A neck lift is a complex procedure to reconstruct the neck and lower face. It involves repairing the platysma muscle of the neck, removing excess fat and trimming excess skin. The incisions are made, hidden in the hair line and within the ear. Through these incisions, the lax muscles are redraped. If needed, an additional incision is made under the chin. This is used to repair the divaricated muscle under the chin. Excess fat is then removed through the cut in the chin. Liposuction may also be used to contour the neck.
A neck lift is a four-hour procedure used to recontour the neck to a youthful cervicofacial angle and remove excessive tissues. It can also improve the marionette lines and the nasolabial folds. Fat grafting can be combined with a neck lift procedure to restore the malar cheek area. A drain on each side will be placed which will be removed the next day.
How can I prepare for surgery?
You will need to see Dr Hadi twice. The first consult takes you through the operation as well as expected results. The second consult is at no extra cost to you and runs through things again. All risks and benefits will be discussed with you and treatment will be tailored to your needs and your body shape.
When you decide to proceed, there are a few things you can do to prepare.
- Eat healthily by avoid excessively fatty foods and foods high in sugar.
- Stop smoking as this significantly increases complications rates. You cannot smoke for 6 weeks prior and 6 weeks after surgery.
- Two weeks prior to surgery, stop all anticoagulants and antiplatelet medications unless previously discussed with Dr Hadi. Please stop any over the counter medications that might thin the blood, a comprehensive list will be provided during your consultation. Please check any over the counter medications to see whether they contain these ingredients.
- Shower the night before or the morning of surgery with a medicated soap such as phisohex, sebomed or sapoderm. These reduce the bacterial living on the skin and there is evidence is reduces chance of infection.
- Fast (do not eat anything) at least 6 hours prior to surgery. You will be given this time from Kareena Hospital.
How long will the operation take
You will need to be fasted at least six hour before surgery. The operation usually takes around 4 hours and a recovery time of around two weeks. You will need to avoid heavy exercise for around one month.
The operation is performed under general anaesthetic. You will be looked after by a Specialist Anesthetist throughout your operation. Our preferred hospital is Kareena hospital.
How long will I stay in hospital?
Surgery can be day stay or overnight depending on your preference and how you feel. If you stay overnight, Dr Hadi will see you the next day and remove the drains. If you go home, you will need to come to The Swan Clinic the following day to have these drains removed. You will be given antibiotic tablets and pain relief tablets to take home so that you can be comfortable. You will be given Dr Hadi’s number to contact her if you have any concerns or questions post operatively.
Do I need to wear a garment?
A garment needs to be worn as much as possible for the first two weeks, then at night thereafter.
What about the sutures?
Sutures will need to be removed 1 week after surgery.
What about scar management?
Post operatively the wounds will be dressed with tape. Silicone gel is then applied from two weeks post operatively for a few weeks. Avoid sunburn as this can cause the scar to darken. When in the sun, apply sunscreen and wear a hat.
When can I shower?
You can shower from the next dry. The white hypafix tape can get wet, please blow dry it if needed after showering.
When can I drive?
You can drive when you can move your neck without pain. This generally takes a week.
What can you do after surgery?
Your part in the operation is essential. You can help achieve the best possible outcome by:
- Do not smoke for at least six weeks after surgery.
- Keep the garment in place as much as possible
- Sleep on your back on two pillows. Try to avoid excessive neck movements.
- Avoid heavy exercise and lifting for at least 2 weeks.
- Avoid pain killers which contain anti-inflammatories, as they may increase your risk of bleeding. Please check with us prior to taking medication not prescribed by us.
Come back for regular review as detailed in the next section to ensure your healing is progressing at each stage.
What about post operative visits?
As a minimum, you will be seen by Dr Hadi after surgery, the next day, at six weeks, at three months and twelve months after surgery. This is so that you can have the best possible outcome.
Please call the Swan Clinic on 9526-6885 following your surgery to ensure we have booked all your follow up appointments.
As our patient at the The Swan Clinic, you will be well looked after and can always count on our honesty as we always have your wellbeing in mind.
Please feel free to contact us if you have further questions.