. Any pain or discomfort that patients experience is well controlled with prescription, and you will be seen after surgery for bandage dressing change.  Swelling and bruising may still be noticeable for up to ten days after surgery, and you may experience a sensation of tightness for several weeks, which will slowly fade away as your neck becomes more familiar with its new contour and position.  Most patients are comfortable returning to work 10-14 days after their neck lift surgery, although any strenuous physical activity should be avoided for 1-2 months.

What are the results of a neck lift?

Our patients at Gabbay Plastic Surgery enjoy a more youthful neckline after their neck lift surgery.  Their “turkey wattle” is gone, the saggy skin is tightened, and the newly defined facial contours dramatically improve their overall appearance.

How long will the results of my neck lift last?

Neck lifts typically last 10-15 years depending on how you maintain your new look. Avoiding skin damage from the sun, alcohol, and smoking can counteract the effects of your neck lift, while maintaining a healthy lifestyle will let you enjoy your youthful neck for years to come.

I have decided I might want a neck lift so what do I do next?

We encourage you to call Gabbay Plastic Surgery if you have decided that a neck lift might be a good option for you.   We are committed to making your plastic surgery experience as comfortable and rewarding as possible, so let us set up your consultation with Dr. Gabbay, which is the first step to reaching your goals.

How is the neck lift procedure performed?

The neck lift involves incisions hidden predominantly behind the ear, with only a short extension needed along the front of the ear. The skin is separated from the underlying tissue, and the platysma muscle is identified below the jawline and the back border of the muscle is lifted upward. The muscle is then secured to the bone just behind the ear. By pulling the back edge of the muscle upward, the front and side of the neck are tightened, and the incision is then closed carefully with fine sutures.  If the front of your neck requires liposuction, this is typically performed prior to the neck lift, and a short incision is made under the chin, and a narrow suction device is used to remove the excess fat, reshaping your neck.  Rarely, a slightly wider incision is required to remove the fat directly, and this is known as an open lipectomy. For platysmaplasty, an incision is made below your chin, and the edges of the two sides of the muscle are quilted together creating a contoured neckline. After a platysmaplasty, there is typically excess skin laxity and this requires an incision behind the ear to further lift and tighten the neckline.

How long does the neck lift take to perform?

Depending on the procedure you have, the technique used and the amount of work Dr. Gabbay has to do, a neck lift can take between one and a half to three hours to complete.

Are there scars after a neck lift?

Though the incisions made for the neck lift will result in scars, they tend to be hidden, and they are mainly located behind the ear and sometimes beneath the chin.

Is a neck lift procedure painful?

Patients may experience some discomfort, but this is easily controlled with prescription medication.

When will I be able to return to work after undergoing a neck lift?

Most patients are able to return to work within 7-10 days after their neck lift; sooner if swelling subsides.

When will I be able to exercise after my neck lift?

In most cases, aerobic activity may be resumed within 10-14 days after a neck lift, and more strenuous activity within 3-4 weeks.

Are there risks or complications with a neck lift?

With all types of surgery there are potential risks and although rare, the most common associated with the neck lift include temporary numbness around the ear, swelling, bruising, and a feeling of tightness.

How can you tell if I need a chin implant?

For patients with weakly projecting chins, a chin implant can greatly improve their facial harmony and enhance the ultimate outcome of a neck lift.

Does a neck lift get rid of wrinkles?

A neck lift is performed to remove sagging tissues in the midline of the neck, and although there is usually some improvement in wrinkles around the neck, other cosmetic treatments are more appropriate for the elimination of wrinkles.

Will I be able to go home after my neck lift surgery?

Most neck lifts are done on an outpatient basis and because you were sedated, you will need to make arrangements for someone to drive you home, stay with you overnight, and drive you back to Gabbay Plastic Surgery for your first postoperative appointment, the day after surgery.

How long will my bruising and swelling last?

Unfortunately it is impossible to do surgery without residual swelling, although, Dr. Gabbay does everything possible to minimize the amount that occurs.  Generally, post operative swelling begins to resolve at the end of the first week. Bruising depends on the patient, and usually lasts approximately ten days.  Complete resolution of bruising and swelling may take 2-3 weeks.

What will I feel when I wake up from surgery?

Most patients report only mild to moderate discomfort associated with some tightness, and a pulling sensation under the chin.

Do I have to do anything special to take care of my incisions?

The areas that are sutured will require some simple care including: cleaning the sutures with peroxide once a day, and applying an antibiotic ointment three times a day, to keep the sutures soft.  If you follow these guidelines, when the sutures are removed (6-8 days, they will be easier to take out.

When will I be able to shower?

You will be able to shower 48 hours after the surgery, however you must make sure that you dry the incisions, and apply an antibiotic ointment.

Are there any foods I have to avoid after surgery?

You will be advised to eat a well-balanced diet, and you may notice that saltier foods can cause you to swell for a longer period of time.

How long do I have to sleep with my head elevated?

You should sleep with your head elevated for at least one week to minimize swelling.

What type of anesthesia is used during a neck lift?

The neck lift may be performed with either local anesthesia combined with sedation or with general anesthesia.

What are the risks with having neck liposuction/neck lift surgery?

Beyond the normal risks of surgery, neck liposuction/neck lift surgery is considered safe and does not carry additional risks.  Any complications will be discussed during your consultation with Dr. Gabbay.