The neck is often the first feature that people notice to show the signs of ageing, and it is often the feature that mostly bothers people. Over time, the jaw begins to lose definition, fat begins to accumulate under the chin, skin loosens and the sharp angle between the neck and chin can be lost. Many also develop bands on the neck as the neck muscles, or platysma, weaken. Weight loss, genetics and the natural ageing process all take a toll on the neck.
A necklift can address excess fat and skin as well as neck bands or a “turkey wattle” appearance to restore a more youthful and attractive neckline.
Neck Lift Procedure
A necklift, also known as a cervicoplasty and platysmaplasty, is a surgical procedure to restore youthful definition and angle between the neck and chin and between the neck and the jawline. The incision for a necklift is behind the ear and into the hairline. An incision will commonly also be made under the chin to tighten the muscles of the neck and removal excess fat.
The surgery is typically performed under general anesthesia, though may be performed under sedation in select patients. Neck liposuction is frequently performed as the first part of a necklift procedure. This will reduce fat accumulation under the chin and the thickness of the neck that can develop over time.
The neck muscles are then tightened. Once the skin is tightened, excess skin may be removed through incisions around the ears and under the chin.
Preparing for Surgery
While a necklift is a safe procedure, all surgery comes with risks. Two weeks ahead of your surgery, refrain from smoking, as tobacco interferes with healing and may cause complications. You should also avoid over-the-counter non-steroidal anti-inflammatories (NSAIDs) like ibuprofen and aspirin, which may cause bleeding.
After your surgery, it is common for your neck to feel tight and sore. You may notice numbness around the incision site(s) or elsewhere, which should subside within a few weeks.
Bruising and swelling are common following necklift, but both should improve within a couple of weeks. To aide in healing, keep your head and neck still following your procedure and turn your whole body rather than your head. You should sleep with your head elevated for the first one to two weeks to minimise swelling.
It is important to avoid strenuous activity, including heavy lifting, for a few weeks, even after returning to work.
Candidates for Necklift Surgery
The ideal candidate for this procedure is a man or women in good physical health who want to correct any of the following problems:
- Sun-damaged skin on the neck
- Double-chin or excessive fat under the chin
- Turkey wattle, or loose and slack skin
- Excessive neck skin or fat
Patients should also have realistic expectations about the surgery and be able to take at least 1-2 weeks off from normal activities. A good candidate should have fairly good skin elasticity.
What procedures can be performed with neck lift surgery?
Several procedures are commonly performed along with a necklift procedure. Commonly a facelift, fat transfer or laser facial resurfacing are performed in conjunction with a necklift.
How long does necklift surgery last?
The procedure typically lasts two to three hours, although it depends on the complexity of your necklift procedure
Will a necklift correct my jowls?
A necklift does not formally correct jowling, though some improvement is often seen. For comprehensive jowl correction, a face lifting procedure should be performed at the same time.
Are there risks involved in the procedure?
While necklift is a safe procedure, there are risks, as with any surgery. Patients may unusually experience complications such as haemotoma or seroma (fluid or blood collection under the skin), numbness or skin irregularities.
What can I expect after surgery?
Some swelling and bruising is common in the neck and lower face, which typically peaks after three days before fading. You will need to rest for a couple of weeks. Stitches are generally left in place for 7 to 10 days, and they will be removed at a post-op follow-up appointment with Dr. Gerarchi.
How can I prepare for the surgery?
You will need to quit smoking at least two weeks before and after surgery. Dr. Gerarchi will review your medical history and discuss any medications or supplements that may need to be discontinued until after surgery. Plan to have someone drive you home from surgery and stay with you for the first 24 hours to help you with basic tasks.
The before and after photographs shown are of Dr Gerarchi’s patients and the surgery has been performed by Dr Gerarchi. They are for illustrative purposes only. They show the results achieved by individual patients and are no guarantee of the outcome to be expected by any particular individual considering surgery. Surgeons of good reputation do not guarantee outcomes. Unexpected events and individual healing characteristics can affect the outcome of any surgery.
Please feel free free to call us on (02) 9412 4599 or email if you would like any additional information about this procedure.