Facial and neck aging is a complicated process involving changes to the skin, volume loss of the soft tissues of the face, relaxation of the fibrous/muscular tissues, descent of the soft tissues of the face, and volume reduction of the facial bones. Sun exposure, genetics, stress, environmental factors, and weight loss can make these changes more apparent. The end result is the formation of rhytids (wrinkles) and laxity (looseness) in the skin, loss of cheek volume, jowl formation, collection of adipose tissue (fat tissues) under the chin and neck, bands in the neck and loose neck skin.
In some instances, the tissues of the face and neck are affected differently and the neck ages at a greater rate than the face. The result is disharmony between the lower face and neck. In these cases, a neck lift can be used to remove excess adipose tissue and tighten the loose skin and muscles of the neck, thereby rejuvenating and refreshing the contour of your neck.
How are Neck Lift Surgeries Performed?
Neck lift surgery is performed in our fully accredited surgery center under intravenous sedation, allowing us to offer the highest level of care in a safe, comfortable, and private setting. A small incision (cut) is made just below the chin, with additional incisions made just in front of the earlobe, around the earlobe, behind the ear and into the hairline. These incisions are hidden within the natural contours of the face and are barely visible after they have fully healed. Any excess adipose (fat) tissues are carefully removed and the muscle of the neck directly tightened and resuspended. Finally, the skin of the neck is gently draped behind the ear and any excess skin removed. The incisions are then closed. A gentle pressure dressing is placed and removed the following day.
Neck lift surgery usually takes from two to four hours, depending on the extent of surgery. Advances in technique and technology have allowed for smaller incisions, a less invasive procedure, and shorter downtime.
Neck Lift Recovery
This is an outpatient procedure, and once surgery is complete patients are sent home to the care of their significant other, family member, or trusted friend. A light compression dressing is placed at the end of the procedure and is worn for 24 hours. The compression dressing is removed the following day, and the operative areas are examined by Dr. Cynthia M. Gregg. We will demonstrate how to clean the incisions around the ears and under the chin. The sutures will remain in place for one week, while any staples in the hairline will remain for 10-12 days. Patients can expect swelling and bruising around the site of the surgery, which both typically resolve after the first 1 to 2 weeks. Temporary numbness of the earlobes and operative areas of the neck is common. This generally subsides over a period of several weeks. Rest, cool compresses, and pain medication taken as needed are very helpful in the recovery period. Scar formation is minimal; Dr. Cynthia M. Gregg use the most advanced techniques to hide all incisions and limit the size of the incisions. Makeup and skin care regimens can be resumed 10 days after surgery. Patients usually have minimal downtime of 1-2 weeks before returning to work. We ask those patients traveling from out of town to stay for the first night following surgery.
Additional Facial Surgery Procedures