Neck Lift

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A neck lift, or lower rhytidectomy, is a surgical procedure that improves visible signs of aging in the jawline and neck, such as:

  • Excess fat and skin relaxation in the lower face that creates jowls.
  • Excess fatty deposits under the chin
    Loose neck skin.
  • Muscle banding in the neck, which created abnormal contours.
  • The loss of youthful contours in the face and neck can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress.

In many, but not all, cases, a neck lift is done in combination with a facelift. The skin quality and amount of sagging skin differentiate the need for a neck lift from neck contouring. Neck contouring involves reducing the neck fat and tightening the neck’s thin muscular lining to eliminate neck bands without removing any skin. In this case, the patient is dependent on the neck skin shrinking over the new neck contours. In a neck lift, Dr. Reetesh Purwar removes the excess skin through incisions behind the ears and in front of the earlobes.

Neck muscles extend from beneath the jaw down and around the neck itself. These muscles tend to weaken over time. As the muscles become softer, fat deposits begin to collect around them and the skin attached to the muscles begins to loosen and droop. These aging effects are exacerbated by excessive sun exposure, smoking, and dramatic weight gain or loss.

Approaches to Neck Lift Surgery

Patients with a significant amount of loose skin and weak muscles in the neck need a full neck lift procedure. In this procedure, excess skin is removed and the remaining skin is tightened. Incisions are typically made behind the ears where they are hidden from view. Patients with good skin tone who are more concerned with fatty deposits than loose skin may be able to have a partial neck lift, or “weekend neck lift”, in lieu of the full traditional procedure. The abbreviated technique tightens the weak muscles and removes the fat without stretching and tightening the skin. When skin still has good elasticity, it simply conforms to the neck’s new shape without surgical intervention. Only three small incisions are needed — one behind each earlobe and one under the chin.

Risks Associated with Neck Lift

Every surgical procedure carries some risk, but neck lift is safe in general. Possible complications include a reaction to the anesthesia, swelling or numbness that last longer than normal, or, rarely, infection or bleeding. Smokers have a greater risk of healing problems than do nonsmokers, which is why we ask our patients to cease smoking for three weeks before and three weeks after surgery.

After Neck Lift Surgery

Dr. Reetesh Purwar performs neck lift under general anesthesia in an outpatient surgical facility or hospital setting. Once the procedure is complete, a small drain and a compression garment are often used to reduce swelling and stabilize the neck. Most patients can return to work one to two weeks after neck lift surgery.

Frequently Asked Questions

  • At what age can a neck lift be performed?
    A neck lift can be performed at almost any age, although people usually seek it out between the ages of 30 and 70.
  • What does a typical neck lift consultation entail?
    You will tell your surgeon what you want to change about your neck, and then he or she will offer a professional opinion about what can realistically be done to address your concerns. The surgeon will explain the various techniques available for a neck lift, as well as anesthesia options, incision placements that may be most appropriate for you, and the risks and costs associated with neck lift.
  • When will I be able to see the results?
    Although some swelling will be present for several weeks, you should begin to see the results of your neck lift emerge within a week or so.
  • What are the risks of neck lift?
    All surgery has risks and complications, and a neck lift is no exception. Potential risks include an allergic reaction to the anesthesia, infection, hematoma or seroma, lumpiness, numbness, mottling of the skin, cording, asymmetry and general dissatisfaction with the results.
  • Are the results permanent?
    Surgery cannot stop aging — nothing can — so your neck lift results will not last forever. However, they should last for several years before you start to see loose skin in the area again. Be aware that a significant weight gain could cause neck fullness and sagging.

Schedule Your Consultation

If you are interested in facial plastic surgery and want to see if you are a candidate for the Neck Surgery, contact to schedule a consultation with Dr. Reetesh Purwar, M.D.