Neck Lift
Restoring Neck Contour and Definition
The neck is often the first area to show age due to weakening muscles and loss of skin elasticity. A neck lift, or cervicoplasty, targets these changes to restore the cervicomental angle and sharpen the jawline. By addressing the “turkey gobbler” effect and underlying platysma muscle laxity, a Plastic Surgeon can achieve a contoured, youthful profile that harmonizes with the face.
Candidate Suitability
Suitability is based on anatomy rather than age. Ideal candidates generally present with:
- Platysmal Banding: Vertical cords caused by separated muscle edges.
- Submental Adiposity: “Double chin” fat obscuring the mandibular border.
- Skin Laxity: Loose, redundant skin lacking definition.
- Blunted Angle: Loss of separation between chin and neck.
- Jowl Formation: Early sagging along the jawline.
Procedure Options and Techniques
Surgery is individualized and typically performed under general anaesthesia. It involves a combination of excision, fat removal, and tightening.
- Cervicoplasty: Redundant skin is excised via incisions starting in front of the earlobe, wrapping into the retroauricular sulcus and hairline, keeping scars inconspicuous.
- Platysmaplasty: To treat bands, a medial platysmaplasty tightens the muscle edges under the chin in a “corset” fashion, supporting the submental floor.
- Lateral Suspension: The muscle’s outer edges are suspended to the mastoid fascia behind the ear, creating a sling that sharpens the jawline.
- Submental Lipectomy: Excess pre-platysmal and sub-platysmal fat is removed via excision or liposuction to sculpt the underlying definition.
After the operation, patients can expect some bruising, swelling, or a feeling of tightness that gradually improves over time. Temporary changes in skin sensation may occur but usually resolve as healing progresses. The entire recovery is closely guided to ensure the face settles evenly and regains a natural, refreshed contour.
Recovery and Postoperative Care
Recovery focuses on managing edema and supporting the new contour. An overnight clinic stay is typically required.
- Compression Garments: Worn continuously initially to minimize postoperative edema and support tissues.
- Head Elevation: Essential for the first 1-2 weeks to reduce swelling.
- Drain Management: Small drains may be used briefly to prevent fluid buildup.
- Activity Restrictions: Light daily activities resume in 1-2 weeks; strenuous exercise is avoided for 6 weeks to prevent intracranial pressure.
- Incision Care: Keeping sites clean is vital for healing and scar maturation.
Final results emerge gradually as swelling subsides. A personal consultation will determine the best surgical plan for your specific needs.
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