Neck Lifts & Liposuction in Beverly Hills
Helping Patients Achieve a Youthful Silhouette
For many individuals, the neck is the first region of the body to show
negative effects of the aging process. For men and women who have lost
weight, an unfortunate side effect may be leftover, loose-hanging skin
that has lost its elasticity. A neck lift operation can remedy neck-related
aging issues such as fatty jowls (double chin), vertical bands along the
neck, or laxity of the neck muscle. At Gabbay Plastic Surgery, Dr. Joubin
Gabbay, M.D. is excited to offer his patients a variety of plastic surgery
procedures that will resolve any number of neck-related aesthetic problems,
while utilizing the very latest surgical technological advancements.
The specific problems Dr. Gabbay can resolve with a neck lift surgery can
be summed up in three basic categories:
Loose Skin: Loose skin is a common feature of the aging process and is accentuated
by gravitational pull.
Muscle Sagging: Sagging muscle, known as plastysmal banding, is a result of how the aging
process. It impacts the thin wide muscle sheet (the platysma) that extends
all the way across the neck, on either side. During the aging process,
the edge of the muscle on each side of the neck begins to sag downward,
leading to two visible bands that extend from just below the chin toward
the collarbone. This combination of sagging skin and muscle is often described
colloquially as a “turkey gobbler” deformity.
Excess Fat: Patients with excess fat in the neck region have unwanted fullness below
the chin that contributes to a poorly defined jawline and the appearance
of a double chin.
Neck Lift Surgery Options
Neck-lift surgery can be performed in a number of ways, depending on the
needs and goals of the patient. Three possible neck-lift procedures include
liposuction, cervicoplasty, and platysmaplasty. Generally, a neck-lift
surgery will include liposuction for the removal of fat, cervicoplasty
for the removal of excess skin, and platysmaplasty to tighten up the neck
muscles and eliminate unflattering band lines. Neck-lift surgeries can
also be performed in conjunction with other facial surgeries, such as
a forehead lift, facelift, or eyelid surgery. Dr. Gabbay has performed
numerous neck lift operations, and during your consultation, he will evaluate
your facial anatomy and aesthetic goals, and work with you to devise a
customized treatment plan for your neck lift surgery.
The neck lift procedure is generally performed on an outpatient basis,
and under local anesthesia with IV sedation or general anesthesia –
depending on whether other operations are performed at the same time.
Neck lift patients may undergo one or more procedures during their surgery,
and therefore, the total time a patient spends in surgery ranges from
one hour to several hours. The procedure usually does not involve an overnight
aftercare facility stay, unless performed in conjunction with a facelift.
During a neck lift, one-inch incisions are placed under the chin and/or
behind the ears to tighten up neck muscles that have become lax over time.
After the skin has been tightened, excess skin is removed via additional
incisions around the ear.
After surgery, there may be bruising or swelling around the neck, jaw,
and ears, but this should begin to improve within a few days. Antibiotics
and oral pain medications will be administered to reduce pain and prevent
infection, and stitches will be removed 3-7 days after the procedure.
Scars after neck lift surgery tend to be small and easily concealed under
the chin; although occasionally they are long and visible. The degree
of scarring is related to the neck lift technique utilized during the
surgery, and Dr. Gabbay will do everything possible to ensure that any
scarring is as minimal and inconspicuous as possible. The final results
of your neck lift surgery will be evident immediately and continue to
improve over the next 3 to 6 months. If you would like more information
about neck lift surgery, please contact Gabbay Plastic Surgery and we
will be happy to answer any and all of your questions, and to schedule
an initial, complimentary consultation with Dr. Gabbay. You may also click
the link below to read a more in-depth description of the neck lift procedure.
Is Neck Lift Surgery Right for You?
There are three overarching reasons patients seek out neck lift surgery:
loose skin, muscle sagging, and excess fat in the neck/chin region.
In 1980, Dedo (Dedo, D.D. The Aging Neck) proposed a classification system to describe the degree of visible aging
in the neck region:
Class I: normal, younger patients with a well-defined cervico-mental angle, little
fat and good skin and platysma tone
Class II: these patients present with laxity of the cervical skin without significant
fat deposition or muscle pathology
Class III: patients with a pathologic layer of subcutaneous fat (either genetic
or acquired), who require liposuction to improve cervical contour
Class IV: patients present with varying degrees of platysma pathology and fat accumulation,
requiring some form of surgical manipulation of the platysma
Class V: patients have retrognathia (abnormal posterior positioning of the mandible)
that contributes to their aging neck, and may require chin augmentation
as well as a neck lift
Class VI: patients present with an abnormal hyoid position
If you are interested in learning more about neck lift surgery, please
call Gabbay Plastic Surgery and let us schedule your personal consultation
with Dr. Gabbay. During your meeting, Dr. Gabbay will discuss your overall
expectations and aesthetic goals, in order to determine whether neck lift
surgery is a suitable option for you.
You should come to your consultation prepared to discuss your medical history
(including any past surgeries), present medical conditions, allergies,
and medications. It is imperative that you are honest and provide complete
information, as numerous medical conditions can potentially increase the
risks and complications associated with surgery. If Dr. Gabbay feels that
you are a good candidate for neck lift surgery, he will explain the different
techniques, costs and potential side effects before scheduling your procedure.
When choosing Dr. Gabbay, you can be assured that you are in the hands
of a surgeon who has undergone extensive training and is highly esteemed
by his colleagues and patients alike.
About the Neck Lift Procedure
There are many different types of procedures and techniques that can be
utilized for neck lift surgery. Platysmaplasty, or realignment of the
muscle sheet, is a surgical procedure designed to specifically address
the loose skin in the front of the neck, which is colloquially referred
to as “turkey wattle.” During the surgery, Dr. Gabbay will
make incisions behind the ears or under the chin before re-aligning the
neck muscle bands to help create a better angulation of the neck. When
this procedure is combined with liposuction, platysmaplasty surgery takes
approximately 60-90 minutes from start to finish.
Two of the most common techniques used during a platysmaplasty include:
Corset Platysmaplasty: effective for patients suffering from neck banding, or patients whose
neck skin hangs off of slack neck muscles
Hammock/Purse String Platysmaplasty: this technique is more suitable for a male patient because of the deeper
structures of a man’s neck. The hammock platysmaplasty uses mesh
(Alloderm) as a “hammock” to capture loose muscle and keep
the neck musculature tight. When platysma banding is present, the neck
muscles will be tightened through a hidden incision made below the chin,
and the edges of the two sides of the muscle will be quilted together
to create a new neckline.
Other techniques include:
Cervicoplasty: this procedure is used to remove excess, drooping or sagging skin from
the neck region and the repositioning of the neck tissue to create more
youthfully firm neck contours
Neck Liposuction: fat removal often has the most dramatic effect on neck re-contouring
and can be used for volume reduction and tissue tightening. Neck liposuction
can be performed under general or local anesthesia and involves a small
incision underneath the chin, followed by the use of a vacuum device attached
to a cannula (thin surgical instrument) to suction away excess fat. Micro-liposuction
utilizes smaller liposuction instruments to perform more detailed contouring
in certain areas of the neck.
Laser-Assisted Liposuction: laser-assisted liposuction involves the removal of neck fat for a more
defined silhouette of the neck or jawline. During this procedure, the
patient is first injected with a tumescent solution (a mixture of local
anesthesia and epinephrine to minimize pain and reduce bleeding), which
causes the fat to swell and firm up, allowing it to be more easily removed.
A CO2laser is then used to treat the inside or back surface of the neck
skin and musculature, and the thermal heat from the laser permanently
destroys the fat cells.
Cervical Lipectomy: this procedure involves a small incision made beneath the neck, and is
suited for patients with excess fatty tissue in the central region of
the neck. The cervical lipectomy technique is often performed in conjunction
with neck liposuction or platysmaplasty.
Submentoplasty: the submentoplasty technique is appropriate for patients who present
with a limited amount of skin laxity in the neck, and this procedure combines
neck liposuction, cervical lipectomy, and platysmaplasty through a well-concealed
T-shaped incision beneath the chin.
Recovering from Your Procedure
Immediately after your surgery, bruising, swelling and stiffness can be
expected; however, these symptoms generally subside within 2-4 weeks.
Although rare, potential neck lift complications can include swelling,
bruising, numbness, tingling or burning sensation, skin tightness, bleeding,
infection, adverse reaction to anesthesia, problems with wound healing,
seroma, hematoma, permanent scarring, facial asymmetry, and mottling of the skin.
Reach out to our Beverly Hills plastic surgeon today if you are looking
to achieve a smoother, more youthful neck. Call us today at (310) 928-2558
to begin by scheduling your consultation!