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.
Who Is a Good Neck Lift Candidate?
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:
- Loose, slack skin often referred to as a turkey wattle
- Jowls caused by gravity pulling down fat and skin
- Fat under the chin causing the appearance of a double chin
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.
Dr. DuPéré’s Neck Lift Techniques
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 are often surprised to learn that a facelift alone won’t improve the appearance of the neck. Combining the 2 procedures leads to more harmonious results, as it rejuvenates the lower face and neck simultaneously.
- Fat grafting: Your own fat is an excellent soft tissue filler. In a fat grafting procedure, Dr. DuPéré transfers fat from an area of the body where it’s unwanted, adding volume to smooth out wrinkles and deep lines in the face.
- BOTOX® Cosmetic or Dysport® injections: Dr. DuPéré uses these treatments to soften less pronounced forehead wrinkles and fine lines around the eyes, between the eyebrows, and over the chin, which a facelift or neck lift won’t address.
- Laser skin resurfacing: Combining nonsurgical laser treatments with a facelift or neck lift can also produce an overall improvement for your appearance. Laser skin resurfacing is a highly precise treatment that can reverse sun damage or minimize wrinkles and lines in areas not addressed by aesthetic surgery. Laser resurfacing can be done over the entire face or over isolated areas such as the smoker’s perioral lines, the lower eyelids, or the very fine mid-cheek lines — the so-called “crepey lines.”
- Chin implant: In patients with a receding chin, a chin implant can enhance definition in the jawline and create a stronger profile, further accenting the improvements provided by the neck lift.
Recovering After a Neck Lift
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.
Risks and Complications
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.
Frequently Asked Questions
Are there non-surgical alternatives to a neck lift?
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.
When do the results appear after a neck lift?
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.
Am I too young for a neck lift?
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.
Are the results permanent?
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.Back to Top