Who is a good candidate for necklift?
The best candidates for necklift are healthy individuals with loss of neckline definition due to skin laxity, fat deposits and/or formation of platysmal bands with redundant skin in the central area below the chin.
Necklift alone is a popular procedure among men who have redundant skin in the neck area and do not desire tightening of their facial skin.
What is a “platysmal band”?
The platysma is a sheet-like muscle that spans the neck. Adhesions between the edges of the muscle and the skin result in vertical bands that form in the central area of the neck. These bands are known as platysmal bands. A necklift helps improve the bands and smooth the surface of the neck. Tightening the neck muscle helps restore a youthful neckline.
How is the procedure performed?
There is a variety of techniques that are used during a neck lift depending on the patient’s anatomy. A double chin may occur at an early stage in life due to a weak chin which makes the angle between the chin and the neck shallow and more susceptible to double chin formation. Another contributor to a double chin is fat deposit under the chin which is an area known as the submental area. The fat can be superficial immediately under the skin and superficial to the platysma muscle, or deep to the platysma muscle. Other structures that can contribute to a full neck also include the digastric muscle and the submandibular salivary gland.
A surgical procedure to tighten the neck has to be customized to each patient depending on how heavy and lax the neck is, how much deep sculpting is needed and whether the neck will be opened or approached from the side. Generally speaking, heavier necks that need deep sculpting and those with lax muscles and platysma bands will need a separate incision for the neck.
How is a weak chin treated?
A weak chin is a chin that does not project forward enough and as a result is disproportionate in size compared to the other parts of the face. There are several ways to augment or enhance a chin. A chin implant can be placed and gives permanent results. Another alternative is to enhance the chin with fillers or fat injections.
What to Expect
Necklift is performed as an outpatient procedure, often under general anesthesia. If the degree of improvement desired is minimal, then local anesthesia with sedation can be considered. A drain is placed and removed in a few days.
You can engage in light activity starting the day after surgery. Return to normal activity and exercise may take one to two weeks. Minimal bruising and swelling are expected after surgery and usually resolve within a week.