Neck Lift (Platysmaplasty)
A neck lift is a cosmetic surgical procedure designed to enhance the appearance of the neck by removing excess skin and fat and tightening the underlying muscles. It is often done to address signs of aging or improve contours in the neck and jawline.
What Does a Neck Lift Improve?
A neck lift can help with:
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Excess or sagging skin in the neck (commonly referred to as a “turkey wattle”)
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Fat deposits under the chin (double chin)
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Muscle banding that creates visible vertical lines in the neck
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Poorly defined jawline
It does not address wrinkles, fine lines, or skin texture, which may require additional treatments like laser therapy or dermal fillers.
How Is the Procedure Performed?
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Anesthesia: General anesthesia or sedation is used for your comfort during the procedure.
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Incisions:
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A typical incision starts near the ears, extending behind the earlobe and into the hairline.
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An additional incision under the chin may be made for fat removal or muscle tightening.
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Reshaping the Neck:
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Liposuction may be used to remove excess fat.
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The platysma muscle may be tightened, and sagging skin is removed or repositioned.
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Closing the Incisions: Sutures or surgical adhesive are used to close the incisions.
Recovery and Results
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Initial Recovery:
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Swelling and bruising are common for the first 1–2 weeks.
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Compression garments may be recommended to minimize swelling and support healing.
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Returning to Normal Activities:
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Light activities can typically resume within 7–10 days.
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Strenuous activities should be avoided for at least 4–6 weeks.
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Long-Term Results: Results are long-lasting but can vary based on skin quality and aging.
What Are the Risks and Complications?
As with any surgery, there are risks, including:
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Swelling, bruising, or prolonged numbness
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Infection or delayed healing
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Scarring (usually hidden in natural contours)
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Asymmetry or dissatisfaction with results
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Rare complications such as nerve damage
How to Prepare for a Neck Lift
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Before Surgery:
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Stop smoking and avoid nicotine for 4–6 weeks before and after surgery to promote healing.
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Avoid blood-thinning medications (e.g., aspirin or ibuprofen) as directed by your surgeon.
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On the Day of Surgery:
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Arrange for someone to drive you home and stay with you for the first 24–48 hours.
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Post-Surgery Care
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Keep your head elevated to reduce swelling.
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Follow all wound care instructions provided by your surgeon.
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Wear any recommended compression garments as directed.
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Avoid turning or twisting your neck excessively during the healing phase.
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Contact your surgeon immediately if you experience severe pain, unusual swelling, or signs of infection.
Who Is a Good Candidate for a Neck Lift?
You may be a good candidate if you:
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Are in good overall health
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Have realistic expectations
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Are bothered by the appearance of sagging skin, fat deposits, or muscle bands in your neck
Disclaimer: This information is for educational purposes only. Consult your surgeon for personalized advice based on your health and goals.