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A neck lift, or lower rhytidectomy, is a surgical procedure that improves visible signs of ageing in the jawline and neck.
A neck lift removes fat and tightens the skin along the jaw and neck in order to restore a smoother and more youthful neck appearance, and a more defined neck profile and contour.
A neck lift surgery can treat:
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We have invited a selection of the country's very best consultants to join us at the Cadogan Clinic so that you can be sure that whatever the nature of your treatment, you will be seeing one of the top practitioners in the country.
Mr. Naveen Cavale
Plastic, Reconstructive & Cosmetic Surgeon / GMC: 4190952
Mr. Naveen Cavale is a fully qualified and fully accredited UK Plastic Surgeon who graduated from University College London and the Royal College of Surgeons in Edinburgh...See Full Profile
Mr. William Van Niekerk
Aesthetic Plastic And Reconstructive Surgeon / GMC: 4362791
Mr. William Van Niekerk is a consultant plastic, reconstructive, aesthetic, and burn surgeon with over 20 years of medical experience...See Full Profile
Mr. Tunc Tiryaki
Consultant Plastic Surgeon / GMC: 7497351
Mr Tunc Tiryaki is a Consultant Plastic Surgeon specialising in facial surgery. Mr Tiryaki has a special interest in mini face lifts and is a pioneer...See Full Profile
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The Neck lift procedure is performed under general anaesthetic and takes between one and two hours.
The standard neck lift is a modification of the facelift, where the skin and underlying platysma muscle are pulled upwards and backwards, towards the ear, where surplus skin is removed. Contouring and undermining are often carried out by liposuction, but we very often combine this procedure with fat grafting to rejuvenate the chin and jawline.
This procedure is effective as a standalone alone treatment but, where necessary, is combined with a facelift to give dramatic results. Your surgeon will discuss this with you in your initial consultation and recommend what is best for your individual case.
There are two neck lift techniques to be aware of:
A combination of both techniques above may be employed to achieve optimal results. It is also possible to remove excess fat through incisions made under the chin, via liposuction or surgical excision, during each procedure.
To enquire about a consultation with a Neck Lift specialist, please complete the form:
Why Do People Have It?
As we age, we naturally begin to lose the youthful contours of our face and neck. This process can be accelerated by factors such as genetics, gravity, stress and even environmental conditions that may affect the skin on the face and neck.
Stretched or sagging neck skin is unlikely to shrink back naturally and typically cannot be tightened with diet and exercise. This is a common misconception, and surgical intervention may be the only way to deliver your desired results.
You might consider a Neck lift if you want:
The overall effect is to deliver a more sculpted, aesthetically pleasing and youthful neck, firmer to the touch and with tightened, smooth overlying skin.
The benefits of a Neck lift are both cosmetic and psychological, and include:
Who Is Suitable?
Cadogan Clinic considers individuals fit for the procedure, if all of the following are true of them:
Three weeks ago I had advanced fat transfer surgery and I am over the moon with the results. My whole wellbeing has been uplifted and I am so much more confident and happy with myself. Thank you to the Clinic and my surgeon for their fantastic work and expertise
I was nervous before my procedure, but I was put at ease by all the staff I encountered from my patient advisor, surgeon and the nursing staff. It was a huge reassurance to have access to the 24/7 on call nurse service immediately after my procedure also
A huge thank you to the Cadogan Clinic and Dr Zamani who looked after me whilst having surgery. They treated me with so much care and it was truly appreciated. The care from the nurses was wonderful, and I genuinely felt that they really cared. First class service from the start. I also had follow-up calls the day after, couldn’t ask for more. A huge thank you to all involved
A massive thank you to the Cadogan Clinic. I am very pleased with the results from my surgery. My patient advisor was extremely organised and made me feel reassured throughout the whole experience. My surgeon Ms Hawkes was excellent and so was the Clinic team - I could not have asked for a better service
I had the most amazing experience with the Cadogan Clinic and Mr van Niekerk. They were extremely accommodating and professional. I was a little bit hesitant to go through with it but their safety standards and professionalism put me at ease. Most importantly I am so happy with my results.
I had a procedure at the Cadogan Clinic with Mr Atherton. From my first consultation, Mr Atherton was honest, straight forward, and precise. All the details and expectations of the surgery were fully explained, along with the after care. I am still in recovery, but the results already look fantastic; he delivered on all the promises that he made to me.
I was very impressed and extremely pleased with the Cadogan Clinic, right from booking my initial consultation all the way through to having the surgical procedure done and the aftercare appointments that followed. Dr Sadideen was extremely reassuring and transparent , and made me feel very comfortable during my treatment
I wanted to say a big thank you to the Cadogan Clinic and Mr Tiryaki, I am so happy with the results from my surgery. I can’t thank my patient advisor enough for being my support throughout my journey. I felt so reassured from my initial consultation with her and she followed me up closely at each stage. Would recommend highly.
The first step for all of our Neck lift patients is to meet with the surgeon we feel is best placed to perform your procedure for a consultation. At the consultation, you will be able to discuss with your surgeon what your hope to achieve from the procedure, as well as discuss in detail what may or may not be possible given your existing anatomy.
Your surgeon will take you through the options available to you, and which is the most preferential for you given your stated ambitions. Having established this, several key measurements will be made and standard clinical photography will be taken.
Some questions you may want to ask your surgeon include:
If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two-week 'cooling-off' period.
Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like.
If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure. Before admission the following behavioural changes are recommended/required:
On the day of your procedure, we ask that you arrive for your admission an hour before the agreed start time of surgery. At this point a nurse will come and record blood pressure and other relevant vitals, you will meet with your anaesthetist and your surgeon who will make the final mark-ups.
Before surgery, the surgeon will measure up your neck to assess how much fat and/or skin needs to be removed. The neck is then photographed, with the skin markings, in various positions, front and back. The procedure is carried out under our form of general anaesthesia called T.I.V.A. (Total Intravenous Anaesthesia) and takes two hours.
Your surgeon will begin by making an incision in the hairline at the level of the sideburn and will continue the incision around the back of the ear. The tissue underlying the neck skin is repositioned, and the platysma muscle is tightened. Skin is redraped over the uplifted contours and excess skin is trimmed away. A separate incision under the chin is often necessary for liposuction of this area and for the repair of the muscle. Sutures or skin adhesives close the incisions behind the ear.
The neck is then bandaged after surgery to reduce bruising and you will feel stiff and mildly uncomfortable as you bend or move your neck in the coming days. Most of the sutures used are dissolving to avoid stitch marks, but there may be a few to remove a week or so after surgery.
You should not feel much pain during the procedure, but you may have some for a few days or weeks afterwards. You'll be given painkillers if you need them.
Following the procedure, you will recover in our ambulatory recovery rooms for between two to three hours, dependent on the scale of the procedure. Once our specialist nursing team are happy that your initial recovery is complete and you are safe to return home, you will be allowed to leave the Clinic accompanied by a friend or member of your family.
Once home you will have access to our dedicated on-call nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and pain control, and are there to field any questions you may have in the immediate post-operative phase.
We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture, we also recommend you meet with one of our on-site aestheticians to discuss ongoing treatment to support the healing and scarring process.
We ask that you come in to see your surgeon after 6 - 8 weeks for a final check-up.
Neck lift surgery is a safe procedure, but it is common to experience:
As with all surgical procedures, Neck lift surgery carries some risk and it is possible that you might experience:
Your surgeon will discuss these risks comprehensively at your consultation and explain how likely these risks and complications are, and how they would be treated.
Our Surgical Patient Advisor, Ellie, answers our patients most frequently asked questions.
What is a Neck Lift?
A Neck lift is a surgical contouring procedure designed to remove a surplus of loose neck skin and eliminate fat deposits in the neck region, and restore a more youthful, defined neck and jawline.
The choice of procedure depends on the exact condition (excess loose skin or excess skin and excess fat deposits) but will involve skin excision, or a combination of skin excision and liposuction.
The procedure is carried out as a day case procedure under General Anaesthesia, and takes 2 hours.
There is typically bruising for a few weeks with end results at about 3 months. Scars are insignificant and managed by our Scar Management programme.
Am I suitable for Neck lift?
A neck lift can result in a more defined, slender neck and jawline, but the procedure may not be for everyone. It's important when undergoing any type of surgical procedure that you're in good health.
If you're age 40 and above, then you may want to consider a neck lift if you're unhappy with any of the following conditions;
+ Loose or drooping skin
+ Excess skin
+ Skin damaged by sun and the elements
+ Excess fat on the neck obscuring the usual sharp angle between the chin and the neck
+ Double chin
+ Jowls or hanging skin at the neckline and jawline
+ Neck banding
The best candidates for a neck lift will have:
+ Good skin elasticity – ideally the stretched skin remains elastic and will conform to its new position
+ Good physical health – generally being healthy is important before any surgery. Serious medical conditions, a high BMI and smoking can all increase the risk of complications. You should have stopped smoking at least 6 weeks before surgery.
What causes loose, sagging skin distribution in the Neck area?
Loose sagging skin in the neck area can be caused by a number of common factors:
+ Genetics, occurs naturally
+ Dramatic weight loss
+ Lifestyle factors, e.g. excessive sun exposure, smoking
What is a Turkey Neck?
A' Turkey Neck' or 'wattle' refers to the loose skin hanging down in the midline from the chin to the neck. It is a consequence of ageing, where the skin loses its elasticity and takes the shortest route from the chin to the neck. It is typically worse, when there has been significant weight loss.
Neck Lift surgery is the obvious and most effective and predictable procedure to treat this.
Who will perform my Neck lift treatment?
One of our highly trained, elite plastic surgeons will perform your Neck lift.
All our Neck lift and liposuction specialists have been hand picked by Mr Bryan Mayou, our founder, and the pioneer of liposuction in the UK.
How much does a neck lift cost?
Neck lift costs start from £5,100. Neck lift costs can vary according to the size and scale of the operation.
Neck lift cost of surgery includes your all your post-operative care and 24/7 nursing assistance and ongoing scar management.
What questions should I ask during my Neck lift consultation?
Your consultation is designed to be perfect opportunity to ask all the pressing questions that you have to your consultant, ahead of making a decision on surgery. It is vital that you are fully informed before making your final decision, and the consultation is therefore a key part of the education and decision making process.
Some good examples of questions to ask, include:
+ Am I a good candidate for this procedure?
+ Do you think my goals are realistic given my existing anatomy?
+ Will I require a single surgery or multiple surgeries?
+ Can I see some before & after pictures of Neck lift procedures you have done previously?
+ How long will my recovery take?
+ Is it true that Cadogan offers 24/7 on call nursing service?
+ What can I expect in terms of bruising, swelling and scarring?
+ What are my options if I am unhappy with my results?
How should I prepare for my Neck lift surgery?
No special preparation is required although it is generally advisable to do the following before any surgery
+ Stop smoking. Smoking decreases blood flow in the skin and can slow the healing process. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery.
+ Avoid certain medications. You'll likely need to avoid taking aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding.
+ Arrange for help during recovery. Make plans for someone to drive you home after you leave the hospital and stay with you for at least the first night of your recovery at home.
How long is Neck lift treatment?
Neck lift surgery should take no more than two hours.
When will I start to see results from Neck lift?
You should start to see results in the days following surgery. These will fully start to appear from around the six week mark and improvements will be ongoing for the first 3 to 6 months.
Are my Neck lift results permanent?
Your results will be long lasting and you should see the difference for between 10 – 15 years.
That said, the ageing process will continue from your new post-procedure point, and skin laxity will gradually increase over time. The ageing process will start from a far better point however, so it should be many years before this becomes noticeable again.
You can protect encroachment on your results by avoiding excessive amounts of sun exposure and maintaining a stable weight.
Is Neck lift painful?
You will not feel any pain during the procedure as you will be under the influence of anaesthetic.
Immediately following surgery, you may experience discomfort but any pain should be tolerable. Your surgeon can provide painkillers for this and the majority of patients no longer need them a few days after neck lift surgery.
Is Neck lift safe?
Neck lift surgery is straightforward, safe surgery although you should be aware of all the risks and complications before going ahead with surgery. Some are listed on this page, but your surgeon at your will go through these at length and in full at your consultation
What can I expect after Neck Lift surgery?
Neck tightening surgery is not an especially painful procedure, though you may experience slight discomfort, due to the tightness of the skin.
There are some common side effects involved with a neck lift surgery, none of which are very extreme. With modern techniques pain and swelling is slight. You may or may not take the simple painkiller provided by your surgeon. You may also experience some bruising, which will naturally fade over the next two weeks. Any scars that you have following the procedure are well hidden and will also fade over time. We offer an excellent scar aftercare treatment programme to ensure that your scars remain as minimal as possible.
The skin itself may feel numb after surgery, but sensation will return over the next few weeks. Men may find shaving odd during this period. Be gentle with your neck area when washing, shaving etc.
What neck lift surgery scars can I expect?
A skilled surgeon can minimise neck lift surgery scars and place them expertly in locations where they are not visible to the eye. Neck lift surgery scars take some months to settle in, but your surgeon will try and confine the scarring to the neck folds.
Neck lift surgery scar visibility can also be impacted by the level of scar aftercare you receive. By way of example, neck lift surgery scars can be reduced by regular moisturisation and massage techniques, all of which our dedicated team will advise our patients in the days following your procedure.
Is there any downtime after Neck lift treatment?
Recovery time for this procedure will depend on the individual patient.
We usually advise that you take around two weeks off work following surgery as there will be bruising and swelling which may take around 10 days to subside. We also recommend you do not resume exercise for 4 – 6 weeks.
In the following few weeks, as you heal, smoother skin will appear on the neck and your scars will start to heal.
Our expertise in scarring techniques along with our highly-experienced surgeons ensure a great result, especially as these are usually not visible and hidden behind the ears.
You may continue to experience some mild, periodic discomfort and swelling during this time, but such feelings are normal. Severe pain, bleeding or swelling should be reported to your surgeon.
You will receive more detailed advice from your surgeon ahead of surgery
Will I need to wear a compression garment after surgery?
You will need to wear a tight fitting compression head bandage for a few nights, but this can be taken off soon after. If there has been liposuction under the chin to create a sharper jawline definition, a chin strap is recommended by some surgeons at night only for a further week.
Will I need to stay away from public spaces during recovery?
Swelling and bruising is minor in most cases and can be easily covered. It is also temporary and should last just a matter of days.
That said, your lower face and ears may appear swollen in the first few days following surgery and during this period recovering patients will typically avoid going out in public.
We also recommend scarves and high sweaters to conceal swelling, as well as styling long hair to cover up stitches.
This really is only necessary for a few days following procedure and within a week or ten days you should be back to your daily routine.
When should you not have a Neck lift?
A Neck lift isn't for everyone. Your doctor might caution against a Neck lift if you:
+ Have a severe chronic condition, such as heart disease or diabetes
+ Plan to lose a significant amount of weight
+ Have a body mass index that's greater than 32
+ Are a smoker
+ Have an unstable mental health condition
When can I return to sports and exercise?
For the first four weeks after your surgery, you will need to avoid all sport and strenuous exercise. During this time, we recommend going on gentle walks to keep active, which in turn will help with your recovery.
After week four, you will be able to start doing some exercise again. However, you should still avoid strenuous activity and contact sports. After six to eight weeks you should be able to resume all sports and exercise. This includes contact sports and weightlifting.
You should ask your surgeon for specific timeframes of when you will be able to return to sport and exercise.
When can I shower and wash my hair after surgery?
You should be able to take a shower 48 hours after your neck lift operation.
You will need to wash the wound carefully and ensure it heals well. This may involve application of an antibiotic ointment after your shower.
It is also important that you dry your incisions having washed and bathed them. If you need to use a hairdryer to dry your hair, it must be kept on a cool setting.
You should also take care when brushing your hair around your ears and suture sites.
What are the non surgical alternatives to neck lift surgery?
There are many alternative non surgical solutions for neck lift surgery, ranging from fillers and Botox to simple laser surgery under local anaesthesia and Ultherapy.
These are typically not as effective as surgical solutions, and have results that are not as long lasting.
For a full discussion on the various pros and cons, you should speak to one of our specialist plastic surgeons.
What can’t neck lift surgery achieve?
A neck lift cannot change your fundamental anatomy (e.g. the position of the Adam's apple) and cannot stop the ageing process in its tracks.
A neck lift should therefore be considered an effective restorative surgical treatment for the neck area.
As a neck lift only adjusts the skin and muscles of the neck, it will also only address the excess or sagging skin around the neck. It will not resolve the visible signs of ageing that may appear in other areas of the face, such as sagging skin and wrinkles of the forehead or cheeks.
You may need to consider the following surgical procedures if you want to target these other areas of your face:
+ Facelift– this will smooth and tighten the skin of the lower half of your face
+ Brow lift – this can reduce forehead wrinkles by lifting the brows
+ Blepharoplasty– this can correct sagging of the eyelids and eye bags
Can I have a Neck Lift under local anaesthesia?
It is possible to perform a neck lift under local anaesthesia.
That said, it requires large amounts of local anaesthetic to ensure you do not feel anything during the procedure, and you will be awake during the procedure. This means you will feel pulling and tagging, and this can be disconcerting for some patients. You will also need to stay completely still for anything up to 3 hours on the theatre table.
It is also possible to have the treatment under Sedation, whereby painkillers and sedatives are administered via an IV drip. Anaesthetic options will be discussed at your consultation.
What can I do about my bruising and swelling?
Even though the visibility of bruising, stitches and dressings is carefully minimised, some people will be more sensitive about these side effects than others.
You may choose to take some extra downtime in order to heal and allow the swelling to reduce before returning to work or regular social activities if you don't want other people to see the stiches and bruises. The main bandage is removed within 48 hours. Bandages are reasonably well hidden around the ears or under the chin. You can leave them open or cover with tape.
Bruising from liposuction is surprisingly slight in this area, and normal activities can be resumed within a day or two. Men do occasionally have a little more, bruising because of the increased blood supply to the beard. Following your surgeon's instructions on how to care for the bruising and swelling will be the best way to ensure a speedy recovery with less downtime.
Will I need assistance at home after my surgery?
If you have had a general anaesthetic, then you will need to have a sensible person with you overnight to help take care of you, as you may continue to feel groggy and sleepy, or disoriented.
A little help with some physical activities around the home would be useful for a few days in order for you to rest, relax and recover. Try not to have your head down and maybe sleep with an extra pillow.
When will my stitches be removed?
Any liposuction incisions may or may not be sutured, but other stitches are generally removed a week or so after surgery.
What is Ultherapy and is it a good alternative to a Neck Lift?
Ultherapy rejuvenates sun damaged skin and tightens it. It can, therefore, be very useful for the early treatment of these problems, when they first arise, pushing back the time that a proper surgery will be needed. With luck, you may avoid surgery altogether.
Ultherapy uses micro-focused ultrasound to lift up and tighten loose skin over a period of several sessions, with minimal downtime for yourself. This non-invasive procedure uses ultrasound to stimulate the growth and formation of new collagen deep inside the skins layers. New collagen takes time to produce, so the results are not seen immediately, but will become more apparent over 2-3 months' time. The procedure itself is short, taking between 30-90 minutes per session depending on which area you're having treated.
Another use for Ultherapy is as a secondary treatment after a face or neck lift to improve the skin quality of the final lift. If you are considering Ultherapy, consider whether a face or neck lift is more appropriate and vice versa.
We favour treatments that cause minimal disturbance to the patient, and consequently recommend Ultherapy as a viable alternative in cases where we think it can have a comparable impact to surgery.
If you are interested in hearing more about your options, speak to one of our plastic surgeons who can help talk you through the various pros and cons of each treatment.
Where can I see neck lift before and after pictures?
You can view neck lift before and after images in our Neck Lift Before and After Gallery on this page.
At your consultation, your consultant will also share more extensive examples of neck lift before and after results they have achieved.
We feel strongly that you can best understand what might be possible for you and your neck anatomy by reviewing the results of previous neck lift surgery
There are several non-surgical alternatives to a neck lift which involve no incisions and no general anesthetic.
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