Neck Lift Surgery

Neck lift surgery 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. To have a look at what this operation is likely to achieve, stand in front of the mirror and pull the skin back.

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.

Neck lift alternatives

Liposuction and contouring

Liposuction best targets excess fat. You can assess this fat by pinching the skin. This fat can be removed by liposuction. There are fat dissolving injections, but these to be repeated a few times, and it is more cost effective and more time efficient for you to do it in one go.

Neck Liposuction is a technique using a cannula and gentle suction to remove excess fat from the Neck to improve contour.
Liposuction of the neck is a useful technique that may be recommended to you after talking to you and examining you. This procedure does not bring the neck muscles together. It also doesn’t involve cutting skin. Instead, it relies on the skin’s natural elasticity to shrink down. Neck Liposuction isn’t a substitute for weight loss, but can improve resistant areas to weight loss, such as fat under the chin or neck.

Together, we decide what areas need to be addressed and a contour map is drawn. A customised tumescent technique is applied to each person to ensure that local anaesthetic fluid is infused into the appropriate area to allow maximal fat harvest while still being able to assess the appearance of contour.

The incisions are 2 mm in length and are placed under the chin and behind the ears. A  gentle suction technique is used to remove excess fat using a feathering technique to ensure an even contour. We avoid liposuction techniques which can burn the fat or emulsify which can cause cysts and scarring. Hand suction involves more work, but gives a more predictable result.

The fat is removed from the deeper fat layer. We avoid over-removal of fat to avoid puckering and dimpling which can form when excess fat from the superficial layer is removed.

A compression garment is then worn for 2 weeks all the time and then for 2 weeks at night. This garment will be ordered especially for you after measuring you. This allows the tissues to retract to take advantage of the skin’s natural elasticity. The garment will also help prevent bruising, so you can get back to life quicker.

The procedure is performed as day surgery which means you can go home the same day. Please allows one week for recovery

 

Antiwrinkle injections

If you have muscle bands, which you can see become more prominent with straining, then an easy way to treat these is with antiwrinkle injections. These last 3-6 months.

Chin implant

Have a look at your chin. If the chin is recessed, then you might benefit from a chin implant and this can be done at the same time as a neck lift.

neck lift-swan clinic - plastic surgeon sydney
How can I prepare for Neck lift 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.

Stop all blood thinners unless previously discussed with Dr Hadi. Please stop any over the counter medications that might thin the blood. Please check any combination medications to see whether they contain these ingredients.

Shower the night before or the morning of surgery with a medicated soap. These reduce the bacteria living on the skin and there is evidence it 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 hours 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.
Neck lift garment
A garment needs to be worn as much as possible for the first two weeks, then at night thereafter.
When are the sutures removed ?
Sutures will need to be removed 1 week after surgery.
Neck lift scar mangaement
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 after Neck lift surgery
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 after Neck lift surgery?
You can drive when you can move your neck without pain. This generally takes a week.
When can I exercise after Neck lift surgery?
Gentle walking is encouraged from the next day. Two weeks for gentle exercise, four weeks before returning to heavy exercise.

 

When can I go back to work after Neck lift surgery?
Depending on the work you do and how physically demanding it is, you will need 1-2 weeks off before return to work.
Best outcomes for Neck lift 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 antiplatelet agents. 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

Post-operative follow-ups
As a minimum, you will be seen by Dr Hadi after surgery, the next day, at one week, at six weeks 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 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.

Plastic surgery before and after photos
Due to the respect and privacy of our patients, we do not publish before and after photos on our website. However, many of our patients have graciously allowed their photos to be viewed by new patients considering the procedure. These photos are available to be viewed during the detailed consultation with Dr Hadi.