A neck lift, medically referred to as a platysmaplasty, is designed to remove excess skin and fat tissue from the neck area, and to tighten the platysma muscle if it has began to separate and sag. This procedure is typically a part of a face lift and may be accompanied by other procedures:
• Neck liposuction
• Face lift
• Forehead lift
• Eyelid surgery
• Chin augmentation
• Cheek lift
• Laser skin resurfacing
Having multiple procedures completed simultaneously allows the patient to fully gain the benefits of each individual procedure. Ask your doctor if you would benefit from having other procedures completed with your neck lift.
People who benefit the most from having a neck lift are not necessarily members of the senior community. Patients who have lost a lot of weight typically experience banding under the neck and wish to have that surgically corrected. Other patients simply have fleshy necks, or jowls, and want to look younger again. And still other patients have what is referred to as a “turkey waddle” that can only be corrected by surgery. Whatever your particular situation or motivation is, only a qualified, board-certified cosmetic surgeon can determine if this procedure is in fact an option for you. Your surgeon will determine if you are a good candidate for this procedure during an initial consultation.
BEFORE AND DURING THE SURGERY
Only a qualified cosmetic surgeon can determine if a neck lift is right for you. Face lift surgery is a highly individualized procedure and should only be done for personal reasons. Generally, neck lift surgery is a good option for you if:
• You are generally healthy
• You are a non-smoker
• You have a positive outlook on life
• You have realistic goals for the procedure
Your surgeon will want to meet with you prior to scheduling a procedure to determine whether or not you are a good candidate for a face lift. The following points cover some of the information your surgeon will want to know:
• Why do you want to the procedure?
• What is your desired outcome?
• Do you have any current medical conditions or drug allergies?
• Are you being treated for any other medical conditions?
• Have you undergone any previous surgeries?
• What medications, vitamins, herbal and other supplements, and drugs are you currently using?
• Do you use alcohol and tobacco?
This is not all. Your surgeon will want to complete a physical evaluation to determine your current level of physical health. The information he or she will gather could include:
• Any risk factors you are experiencing, along with any pre-existing conditions
• Photographs that will be included in your medical record, and to aid in determining the extent of improvement
• Treatment options and recommendations
• Discussing possible outcomes of the procedure
• The use of anesthesia during the procedure
BEFORE AND AFTER
YOUR SURGEON MAY ALSO INSTITUTE:
• Dietary guidelines or restrictions
• Alcohol consumption guidelines or restrictions
• Avoiding certain vitamin supplements
INSTRUCTIONS YOU WILL RECEIVE MAY INCLUDE:
• What to do on the day of the surgery
• Using anesthesia during your procedure
• Any post-op care and treatments
BEFORE THE DAY OF THE SURGERY, YOU WILL BE ADVISED OR REQUIRED TO:
• Complete routine blood tests to determine overall physical health
• Avoid taking aspirin, anti-inflammatory drugs, or herbal supplements that increase bleeding
The neck lift procedure itself is relatively simple and straight forward. It begins with administration of anesthesia. This is typically given through an IV sedation and local anesthesia.
The first incisions are made below and behind the ear. The skin is loosened, redraped, and excess skin is removed. Fat deposits are also removed. An incision is then made at the chin where fat is also removed and the skin is tightened and trimmed. If you are having work done on the platysma, a section of the muscles removed and the ends are stitched together and brought to the front of the neck. This process helps to improve the appearance of the neck and throat area. When the skin is redraped and trimmed, the platysma is rearranged, and the necessary amount of fat is removed, the surgeon closes the incisions either sutures, tissue glue, or a combination of the two.
When the anesthesia wears off and you begin to wake up, you will feel tightness around your neck and throat, and there will be soreness accompanied with tight sensation. Recovery usually takes about two hours, and after you are released from the medical facility, you are allowed to go home.
AFTER THE PROCEDURE IS COMPLETE
After returning home, it is very important to follow your surgeon’s suggestions for resting and for the care of the surgical and incision sites. Be sure that you do not subject the surgical incisions to excessive force, swelling, abrasion, or motion during the time of healing. This can have detrimental effects to the quality of your results, as well as your general health.
If you experience shortness of breath, chest pains, or unusual or irregular heartbeats, seek immediate medical attention. You may be hospitalized if any of these serious medical conditions occur.
The practice of medicine is not an exact science. Good results are always expected, but not guaranteed. Some situations may require multiple surgeries in order to achieve the best results. A similar procedure (like a forehead lift, eyelid surgery, or liposuction) may also be required.
Your results will be long-lasting, as long as you maintain a stable body weight and general physical fitness. As your body ages, a loss of firmness or sagging may begin to reappear. Most of the improvement should remain.
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