Everything About Necklifts
The aging process takes a drastic toll of the firm and smooth skin of the neck. As people age into their mid-40s to 50s, the neck begins to lose its definition and strength. The jaw line softens into loose hanging jowls, the neck grows a second chin, fine vertical lines transform into deep creases and folds, and fatty tissue deposits become prominent. That’s why many people choose to get a necklift.
Plastic surgeons have tried to make people look youthful and correct physical deformities for years through various procedures; however, many people believe that a facelift corrects all of side effects of aging. A facelift sounds like a procedure that corrects the neck, face, and forehead, but each section requires a different procedure.
A necklift describes the changes, or improvements, made to the neck and jaw. This procedure has been growing in popularity and safety over the past several years. If you think you would be a good candidate for a necklift, you can begin the process by scheduling a consultation with Dr. Nassif.
After making the decision to learn more about available necklift methods and procedures, you will meet with the physician for a consultation. During this meeting, you will be given the opportunity to thoroughly discuss your current situation and how you would like to have it corrected.
The physician must determine your candidacy for the necklift. In order for the procedure to be a success, he will perform a complete assessment of your overall physical and mental health. The physician will need to check your vital signs and run a series of laboratory tests, or blood work. Inform the physician of any past medical or cosmetic procedures or surgeries you have had; this includes any past use of cosmetic fillers in your neck or lower face.
Bring a list of all medications or supplements that you take to the consultation. This is critically important because some medications must be stopped for a certain amount of time prior to the surgery, for example anti-coagulation medications, which are commonly called blood thinners. In relation to medications, you must inform the physician of any past or present drug or alcohol use. These substances affect the body in varying ways, and they can be detrimental to a successful procedure and recovery.
After informing the physician of your wishes, he will make suggestions about the best method to use during surgery. Furthermore, Dr. Nassif will assess the elasticity of the skin on your neck and the strength of the Platysma. Now, you may be questioning what the Platysma is and where it’s located? This is the muscle that sits beneath the skin and covers the front of your neck. It provides assistance in swallowing and can be seen if you flex your neck. You can see the length of this muscle where it attaches to each of your clavicles.
Dr. Nassif will use a computer to generate an image of how your neck will appear after surgery. Also, he will discuss the cost, type of surgery to be performed, and your recovery during your consultation. If you have any concerns.
You will need to follow some basic steps to lessen the chances of complications and infections from the procedure.
- Don’t drink or eat anything beginning at midnight the night prior to surgery. If the physician has given you permission to take any specific medications, such as blood pressure medications, you may take them with a small sip of water only. If you don’t follow this guideline your procedure will need to be rescheduled because the presence of material in the stomach places you at a large risk for aspiration; aspiration occurs when a person regurgitates stomach contents and sucks them back into the lungs.
- Stop Smoking- Smoking gives you an increased risk for uncontrollable bleeding and delayed healing. It’s best to stop smoking for a minimum of 24 hours prior to your procedure and 48 hours afterwards. If you would like medical assistance to permanently stop smoking, inform the physician. He can give you advice and referrals to many smoking cessation programs.
- Shower- You will need to shower with an anti-microbial soap the night before the surgery. Repeat this step the morning before your procedure as well.
There are several different methods used to perform a necklift. In some cases, the physician may choose to perform the procedure endoscopically. An endoscopy requires two to three tiny incisions in the neck. The physician then insets a thin fiber-optic device into the incision to perform the surgery. Dr. Nassif routinely performs one of three different surgical methods in the surgery: Liposuction, Cervicoplasty, and Platysmaplasty. All of these procedures follow the routine recovery guidelines as mentioned in the recovery section, but each method involves an additional recovery requirement.
• Liposuction- The name literally means “fat-sucking.” This procedure uses a hollow tube, called a cannula, which breaks up the fat deposits. The medical vacuum provides the suction to remove the fat from the tissue, through the cannula, and into a storage container. If the physician isn’t able to remove all of the fat deposits with this method, he will make an additional small incision to surgically remove them. The physician will place a dressing around the neck and head after closing the incisions. An elastic garment will need to be worn around the neck in the evenings for 14 days after your procedure.
• Cervicoplasty- This necklift method removes the excess skin on the neck. A small incision under the chin and behind the earlobe will be made by Dr. Nassif. The skin will then be lifted up and pulled taught to remove any wrinkles. Dr. Nassif will trim the skin and reattach it to the connection point behind the ears. A stitch will be placed to hold the skin in place during the healing process. Dr. Nassif will place a dressing over the incisions and across the neck to reduce swelling and pain; however, you will see a large amount of bruising and swelling from the procedure.
• Platysmaplasty- This procedure uses incisions placed similar to those in the Cervicoplasty. The physician uses an instrument to remove or realign a portion of the Platysma. Permanent sutures will then be used to hold the Platysma in the new position. Dr. Nassif will apply a dressing around the neck and ears to reduce the amount of swelling and protect the incision site from infection.
The general recovery guidelines for this procedure include the following:
- Only take medications as prescribed by the physician. You will be given steroids, antibiotics, anti-nausea, and pain medications to control the side effects from the procedure. Don’t take any over-the-counter medications without the physician’s approval.
- Don’t get the dressings wet. This promotes the growth of bacteria near the incision site. You may take a shower the day after the procedure, but try to keep the dressings from becoming saturated with water.
- Go to an Emergency Center if you experience any excessive pain, body temperatures above 100 degrees, or excessive bleeding.
- You will see a large amount of swelling and bruising following the procedure. This is normal; it will begin to subside the second to fourth weeks after surgery. Final results may require several months of time to heal properly.
- Elevate your head above your heart when you go to bed as it reduces the amount of swelling present.
Necklift Frequently Asked Questions
What if I need more than just one of the methods on my neck?
Dr. Nassif will determine what combination of necklift methods will best correct your appearance. The physician will further discuss your options during your consultation.
Will I have to be under general anesthesia?
Yes. Due to the invasive nature of these procedures, you will be placed under general anesthesia.
I’m nearing 60, am I too old for a necklift?
This depends upon your health. Plastic surgeons have performed successful surgery on people up to 70-years-old.If you would like to be evaluated for candidacy, please schedule a consultation.
Can I have a facelift at the same time as the necklift?
Yes. Many people opt to have several plastic surgeries at the same time. You can visit with Dr. Nassif about all of your needs during your consultation.
How soon can I play sports or be physically active after surgery?
This varies depending on the amount of surgery that you have performed. Sutures can hiss, split open, or result in severe bleeding from a strenuous physical activity. Dr. Nassif doesn’t clear people to return to strenuous physical activity for two weeks in most cases. However, you will need to engage in some non-strenuous activity, mostly walking, to promote proper healing and adequate circulation after your surgery. Walk for at least five to ten minutes every other hour while awake in the two weeks following surgery.