How Exactly Does a Neck Lift Work?

A neck lift changes the contours beneath the chin and along the jawline by addressing selected layers of skin, fat, and muscle. Patients often ask how this procedure works because it may look different from one person to another. Our plastic surgeon evaluates skin elasticity, visible banding, fatty tissue, and facial proportions before recommending the most effective approach. This consultation also covers everything from medical history and recovery needs to the changes the neck lift may address.

Planning the neck lift procedure

A neck lift, also called a lower rhytidectomy, is a surgical procedure that addresses visible changes in the neck and jawline. The surgeon examines the skin, underlying tissue, and the platysma, a broad muscle that extends across the front of the neck. The surgeon may perform a neck lift alone or in combination with another facial procedure, depending on the patient's goals and anatomy.

Before surgery, the care team may request lab work or a medical evaluation. Patients should share all medicines, vitamins, tobacco use, and health conditions. It may be helpful to write this information down beforehand, as the surgeon will require details such as frequency of use, dosage, and diagnosis date. In some cases, they may provide instructions about medicines and smoking before the procedure because these factors can affect surgery and healing.

Understanding the neck lift procedure

The surgeon administers anesthesia and makes incisions according to the planned technique. A traditional neck lift often uses incisions near the hairline and around the ears. Some procedures also include a small incision beneath the chin, which provides access to tissue at the center of the neck.

Through these openings, the surgeon may remove or reposition fat, tighten the platysma muscle, and adjust deeper tissue. They then redrape the skin over the updated contours and remove selected excess skin. Sutures or skin adhesive close the incisions. The incision pattern and amount of correction vary, so the consultation should focus on the approach proposed for that individual.

What to expect when recovering from a neck lift

After a neck lift, swelling, bruising, tightness, and temporary changes in sensation may occur. Therefore, recovery instructions may include keeping the head elevated, avoiding excessive bending or twisting, and attending scheduled follow-up visits. Further, patients should not apply ice to the neck unless the surgeon specifically directs them to do so.

The surgeon also explains when to shower, change dressings, resume driving, exercise, and return to work. Moreover, during healing, avoid clothing that pulls over the head or rubs the incision area. The surgeon will also explain when to contact our office, such as for increasing pain, bleeding, unusual drainage, fever, or sudden swelling.

Schedule a consultation

A neck lift is not a one-size-fits-all procedure. Our plastic surgeon can explain the surgical plan, anesthesia, expected recovery, potential complications, and follow-up schedule in relation to the patient's health and goals. Reviewing items of concern before the consultation helps patients discuss scars, activity limitations, and long-term outcomes. For more information or to schedule a consultation, call our office.

To schedule a consultation, please request an appointment on our website at https://www.paulcdillonmd.com or call Paul C. Dillon, MD Inc at (847) 429-3185 to arrange an appointment at our Schaumburg office.

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