NECK LIFT / NECK REJUVENATION / PLATYSMAPLASTY
The main focus of the neck lift or neck rejuvenation or platysmaplasty is the sagging neck or ‘turkey gobbler’ appearance, which can make patients heavy full faces and aged.
Loss of the cervicomental angle is a common sign of aging, inciting patients to seek facial/neck rejuvenation.
Neck contouring involves management of the subcutaneous fat, platysma muscle and cervical skin.
The youthful neck that most patients seek is characterized by thin, soft tissue with
- visible underlying structures
- an acute cervicomental angle
- the absence of fat, sagging, dyspigmentation, and wrinkles
The aging neck results from the triad of accumulated submental fat, platysmal banding, and redundant dyspigmented skin. These physical attributes are the result of the intrinsic aging process compounded by the extrinsic environmental factors affecting all tissue and structures in the submentum and neck area.
The goals of the neck lift procedure are to rejuvenate the neck to achieve balanced, youthful contours and to restore a more youthful cervicomental angle. Patients with significant excess neck skin and tissue do not have a clear separation between the end of the jaw line and the beginning of the neck. Often patients with a heavy or ‘turkey gobbler’ neck have significant laxity or submittal skin in addition to evidence of platysmal banding, submental, and submandibular adipose deposits. Older patients in whom the skin has lost its elasticity are often candidates (figure 6.10). The focus of the operation is creating a more defined neck angle. Candidates for the neck lift technique are those with significant laxity and redundancy of the submittal skin in the absence of lateral jowling deformity. The focus of the operation is to recreate a defined cervicomental angle and smoother neck contour.
A successful surgical outcome of the neck rejuvenation surgery initiates with careful patient selection and realistic patient expectations. Any medical problems contraindicating elective surgery will also contraindicate neck contouring. A review of the general health status, past medical and surgical history, medications, allergies, and social habits is also important to reveal any contraindications or underlying illnesses that may affect elective surgery and anesthesia. A history of keloid or hypertrophic scar formation, autoimmune and inflammatory diseases and allergic dermatitis of the face and neck skin should be well controlled prior to surgery to avoid poor healing…
Of extreme importance is any recent history of tobacco use. The deleterious and dangerous effects of smoking on post surgical healing are well documented in the literature. Patients should discontinue the use of all tobacco and nicotine at least 1 month before and after cosmetic surgery.
All medications or supplements that increase the risk of bleeding, including anticoagulant medications, non steroidal anti-inflammatory drugs, blood thinning medications, steroid medications, as well as some vitamins and herbal supplements should be submitted to surgeon’s review and discontinued prior to surgery.
The aim of this article is to give you a general information about the surgical intervention in question. You need to make more research about possible complications and risks of this selected procedure in order to make an informed decision. Please note that complications occur more frequently with patients who are obese, smoke, and have a history or lung or other chronic underlying medical conditions.
Smokers are recognized to have a significantly higher risk of post operative wound healing problems with a subsequently higher potential of infection as well as operative and post operative bleeding. Patients should discontinue smoking for two weeks before and two weeks after surgery. Although it helps to stop smoking before and after surgery, this does not completely eliminate the increased risks resulting from long term smoking. Smoking also has a long term adverse effect on the skin and ageing process.