Neck Lift

Author: Dr. Gordon Sasaki

If you are tired of having a double chin and want to tighten loose skin and a contour your neck, a neck lift may provide you with the most aesthetically pleasing and longest-lasting results. Dr. Sasaki is a facial plastic surgery expert with years of experience performing neck lift procedures for men and women from Pasadena, Glendale and throughout Los Angeles.

What is involved in a neck lift?

As you age, your loose platysma muscle contributes to the formation of the turkey gobbler, jowls, and marionette folds. A neck lift addresses these issues by:

  • Tightening the muscle in front of the neck (corset platysmaplasty)
  • Pulling it back towards the hairline along the ear and neck
  • Suctioning and contouring the fat layer using liposuction
  • Adjusting the loose skin to give your neck a more contoured appearance

When is a full neck lift needed?

A complete neck lift is recommended to address skin laxity, fat accumulation, and looseness to the underlying platysma neck muscle. Since the platysma muscle occupies the entire neck and its extension to the lower third of the face, a complete neck lift will result in an aesthetic improvement at both sites. A facelift may be combined to rejuvenate the lower face.

The platysma muscles in the majority of patients are fused to one another in the middle of the neck. When muscle separation occurs, each edge of the muscles contributes to the webbing turkey gobbler appearance. When the platysma muscle becomes lax in the lateral aspect of the neck, its looseness produces further irregularities. As the muscle drapes in the lower third of the face, the marionette folds and jowls are produced and accentuated by excess fat.

Dr. Sasaki

Dr. Gordon H. Sasaki

Triple Board-Certified Plastic Surgeon
Few plastic surgeons can match Dr. Sasaki's combination of expertise, compassion, and experience. He's a distinguished educator and a renowned innovator whose work and research have influenced a generation of plastic surgeons. Dr. Sasaki will work with you to make the improvements you desire.

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Where are the neck lift incisions placed?

A complete neck lift usually requires 3 incisions to gain access to the loose platysma muscles and fatty layers. One of the 2 identical incisions starts at the crease line in front of the earlobe, then hugs the back of the earlobe and ear, and finally extends a short distance to the posterior hairline. The third incision is a short horizontal incision under the chin to expose the separated platysmal bands and fat pad.

How is a neck lift procedure done?

Once the incisions are made, the entire skin envelope is elevated carefully from the underlying muscle and fat from side to side, as well as a short distance in front of the ear. Liposuction is selectively performed, leaving behind a contoured amount of fat to provide an aesthetic fill. The platysma muscles are drawn together by sutures in the middle of the neck to eliminate the turkey wattle deformity and to restore an angled look. From the outside ear exposures, the same muscle in both the lower third of the face and lateral neck is appropriately advanced backward and tightened with a number of sutures. This muscle tightening maneuver significantly defines the face and neck with elimination of the marionette folds and jowls. The skin is the last structure that is gently tailored back to its opposite side to obtain a rejuvenated and defined neck.

What can I expect after a neck lift?

Neck lift recovery typically takes a few weeks. You may notice bruising and swelling initially, but this should subside in a couple of weeks, at which point you may feel well enough to return to work. At your consultation, Dr. Sasaki will provide detailed instructions for recovery, including timelines for returning to work, exercise, and other activities.

Are there nonsurgical alternatives for the neck lift procedure?

In selected patients, Dr. Sasaki may suggest the use of Ultherapy®, a nonsurgical device, to tighten and lift mild-to-moderate degrees of skin and platysma muscle sagging instead of a neck lift. Ultherapy utilizes a series of focused thermal coagulation points on the surface of the platysma muscle and the lower level of the skin to denature collagen and elastin fibers for eventual contraction of these tissues. For patients who may not desire or require surgery, Dr. Sasaki will recommend a nonsurgical alternative. Ultherapy does not affect excessive fat collection or bring together the separated platysmal bands in the midline of the neck. Microneedling with radiofrequency may be recommended for improved skin tightening.

The Dr. Sasaki Difference

In addition to delivering superior neck lift results to patients at his private practice, Dr. Sasaki has dedicated his time and study to furthering the field of aesthetic medicine. He has contributed peer-reviewed papers to medical journals, authored chapters in recognized textbooks, and served as a member of the teaching faculty for the American Society for Plastic and Reconstructive Surgery and the American Society for Aesthetic Plastic Surgery. His expertise makes him a trusted name in plastic surgery and in neck lift procedures. Learn more about Dr. Sasaki’s contributions.

Are you ready to discover all the ways Sasaki Advanced Aesthetic Medical Center in Pasadena can enhance your appearance and confidence? Request a consultation using our online form or call  (626) 796-3373 for an appointment.

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