Many patients are bothered by the appearance of their necks. For the young person, it is often the result of a collection of fat that is inherited. In the older patient, the problem is usually, a combination of loosening of the skin and muscle as well as some excess fat. The isolated neck lift can be performed to correct this, although most often this is done in combination with lifting of the cheek to keep the face in harmony.
Who is a good candidate?
We think the young individual with simple excess of fat who does not have a nice angle between the chin and the neck may be a candidate for liposuction alone. Generally, after the age of forty, the patient is most likely going to need some tightening of the skin and muscle. Have someone take a picture of your profile from the side and see if your neck contour is the way you want it. If not, we have an imaging system that we will use in your consultation to show you how your neck might be improved through liposuction or neck lift.
How is the procedure performed?
Younger patients who are candidates for liposuction alone and all other neck lift patients can be treated under local anesthesia with sedation or under general anesthesia in our fully accredited operating facility. We utilize ultrasonic assisted liposuction, we feel we get a smoother reduction of fat and may get some tightening of the skin. It is done through three tiny incisions, one in front of each earlobe, and one in the crease under the chin. These produce undetectable scars after healing is complete.
If there is more skin and muscle laxity, then we open the neck through hairline incisions behind the ear and/or under the chin to directly tighten the muscle and remove excess skin.
What can I expect for results?
We try to achieve a long slender neck appearance with just the right softness to the skin. This is done by not taking ALL the fat out of the neck but rather leaving a layer to cover the muscle well. We then redrape the skin over the reshaped fat and muscle.
Are there any potential complications?
Complications are rare after isolated liposuction of the neck. We take great care not to thin it too much as it is very difficult to correct if there is no longer enough fat to give a smooth appearance to the neck. With open procedures, the possibility exists for hematoma collection (bleeding into the space over the muscle) and also, rarely infection. The possibility of temporary weakness of the ability to frown on one side is also present but rare.