A neck lift, formally known as platysmaplasty or cervicoplasty, is a cosmetic surgical procedure designed to enhance the appearance of the neck. Its primary goal is to remove excess skin and fat and tighten underlying muscles to achieve a more youthful contour Here’s a breakdown of what a neck lift addresses, the procedure, its types, and recovery: What a Neck Lift Addresses A neck lift can effectively address several common aesthetic concerns in the neck area: • Sagging skin: It removes excess skin to create a smoother, more youthful neck contour • Fat deposits: The procedure may involve liposuction to remove excess fat located under the chin and in the neck • Bands and wrinkles: It works by tightening the platysma muscle, which helps to reduce the appearance of vertical bands and wrinkles in the neck • Jowls: By tightening the underlying tissues, a…

Question: Facelift after tightening procedures? Answer: The previous non-invasive treatments that you have will have no effect moving forward performing a lower face and neck lift procedure. Study your prospective surgeon’s before and after facelift photo gallery to make sure that the results look very natural. Question: Facelift did not fix/ tighten my jowls – I look exactly the same after facelift. What can I do to fix this?  Answer: A full set of facial and neck photographs from all angles are required to make a determination about how best to proceed. You’re gonna need to wait at least one year after the primary facelift before embarking on another procedure to allow full healing first. Your incisions are still very fresh, and you have significant edema behind your ears. your next surgeon they want to see a copy of the operative report as well….

Question: What kind of facelift is best for a proactive 35yr old wanting to prevent nasolabial wrinkles?  Answer: Based upon your photographs, you do not need any type of facelift procedure. You do have a mild recessive chin, so consider placement of a chin implant under local anesthesia as an outpatient procedure, which takes about 30 minutes. That would give you more facial balance and proportions. Question: Follow-up: Neck wrinkles and crepey neck skin 2 months after neck lift and facelift. Do I need a revision? Answer: The photographs demonstrate loose and inelastic skin in the neck, along with residual fat deposits in the neck as well. Best to wait at least one year, and then perform another lower face and neck lift procedure to address all of these issues. Question: Had fat injected in hollow under my chin after face/neck lift in 2018….

Question: Chin lipo & FaceTite or neck lift?  Answer: Much more information is needed such as your age, and a full set of facial photographs to make a determination about how best to proceed. In our practice, a necklift removes fat deposits above and below the platysma muscle in addition to a platysmal plasty. When there’s loose and inelastic skin in the neck which is probably the issue in these limited photographs, then a lower face and neck lift is going to be required to tighten loose and inelastic facial and neck skin. Question: I am considering a neck lift. Should I remove the large gland in my neck? Answer: Much more information is needed, such as your age and a full set of facial photographs from all angles to make a determination about which procedure is best for you. If you’re over age…

Question: I’m 44 years old and have sagging in my lower face and neck. Should I do a lower facelift or a deep plane facelift?  Answer: From the limited photographs, it appears that you do not have loose skin, and you’re only 44 years of age. Consider a neck lift procedure to remove the fat deposits above your platysma muscle with liposuction, and surgical extraction of the fact about is below the muscle which also includes a platysma plasty to significantly improve your jawline. Skin removal is probably not required at your age. Question: What sort of eye procedures would I benefit from?  Answer: The picture that you’ve sent is rather blurry,so makes it very difficult to make a determination about how best to proceed. It appears that your upper eyelid skin is rather hooded and resting on your eyelashes, therefore consider an upper…

Question: Is it important to have a Board Certified Plastic Surgeon? Answer: Yes, indeed, it is important to make sure that your surgeon is board-certified in plastic surgery, or facial plastic surgery. It’s also very important to study your prospective surgeon’s before and after facelift photo gallery to make sure that it is extensive with lots of natural results. Question: 5’9, 185lbs, what type of procedure would you suggest I need for more definition between neck & face?  Answer: The noninvasive treatments you were recommended are not going to be of any benefit for you. It is very important to understand that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle in your neck. From these photographs presented, it appears that most of your fat is located below your platysma muscle, which is…

Question: What kind of chin implant for my face?  Answer: In our practice for over 25 years we have used Implantech brand of solid silicone chin implants with an excellent success rate. We also use the Mittleman pre-jowl chin implant usually size small or medium. When their significant recession demonstrated in the photographs, size medium would probably be the appropriate size. Question: What is the likely cause of my eyelid asymmetry and how can it be balanced?  Answer: Everyone has some degree of eyelid asymmetry due to the embryologic development of the face from both the left and right half. A conservative skin only upper blepharoplasty can accomplish improvement of the asymmetry. This can be performed under local anesthesia as an outpatient procedure. Question: Jowls, jawline, skin pigmentation, enlarged pores what do you suggest? Answer: Much more information such as a full set of…

Question: Am I a candidate for a mini lower facelift? 28 Year old Female  Answer: A full set of facial and neck photographs from all angles are going to be required to make a determination about how best to proceed. At 28 years of age, your skin tone in your neck should be just fine and a face/necklift should not be necessary . This procedure is usually performed on patients in their 50s, 60s and 70s. Question: Would a mini facelift work for my sagging jowls?  Answer: If you’re referring to the loose skin on the outer corners of your mouth, then a mini facelift would probably be able to tighten that skin and the fascia layer underneath it for more of a permanent result. A full set of face and neck photographs from all angles are going to be required to make a…

Question: Why is my double chin still present after chin lipo? Answer: It’s very important to understand that there are two compartments of fat in the neck, and they’re located both above and below the platysma muscle in the neck. Liposuction can only accomplish a partial removal of the fat deposits above the muscle. You probably have fat deposits located below the platysma muscle which is going to require a necklift procedure as an outpatient procedure.  Question: What is the best procedure to lift face and get rid of wrinkles and 11s? Answer: Your eyebrows are in excellent position, so brow lift is not necessary, therefore placement of Botox Will be all that’s required for the 11s between your eyebrows. A full set of facial photographs from all angles are required to make a determination about lower face and neck lift procedure. Question: Is…

Question: Is finding a surgeon that will make minor adjustments to tip/nostrils under local plausible? Answer: Trying to perform a rhinoplasty under local anesthesia is a bad idea, and will be very painful. A full set of facial photographs from all angles are going to be required to make a determination about which maneuvers may be needed to perform your rhinoplasty. Thick skin in the tip of the nose is going to prevent refinement as well, so it is important to have realistic expectations. Question: What surgeries/implants should I get to correct my weak chin/wide jaw angle? Answer: The limited photographs demonstrate a recessive chin profile for which a chin implant can improve. The implants themselves are manufactured in a large array of thicknesses, sizes, and shapes which can be custom carved when needed to match patient’s unique anatomy. The procedure can be performed…

Question: Are there any surgical alternatives to fixing or at least improving a bulbous tip? Answer: A full set of facial photographs are going to be required to make a determination about how best to proceed, since the nose is a 3-dimensional structure, and rhinoplasty is performed in all 3 dimensions. A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip with a combination of conservative cartilage removal and suture techniques applied to those nasal tip cartilages.  Question: Am I a candidate for chin lipo? Answer: From the limited photographs, it appears that there is a small amount of fat deposits in the neck which can be removed with Chin liposuction. This can be performed under local anesthesia as an outpatient procedure. Question: Will a second rhinoplasty be needed in the future? Answer: The nose does not continue to grow, so a…

Question: Fullness under chin after lower neck & face lift 9 months ago, what’s needed to correct?  Answer: You have multiple issues going on after your previous lower face and neck lift which include residual fat deposits underneath the platysma muscle in your neck, platysma cords, excess neck skin, and most likely prominent sub maxillary salivary glands. Make sure your facelift surgeon is comfortable addressing all of those issues. Question: Should you do skin boosters before a deep plane facelift?   Answer: Skin boosters will not have any affect with the results of your facelift. Best not to cause any scar tissue in the interim. It’s important to understand that facelift procedures involve tightening loose facial and neck skin, tightening loose facial and neck muscles, removing fat deposits in the neck above and below the platysma muscle, lifting the jowls, and also performing a platysma…

Question: Facelift v neck lift to treat my loose jowls/jawline?  Answer: Much more information is needed, such as a full set of facial and neck photographs from all angles And your age. The skin tone in your neck will determine which is going to be the best procedure for you. In our practice, a neck lift involves removal of fat deposits above and below the platysma muscle in addition to a platysma plasty. No skin removal is required, and it is usually performing people less than 50 years of age. When the skintone is inelastic in the neck you’ll require a lower face and neck lift procedure to tighten that loose skin. Facelifts are usually performed on patients over 50 years of age. Question: Would a thread lift help my sagging face area after weight loss?  Answer: The goal of a lower face and…

Question: Unsatisfactory results from mini facelift, 2nd opinion please? Answer: Mini facelift give many results, and this is just about what you would expect from a mini lift. In our practice, a lower face and neck lift procedure accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck along with a platysma plasty to significantly improve the jawline. Nasolabial folds will not be improved with a facelift. Question: Do I need a lower facelift or would Ultherapy and fat transfer for the under eye and fillers work?  Answer: The photographs demonstrate a recessive chin for which a chin implant can certainly improve. Placement of the chin implant can accomplish augmenting the mandible forward for better structural support for the soft tissues in the neck. A lower face and neck lift can…

Question: 56, female, how long does a facelift last & how can I improve it’s longevity? Answer: In our practice, a face and neck lift usually lasts 10 to 15 years. To maintain your facelift results, it’s always best to use sunscreen when you’re outside, and not smoke cigarettes. Mini facelifts to give mini results and don’t last as long. Study your perspective surgeon’s facelift photo gallery to make sure that it is extensive with results that look natural. Question: Is it okay to lose weight after a lower face and neck lift ? Answer: It is always best to lose the weight first since you have extensive fat deposits in the neck located both above and below the platysma muscle.The surgical neck lift component can accomplish removal of the fat deposits below the muscle, while Liposuction can only remove the fat deposits above…

Question: Do u think getting rhinoplasty will give a huge change to my face ?  Answer: The photographs are rather limited, however a closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line and refining the nasal tip and overall making the nose smaller. All the incisions are placed on the inside of the nose. Digital computer imaging would be helpful to see what your new nose would look like upon your facial features. Question: Would a mid face lift or cheek pad lift be a better option for a fallen mid face area? 56 years old.  Answer: The photographs demonstrated a recessive Chin profile with a prominent pre-Jowl sulcus, which makes your jowls look bigger than they really are. Consider placement of a chin implant to augment the chin forward and give you more width from the frontal projection…

Question: Where are the sutures for a lower face and neck lift generally placed? Answer: The sutures for a lower face and neck lift are located up behind the hairline in the sideburn area, behind the tragus, and then behind the ear and back behind the ear up into the hairline as well. There’s also a 1 inch incision underneath the chin. Question: What would you do to improve my face?  Answer: The photographs demonstrate a recessive chin, fat deposits in the neck, and hooded upper eyelids. Consider placement of a chin implant to augment your chin forward for better facial balance and proportions. The fat deposits in your neck appear to be located both above and below the platysma muscle in your neck, so a neck lift procedure with a platysma plasty would be required to significantly improve your jawline. An upper blepharoplasty…

Question: Age 52 loose skin, do I need a neck lift? Answer: It’s important to look at a full set of facial photographs from all angles in a chin neutral position in order to make a determination about either a neck lift, or a lower face and neck lift. If you have loose and inelastic skin, you’re probably going to be a candidate for a face and neck lift procedure. In our practice, a lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck, in addition to a platysma plasty to significantly improve your jawline. Question: Thread lift after skin only facelift? Answer: A mini facelift, or a skin only facelift, would be a very poor choice, because all of the tension is now placed on…

Question: Neck Lift & mandible implant – What should I have done first if different surgeons are performing doing it?  Answer: In our practice, we perform a lower face and neck lift and chin implants simultaneously under one anesthesia with one recovery period. In addition, the chin implant goes through the facelift incision underneath the chin. No sense in undergoing two separate surgeries. Find a physician you can do both procedures for you simultaneously. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove any fatty deposits in the neck. The chin implant is placed through a submental incision directly under the periosteum of the bone and augments the chin forward. Question: Can fillers improve my lower face sagging?  Answer: Much more information is needed, such…