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One of the most common anti-aging concerns among patients at our Toronto practice is loose, wrinkled skin on the neck. A neck lift can produce a more defined jawline and eliminate the "turkey wattle" that can detract from an otherwise youthful face. Dr. Marc DuPéré is a Royal College-certified plastic surgeon specializing in facial rejuvenation who uses advanced techniques to improve the neck's contours in a natural-looking way.
Learn how a neck lift can turn back the clock by creating a sleeker, more refined profile. Request a consultation with Dr. DuPéré by using our online form, or call Visage Clinic at (416) 929-9800 to schedule an appointment.
The neck is where the first signs of aging often appear. You can benefit from a neck lift if you're concerned about excess, sagging skin or fat accumulated below the chin, or the hanging vertical neck bands. Dr. DuPéré often combines a neck lift with facelift surgery at his Toronto clinic when requested, but many of his patients' concerns are limited to the neck area alone, especially when the mid-face is youthfully maintained with BOTOX® and fillers.
Men and women who want a neck lift typically want to address one or more of these conditions:
A person whose skin retains some of its elasticity, who has realistic expectations about the results, and who is in good overall health is considered an ideal neck lift candidate. Alternatively, patients whose aesthetic goals are limited to double chin fat may want to consider BELKYRA™, a non-surgical injection treatment that targets those fat cells with no downtime or incisions.
If Dr. DuPéré is performing a neck lift as a standalone procedure, he may use either a general anesthetic or a local anesthetic combined with a sedative to keep you comfortable during the operation. The procedure itself is customized based on your specific needs. For example, if your primary concern is excess fat that causes a double chin, neck liposuction alone may produce optimal results.
More dramatic results, though, can be achieved by removing excess skin and fat along with tightening the neck muscles. This is called a platysmaplasty, and it tightens and repairs the platysma muscle, a sheet-like structure on each side of the neck stretching from the jaw to the collarbone. The goal of a neck lift is to create a youthful, 90-degree angle at the junction of the neck and the chin.
Using advanced surgical techniques that include making tiny, inconspicuous incisions, Dr. DuPéré removes any excess fat and then tightens the platysma muscle by pulling it up closer to the midline, under the chin, where the muscle used to be in youth. In many other cases, he also may remove some skin if needed before closing the incision, but the excision is done behind the ear as in a full redraping of the neck. The posterior incision also allows him to pull and anchor the same repaired muscle to the back of both ears, creating an efficient 90-degree angle at the neck and prolonging the effect of a neck lift. A procedure combining liposuction and repairing the anterior platysma muscle takes about 60 to 90 minutes.
Dr. DuPéré's comprehensive approach to improving your appearance includes a range of both nonsurgical and surgical procedures. The increased effectiveness of nonsurgical facial rejuvenation treatments, including cosmetic injectables, laser skin resurfacing, platelet-rich plasma (PRP) treatment, and others, enables Dr. DuPéré to create excellent results without performing facial plastic surgery in some cases.
He also often combines procedures to enhance the results of a facelift. These are some of the most common pairings:
Neck lift patients usually go home on the day of the procedure. In some cases, we can arrange an overnight stay at our surgical center. Dr. DuPéré bandages your neck to minimize swelling and bruising and inserts a thin tube that helps drain excess fluid to prevent it from accumulating under the skin; it is often removed on the following day.
Dr. DuPéré provides detailed postoperative instructions that help enhance the healing process and limit your discomfort. Depending on the extent of your procedure, you will probably need to take at least a week or 2 off work or other activities. The recovery will last longer if a facelift or brow lift is combined with the neck lift.
All surgery involves potential risks. Dr. DuPéré educates all neck lift patients about risks such as: scarring, opening of the wound, temporary discomfort, bleeding, swelling and bruising around the surgical sites, loss of sensation over the surgical site and around the scar and earlobes, fluid accumulation (seroma and hematomas), infection (extremely rare), nerve and vessel injury, skin necrosis (more common with smokers and possibly treatable with wound care), and general anesthesia-related issues.
Yes, our medical spa offers an array of such treatments that can improve the appearance of your neck. The best way to determine if your cosmetic goals can be met without surgery is to consult with Dr. DuPéré. BOTOX or Dysport can help soften deep lines in the neck, and intense pulsed light devices can tighten loose skin.
One of the primary benefits of undergoing facial plastic surgery is that you can enjoy the results after a brief recovery process. Once the swelling and bruising resolve in a few weeks, you'll see the contoured neck line that you wanted.
Age really isn't a determining factor when Dr. DuPéré considers treatment alternatives for patients. A neck lift may be appropriate for a patient in his or her early 30s if a less invasive procedure won't get the results they want. A typical neck lift patient is between ages 40 and 60, yet liposuction alone to the neck is commonly done in patients in their 20s and 30s.
Dr. DuPéré always reminds patients that cosmetic surgery doesn't stop the aging process, but it can turn back the clock. A neck lift results in more youthful contours that should last for years if you lead a healthy lifestyle and don't smoke.
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