A neck lift is perhaps the most effective cosmetic surgery procedure that will truly make the right candidate look and feel ten years younger! A neck lift may be performed on its own, however it is usually performed in conjunction with a face lift, in order to create a more uniform and younger look for the entire face. A brow lift and upper or lower blepharoplasty may also be required to rejuvenate the entire face.
A neck lift involves tightening the platysma muscles as well as re-draping or removing excess skin of the neck. In patients who carry a lot of weight in this area some liposuction may be recommended. It is extremely important not to remove too much fat with liposuction as this can make the platysma muscles and submandibular (salivary) gland more prominent creating a gaunt look for the patient. Younger patients who only have excess fat in the neck area may only require liposuction with or without chin augmentation (genioplasty).
In an isolated neck lift Dr Laniewski will make an incision in the submental area ( under the chin) to access the platysma muscles. This incision is not always required in patients also having a facelift. Depending on the anatomy of the individual the platysma muscles will be tightened with sutures and the skin re-draped to create a tighter more defined jawline and a more youthful sihouette. It may be necessary to make small incisions behind each ear in order to remove and re-drape excess, loose skin. Patients often request a neck lift only, however it is important to understand that for many patients a neck lift on its own is not the perfect solution to achieving a younger, more attractive appearance. Dr Laniewski often recommends a lower face lift in conjunction with a neck lift to achieve the best result. The best candidate for this type of surgery is a non smoker. Smoking seriously affects wound healing and increases the chances of post operative complications.
Dr Laniewski also recommends that the skin is prepared 6 weeks prior to surgery with the topical use of vitamin A and glycolic acid.