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The loss of youthful contours in the neck can be due to a variety of factors, including heredity, gravity, environmental conditions and life style. As a result, with age, the muscles of the neck become loose and drop underneath the excessive skin. On top of that, in some patient we can find characteristic accumulation of fat tissue just beneath the chin. This condition is called double chin, also referred as to "Turkey Neck". In some patients, due to laxity of the platysma muscle, a vertical banding in the neck may also occur with two paired lines visible in the midline.
To correct these isolated aging neck problems, you don’t need a total face and neck lift if an upper facial appearance is still pleasing. In these cases, we like to do only neck lift – lower facelift, with which we lift the sagging muscles and skin of the neck and recreate youthful neck counter. As a restorative surgery, a neck lift does not change your fundamental appearance and cannot stop the aging process.
Rejuvenation procedures that can be performed in conjunction with a neck lift are: a brow lift, to correct a sagging or deeply furrowed brow, fat transfer, to add fullness to the lips and cheeks and reduce the appearance of wrinkles, or eyelid surgery, to rejuvenate aging eyes.
- Safe procedure which rejuvenation effect results last for about 10-15 years
- Combined with other aesthetic treatments – upper and lower blepharoplasty, brow lift, laser treatment.
A neck lift, or lower rhytidectomy, is a surgical procedure that improves visible signs of aging in the jawline and neck.
Good candidates are patients with:
- Excess fat and skin relaxation in the lower face that creates irregular jowl line - jowls
- Excess fatty deposits under the chin – double chin or turkey neck
- Sagging of the neck skin and neck muscle drooping
- Anterior vertical banding in the neck, which creates abnormal contours
Not good candidates are patients with:
- People with unrealistic expectations
- Poor chin patient
- Position of the hyoid bone that is too low in neck
WHAT RESULTS TO EXPECT?
During your consultation for neck, the surgeon will assess anatomy of the entire face and neck. It is important to correctly diagnose the leading cause of neck aging (skin sagging, fat redistribution, muscle drooping or muscle diastasis, etc.) in order to be able to make proper surgical plan. All this will be discussed with you in details.
HOW TO PREPARE FOR TREATMENT?
Necklift is done under general anesthesia for which you will be instructed to take certain steps:
- Laboratory testing – blood work, EKG, etc., which can be done in laboratory of your choosing or in our OR center.
- Medical evaluation by anesthesiologist in our OR center
- Take certain medications or adjust your current medications
Your surgeon will ask you about your past medical history, including medications you are taking, allergies, smoking habits, previous surgery and more. In any case, to make surgery result better you need to stop smoking, both preoperatively and postoperatively for at least 2 weeks. Also, you have to avoid taking aspirin, anti-inflammatory drugs, warfarin sodium and other supplements as they can increase bleeding and bruising. Prior to surgery all patients should start with vitamin supplementation and homeopathic therapies to enhance healing after surgery.
Know more about
We like to tailor necklift surgery based on each patient case - depending on the anatomical cause and degree of neck aging (neck skin, muscle, fat issues). This means that your LF neck lift choices will include a traditional neck lift incision (begins in the hairline at the level of the sideburn, continues in front and around the ear and ends in the posterior hair) or a limited incision neck lift (only around the ear). A separate incision under the chin is often necessary for liposuction of this area and for repair of the muscle - platysmoplasty.
After the skin is lifted we will addresses the deeper tissue by going under the platysma muscle, sliding it backwards into its original youthful position. The platysma muscle is tightened on the sides of the neck and also in the middle of the neck with a platysmaplasty, which removes anterior vertical neck bands. Fat may be sculpted or redistributed from neck.
This LF technique results in less bruising and swelling since it lifts beneath the muscle and not only the skin where all the bruising occurs. Once the deeper tissue is lifted, the excess skin is trimmed and incision lines closed. Scars heal better because there is no tension on superficial layers and skin. This lift results in a natural, softer look and creates definition along the jawline and neck, not tightness.
Time to heal
You will need to wear a bandage around your face for first 24 h which you will spend in our OR center. During the following day we will ensure that everything is looking perfect and healing properly. At that time, the bandages will be removed and some bruising and swelling will be seen. You will be given a neck band to wear for the next seven days.
Some pain medication may be prescribed to help the patient to feel more comfortable during the healing process. Patients will also be encouraged to apply cold compresses to help alleviate swelling and elevation of the head will be recommended as well. It is important to get plenty of rest during the recovery. Skin sutures will be taken off in 10 days post op.
In general, patients should be able to return to work within one to two weeks following their procedure. There will still be some swelling and bruising but nothing that should prevent patients from returning to work and most normal activities.
Once healed, the incision lines from a necklift are well concealed behind the ear within the hairline and in the natural skin lines of the neck.
The visible improvements of a neck lift appear as swelling and bruising subside. Your final neck lift result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself.
The choice to have a necklift should be made personally and based on your goals, taking into account risks and potential complications that surgery brings.You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications. All this will be fully discussed with your surgeon prior to your consent.The most common side effects of the surgery are bruising and swelling, which subsides in a several days. Crème that speeds up this process will be prescribed to you.
complications of the surgery are very rare and may necessitate an additional
- Poor wound healing
- Temporary or permanent hair loss at the incisions
- Fluid accumulation
- Numbness or other changes in skin sensation
- Facial nerve injury with weakness
- Prolonged swelling
They will take care of you
MEET THE TEAM
PETER JFM LOHUIS, MD PHD
BORIS FILIPOVIĆ, MD PHD
BOŽO GORJANC, MD
MAJA KOVAČEVIĆ, MD
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