NECKLIFT

Necklifts or neck improvement surgery can be performed for numerous problems. Fatty necks, with fairly good skin are best improved with liposuction. I have performed a lot of these procedures with great results. The scar is a very small 3mm scar under the chin.

If one has not too much loose skin but just platysmal bands, a platysmaplasty which means the approximation of the platysma muscle responsible for the bands is approximated in the midline with some wider undermining of skin. This leaves a longer scar under the chin crease.

If there is a lot of loose skin the only way to deal with this is to remove the skin and in this aspect in males who don't want much change to the face, an anterior cervicoplasty is performed. This unfortunately leaves a fine scar in the midline of the neck starting from just under the chin to ones adams apple.

This gives a fantastic result but one has to accept the scar. In people who do not wish to accept the scar, a necklift can be performed by excising skin from the posterior hairline starting behind the ear and extending along the hairline down the posterior aspect of the neck. This will usually improve the skin of the neck below the neck crease. If the skin is loose under the chin and along the jawline area, a facelift whether it be a formal classical facelift or a short scar facelift would be best to improve the skin in this area.

Platysmaplasty and/or lipsuction of the neck can be performed in conjunction with a facelift procedure.