Typically, a neck lift, also called a platysmaplasty or cervicoplasty, is done in conjunction with liposuction, facelift, brow lift, or other surgeries, therefore the time in surgery will vary accordingly. Your exact procedure will depend on your desired results and your own personal circumstances. Patients must be in good general health, both physically and mentally.
Typical reasons patients undergo neck lifts:
- excess fat: Liposuction is the most common method of removing excess fat below the chin. If you are undergoing multiple procedures during your neck lift, it is very common for plastic surgeons to begin with liposuction. This is a discussion you will have with your physician during your pre-operative discussions. This fleshy flap of skin forms underneath your neck as a result of excess fat, loose skin, and weak muscles. The often considered “easy fix” is liposuction. It is performed under local anesthesia as a quick fix. The simple half-hour procedure is a series of small incisions made behind the ears or below the chin; excess fat is then vacuumed out via tiny suction tubes.
- the turkey wattle: This is traditionally corrected with a facelift. Many people prefer to avoid this because of cost, recovery time, scars, and fear of looking different which shouldn’t happen with a properly performed facelift. Many patients only want to address the excess anterior neck skin, particularly older men. For these people an alternative approach to turkey wattle reduction is a direct neck lift. This is a less commonly performed operation except in older men and in patients who still have excess skin in the front of the neck after a facelift or after a neck liposuction. The direct neck lift is a much simpler procedure than a facelift, but leaves a scar in the front of the neck from under the chin downward.
- excess skin: Your surgeon will make incisions for trimming parts of the skin and lifting it into place. Your surgeon will fit you with a compression bandage that you will have to wear for at least one week, unless instructed otherwise. It's important to follow instructions to ensure proper recovery.
As with any surgery, discussions between you, your surgeon and anesthesiologist, will determine what form of anesthesia is most appropriate for your procedures.