Neck Lift Surgery
The shape of a neck in a young Female and jaw line in a Male cannot be underestimated. For centuries sculpters and painters have depicted beauty with these features. The first signs of ageing in some people affects the neck. A Neck Lift is the solution for a neck with loose skin and adipose tissue, wrinkles or rhtyids and platysma bands that cause the neck to lose its angle with the face. At Artiste Plastic Surgery patients have sought a Neck Lift to remove rhytids or wrinkles, lift the neck skin and deep muscle and to remove fat in the deep layers. The presenting complaint or aim is to create a more acute cervico mental angle.
Technically A Neck Lift is a plastic surgery procedure that may be performed alone but is often part of a Facelift procedure with an additional small incision under the chin. The neck muscles, glands and fat are repositioned through this access incision to produce a neck line.
At Artiste Plastic Surgery a neck lift is performed for the following reasons:
- As part of a facelift procedure
- To form an acute cervico-submandibular angle
- To form an acute cervico-mental angle (Chin and Neck relationship)
- To address active Platysma bands
- To create a transiiton from the neck to the face.
Video: What is a Neck Lift
Learn about Necklift procedures Dr Jack Zoumaras offers and why patients commonly consider a neck lift. *Level V Evidence: How you will feel after plastic surgery varies between individuals depending on psychological and physical factors, our internal research is based on how patients in our practice feel after surgery. This research is pending publication-details to follow.
NECK LIFT SURGERY PROCEDURES:
Neck Lift Alone
In few cases a patient may seek only a neck lift to address:
- Cervical skin laxity and rhtyids
- Fat deposits in the neck region
This can be achieved with liposuction alone with the addition of a sub-mental and/or short post-auricular incision to address excess cervical laxity.
Neck Lift as Part of a Facelift
A sub-mental incision (in addition to the facelift incision) is used to access the neck structures. The following can be performed depending on anatomy and age related changes:
- Removal of fat (Supra-platysma, Sub-platysma)
- Trimming of Digastric muscles
- Trimming of Submandibular gland
- Platsymaplasty (suturing of muscle together)
- Platsyma-myotomy (incising of the muscle to rid of active bands)
- Removal of the lateral tail of the parotid gland
- Removal of excess skin through the facelift incision
Adult Content: The following patients have given consent and are representative only. Results do not guarantee that you will have the same result.
57 Year Old Neck Lift
60 Year Old Neck Lift
64 Year Old Neck Lift
PROCEdURE SNAPSHOT
3-4 hr Procedure
1 night in hospital
2 weeks unsociable
Qualified facelift plastic surgeon:
- World-trained Dr Jack Zoumaras
- Qualified Anaesthetist, Accredited hospital
Results: Firmer skin, get rid of excess cervial skin laxity and rhytids skin, fat and digastric muscle and/or gland.
Investment in yourself
Necklift surgery risks include bleeding, nerve weakness, scarring and more
You will feel:
Neck Lift and Mini Lift options
Deep Plane Neck Lift
- Submental and facelift incision approach for neck lift Muscle suspension, platysma band removal, gland contouring
- Fat removal and skin contouring
- Full Necklift
- Submandibular gland removal
- Digastric muscle trim
- Platysmaplasty
- Platysmamyotomy
- Fat removal
- Removal of lateral tail of parotid gland
- Skin removal
- 4 hours operating time
- Day or Overnight Hospital Stay
- Unsociable for 10 days
Neck Lift
- Submental and facelift incision
- Muscle suspension
- Fat and skin removal
- Full Necklift
- Platysmaplasty
- Fat removal
- Skin removal
- 3 hours operating time
- Day Hospital Stay
- Unsociable for 10 days
Neck Liposuction
- Neck liposuction through minimal incision submental
- Liposcution of the neck
- Fat removal
- 30min operating time
- Day procedure
- 2-5 day recovery
The Anatomy of Ageing
To understand how best to lift the face, one must have a deep and thorough understanding of the anatomy of ageing. This ensures that your
Neck Lift results will not be “plastic” (fake and not anatomical).
World-trained Face and Neck lift surgeon, Dr Jack Zoumaras, is a peer reviewed Plastic Surgeon, and is experienced and qualified to respect your anatomy. Dr Jack Zoumaras is an author, educator and holds a fellowship program to train junior plastic surgeons on face and necklift techniques.
The Face/Neck consists of 5 concentric layers that differ in consistency in different parts of the face.
- Layer 1 is Skin which is thickest around the cheek and nose, and thinnest on the eyelids and temple.
- Layer 2 is Fat which is prominent around the cheeks and negligible in the eyelids (the fatty “bags” that we see under the eyelids comes from a deeper layer (deeper even than Layer 5).
- Layer 3 is the Superficial Musculoaponeurotic System (SMAS), a muscle layer that allows us to be humans, it is responsible for allowing us to talk, smile, whistle, sing, open and close our eyes, and for all facial animations. The SMAS in the neck of the platysma layer.
- Layer 4 is a space that contains Ligaments, Facial nerves and Vessels. The ligament holds the upper three layers and rests on Layer 5. The ligament is at its thickest in Layer 4 and branches into the dermis of the skin, akin to fine branches of a tree.
- Layer 5 is bone where the ligament holding up the facial anatomy resides on (Cheek and Jaw bones). In the cheek and neck there is no bone and it is deep fascia that is representative of layer 5. Layer 5 in the neck is the deep cervical fascia.
As the Neck ages it undergoes changes in all 5 layers. The overlying skin (Layer 1) can loosen causing wrinkles. Some patients deposit more fat (Layer 2) in their necks, that results in a double chin that contains fat and skin or skin only. In Layer 3, the muscle loosens and the ligament (Layer 4) that holds the structures above, also weakens. This results in the skin falling and muscle becoming a loose structure much like an oversize sheet on a bed that has no structure. This results in the lack of a defined neck-line, and no sharpness to the neck profile. The ligament that sits on the mandible, falls as part of facial ageing, and this not only results in jowling, but the facial skin further pushes the neck skin down.
In some patients the muscle in the neck can undergo banding that results in the neck appearing as if there are strings when you are talking.
A Neck Lift will address the visible changes due to ageing in Layers 1 – 5. This results in removal of excess skin, tightening of the platsyma muscle and empyting out of deep structures such as the submandibular gland and digastric muscles. Having a technical understanding of the anatomy of the ageing process, takes years of training and experience.
Some of our patients have never had a strong cervico mental angle, even in their youth, and this is an anatomical genetic variant of having a proportionally smaller jaw bone (menton). This can be addressed during a Neck Lift through the use of micro fat grafting along the jaw line or use of a chin implant and deep neck surgery to deepen the cervico mental and cervico submandibular angles.
Necklift Options
A Neck Lift is performed by making an incision behind the ear and along the posterior hairline and combining this with a small incision under the chin.
The chin incision allows access to the front of the neck to trim submandibular glands, tighten platysma muscle and remove fat if necessary. The excess skin is excised through the ear incisions laterally along with the muscle to reverse anatomical changes and to deepen the cervico mental angle.
Adding a Neck Lift to a Face Lift is a complimentary procedure for the entire face.
A Facelift involves an incision in front of the ear and along the hairline in the temple. Continuing the incision behind the ear and adding an extra incision under the chin allows the Neck to be lifted and operated on during the same procedure.
A Facelift can also be combined with a Neck Lift by extending the Neck Incision in front of the ear and along the temporal hairline.
Our Deep Plane Neck Lift involves trimming and adjusting the muscle and skin, and further to this also the deep submandibular glands and digastric muscles. In the experienced hands of Neck Lift surgeon Dr Jack Zoumaras the anterior digastric muscle and submandibular glands can be operated along with the platysma muscle and the skin redistributed , to give you a deeper cervico mental and cervico submandibular angle.
Our Neck Lift at Artiste Plastic Surgery involves operating on the neck by removing excess skin and tightening the underlying muscle. When combined with a Facelift the anti ageing procedure operates on the entire face and neck
A Neck liposuction involves operating on the neck with liposuction through tiny incisions under the chin. This procedure is suitable for patients that have mainly superficial fat.
Lifting the upper face with a Ponytail lift or eyelid surgery or brow lift can be combined with a Neck lift or deep neck lift. The only area not operated on wilbb be the face and jowl (Facelift or Meloplasty).
Common Concerns
The procedure will be illustrated in detail and you will be given a detailed instruction sheet on expected post-operative course and potential complications during your consultation with Dr Jack Zoumaras.
It is recommended that you are a stable weight for at least 3-6 months to obtain the best possible results.
It is advised to stop smoking at least 6 weeks before and after surgery.
Results vary and are illustrated as a guide only. Any surgical or invasive procedure carries risks. These risks will be discussed with you in detail. A second opinion is beneficial and advised.
FAQs
The comprehensive Neck Lift is a Deep Neck lift that will result in an acute cervico mental angle. It can also improve it’s features particularly if you have had an obtuse cervico mental angle. This is because the submandibular glands and digastric muscles that contribute to an obtuse neckline can be removed. A chin implant or bone substitute can also added.
A Neck Lift involves removing excess skin or rhytids, superficial and deep fat and tightening the neck muscles. A deep neck lift whicgh is always done by Dr Zoumaras involves operating on the deep fat, digastric muscles and sub mandibular gland.
A Neck Lift is performed by placing an incision behind the ear and along the posterior hairline to gain access to the lateral part of the neck. A further small incision is made under the chin to remove fat, remove excess glandular tissue and tighten the muscle to form an internal firm neck layer. Loose skin is then excised through the incision behind the ear.
A mini neck lift is involves liposuction alone to treat the neck superficial fat. A small incision can also be made under the chin to tighten perform a platysmaplasty. This is suitable for select patients.
A small incision is made under the chin (5-8mm) and liposuction is used to remove some of the fat in the superficial layer (Layer 2).
Yes this is what we call a Pony Tail Lift Plus (Upper Meloplasty with Platysmaplasty).
Yes you can add eyelid surgery (blepharoplasty) to your neck lift (plastymaplasty).
Yes, extending the Neck Lift incision will allow the lower face and specifically the anatomical jowl to be lifted. This is commonly done and requested by our patients.
A neck lift is a plastic surgery procedure and all procedures have risks. Dr Jack Zoumaras is a qualified Plastic Surgeon and all our surgeons at Artiste Plastic Surgery are specialist plastic surgeons. Part of our safety includes operating in an accredited hospital with accredited anaesthetists by specialist surgeons only and you stay in hospital overnight. The surgical risks are between 1-3 % and if any risk arises druing or after surgery it is managed.
Your Neck will feel tight because of the internal muscle and other anatomical that is done. The immediate tightness can last between 2-6 weeks. A few will take longer to subside (1-2%) approximatley 9 months.
A Neck Lift will last 10 years. After 10 years you would have anatomical changes of ageing but your neck will be in a anatomical advanced position.
You can jog after 14 days and run after 4 weeks.
A Neck Lift will take 3-4 weeks to recover and return to work and normal social activities. An earlier return is possible, depending on the patient and actual surgery.
A Neck Lift is an overnight stay procedure that requires at least 14 days of downtime at home.
The anatomy of the ageing face applies to the neck as the layers are continuous. A neck lift is complementary to a facelift but it does not need to be done at the same time. This is a personal choice based on the outcome you want and the financial investment you want to make. From an operative point of view it will take an additional 90 minutes and you will have a slightly longer incision. Our recommendation is to perform a Face and Neck Lift at the same time (Meloplasty and Platysmaplasty).
Dr Jack Zoumaras, is a peer reviewed Specialist Plastic Surgeon.
A Neck Lift in Sydney by Dr Jack Zoumaras can cost anywhere from between 25-35k for the surgical fee alone. A Neck Lift like any surgery is tailored to the patient's anatomy.
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