Neck Lift (Platysmaplasty)

As we age, some may develop increased skin sagging in the jawline, under the chin and neck area. A neck lift serves to restore the definition of the jawline and to remove the sagging skin in these areas. At the Henry Ford Center for Cosmetic Surgery This procedure can be done alone or be combined with other types of cosmetic therapies for the face.

Man who has had a neck liftWhat to expect at your first consultation

During your neck lift surgery consultation, discuss with your doctor:

  • Your surgical goals
  • Any medical conditions, drug allergies and medical treatments you may have
  • Current medications you are taking, including vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous surgeries you have had

During the consultation your doctor will also:

  • Evaluate your general health status and discuss any pre-existing health conditions or risk factors
  • Examine and measure your face
  • Take photographs
  • Discuss your rejuvenation options
  • Recommend a course of treatment
  • Discuss likely outcomes of a neck lift and any risks or potential complications
  • Discuss the type of anesthesia that will be used

It’s natural to feel some anxiety, or anticipation regarding your new look. You may even experience a bit of preoperative stress. Feel free to discuss these feelings with your doctor.

Common questions about neck lift surgery:

Does my insurance cover neck lift surgery?

No, most insurance companies will not cover neck lift surgery. We do offer flexible payment options. Discuss with your doctor the finance options we offer.

What type of anesthesia will I get for my neck lift surgery?

Medications will be administered during the surgical procedure. The choices include intravenous sedation and general anesthesia. Discuss with your doctor the best choice for you.

Where will my surgery be performed?

A neck lift may be performed in one of our licensed ambulatory surgical centers, or a hospital.

What are my options for neck lift surgery?

Your choices for neck lift include a traditional neck lift incision or a limited incision neck lift. After your consultation, you and your doctor will decide which treatment is best.

What happens in neck lift surgery?

  • A traditional neck lift incision often begins in the hairline at the level of the sideburn and continues down and around the ear and ends in the back of the head. Fat from the jowls and neck may be sculpted or repositioned. In order to repair the muscle a separate incision under the chin is often necessary.
  • A limited incision neck lift may involve incisions only around the ear.

After healing, the incision lines from a neck lift are usually well concealed within the hairline and in the natural contours of the ear.

  • What to do before your neck lift surgery
    It is important to follow these steps in order for you to have long-lasting results:
    • Stop all of the following medicines two weeks before your surgery: aspirin, anti-inflammatories (Motrin, Advil) and herbs.
    • Bring a trusted adult with you the day of surgery to take you home and help you with your initial care.
    • Remove jewelry, piercings and hairpieces prior to arrival.
    • Wear comfortable, loose-fitting clothes.
      • Avoid tight collars or belts and long-sleeve shirts. These may interfere with monitoring your blood pressure.
    • Take your regular dose of prescription medicines on the day of your surgery.
  • What to do after your neck lift surgery
    • During your recovery from neck lift surgery, a bandage will gently be placed around your face and neck to minimize swelling and bruising.
    • A thin tube may be used to drain any excess blood or fluid that may collect under the skin.
    • It is important to keep your head elevated above your heart to minimize swelling.
    • Keep your head straight (no excessive twisting or bending of the neck).
    • Do not apply ice to the neck as this can compromise blood flow and result in skin death.
    • You will be given specific post-operative instructions that will include
      • How to care for the surgical site and drains
      • Medications to apply or take orally to help healing and reduce the potential for infection
      • Specific concerns to look for at the surgical site or in your general health
      • When to follow up with your plastic surgeon
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