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A neck lift is one of the many procedures, which we carry out to remove fat, tighten the skin and most importantly, pull skin upwards into the angle between the chin and the neck recreating the youthful neckline. This may include the removal of fat and tightening of the skin.
A neck lift may be confined to the problems of the neck, but you should be aware that these are often associated with problems of jowls along the jawline. In which case, a facelift may well be incorporated.
The quality of the skin itself, can be improved and tightened by non-surgical procedures of which, the commonest is Ultherapy. The standard neck lift is a modification of the face lift where the skin and underlying platysma muscle are pulled upwards and backwards, towards the ear, where surplus skin is removed. Contouring and undermining is often carried out by liposuction, but also we very often combine this procedure with fat grafting to rejuvenate the chin and jawline.
The Cadogan Swan Neck procedure is a direct excision of the ‘wattle’, or ‘turkey neck’, which we also very often combine with liposuction to reduce fat.
Liposuction alone is remarkable in that even when there is relatively small amounts of fat it does tighten the skin, pulling it back into the neck, and of course where there is a double chin or substantial fat, then this is removed. Liposuction therefore is used on its own and combined with other procedures.
The problem may be the jowls, that is the bulging fat and loose skin of the jawline. It may be a double chin or the loose of angle between the chin and the neck, or the sharp vertical bands of the ‘scrawny neck’, the ‘turkey neck’ or just thin mottled skin. There are many problems and many solutions, ranging from fillers and Botox to laser, simple surgery under local anaesthesia, a chin implant or a full neck lift combining a facelift and fat grafting to the contours. A treatment plan will be decided upon in consultation with one of our consultant plastic surgeons.
Surgical neck lift
Many young people have a full poorly defined chin and neckline which can be dramatically helped by liposuction to remove fat and tighten the skin, drawing it back into a better defined sharp angle between the chin and the neck. It is a fairly straight forward procedure, usually carried out under local anaesthetic with little bruising. We do not recommend the injection of enzymes, which may give an irregular result and need to be repeated. At no time do these injections do anything more than remove fat and do not tighten the skin, in contrast to liposuction. Straight forward liposuction works well, but one can use Laser Assisted liposuction (SmartLipo), or Power Assisted (MicroAir). We do not recommend ultrasound techniques, such as Vaser.
Vertical platysmal bands
As we age, the muscle in the neck called the Platysma muscle begins to tighten. This leads to the formation of prominent vertical lines at the neck especially in the front. Fortunately, such condition can be corrected with a non-surgical neck lift focussing on treating the platysma bands with Botox injections, . This procedure relaxes the overactive platysma muscles to make the vertical bands along the neck less prominent, leaving patients with a smoother and more youthful neck contour. However, if they are persistent or severe, with surplus skin, then the direct excision of skin using the Cadogan Clinic Swan Neck procedure may be a better answer, and this is often combined with liposuction.
Jawline definition
Frequently, the neck is not an isolated problem and there are also problems with the jawline. In this case, a version of the more standard and better known face lift will correct the jawline, and the neck in the same procedure. Skin is removed from below the ears and platysma tightened from above. This is a somewhat longer procedure, but the downtime these days is very short.
We should not forget the ageing skin which may well benefit from numerous non-surgical procedures; fillers, fat grafting and Ultherapy.
You may come to see your surgeon with a Neck Lift in mind. Having discussed your particular problems, he will produce a treatment schedule, which may include non-surgical treatments to prepare the skin. If, on the other hand, you are referred to your surgeon by a Cadogan dermatologist or aesthetician, you may already have had undergone these treatments.
You will also be advised to stop smoking and taking aspirin for a minimum of two weeks prior to surgery. There will be some surgeons, who will refuse surgery to smokers, because of the added risk of poor healing. Others will advise of the risk, and modify their treatment.
Yes. 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 and put back the day that surgery becomes more suitable. 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.
All our Neck Lift procedures are designed to have minimal downtime. Importantly pain is minimal. Early exercise will increase swelling and slow recovery time, but normal everyday activities, and computer work should not be significantly affected. The biggest issue will be the visibility of bruising, stitches and dressings. Some people will be more sensitive about these than others. If you have had a general anaesthetic, then you will need to have a sensible person with you overnight. A little help with some physical activities around the home would be useful for a few days.
Any liposuction incisions may or may not be sutured, but other stitches are generally removed a week after surgery. If they are visible, as with the Cadogan Clinic Swan Neck procedure, then we cover them with camouflaging tape. If you add a scarf, then there is virtually no visibility.
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.
Patients undergoing the Cadogan Clinic Swan Neck Procedure will be treated as a day case, usually under local anaesthesia. Light dressings on the neck may be reduced further in a day or two and the stitches removed a week later. Pain is minimal.
The standard neck lift, which is a modified face lift, is more likely to be carried under the general anaesthesia technique called TIVA (Total Intravenous Anaesthesia), our preferred anaesthetic technique. You will need a dressing change the following day.
There is a little bruising, which settles over 10 days and all stitches are removed by 2 weeks.
Working from home will be possible within 2 days of surgery.
Neck tightening surgery is not an especially painful procedure, though you may experience slight discomfort, due to the tightness of the skin. Pain relief can be provided by your surgeon, if required.
The skin itself feels numb and sensation returns over some weeks. Men will find shaving odd during this period.
There are numerous procedures and your doctor will need to work out with you exactly what is going to be most suitable, however, liposuction of the neck cost starts from £3950.
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.
The Cadogan Clinic Swan Neck procedure is the obvious and most effective and predictable procedure to treat this. However, standard Neck and Face Lifts, will of course in addition, remove the jowls and improve the jawline.
We design our procedures to allow quick recovery, but at the same time do not compromise on effectiveness. All procedures are day cases and visible stitches are removed a week later. Patients who also undergo the face and neck lift, will generally need to be seen the following day and, if patients live at a distance, we recommend an overnight stay in a delightful hotel next to the clinic, your patient advisor will book this for you at preferential rates. There may be other outpatient’s visits, but you may certainly send a photograph or come back to the clinic whenever you wish. Results will be checked at 3 months and further photographs taken for comparison.
Neck lift surgery is carried out regularly as Cadogan Clinic, and any risks are the same as with any other surgical procedure that involves a general anaesthetic if this is the option you are having. There are no specific risks to be concerned about, but your surgeon will explain the neck surgery procedure to you in detail.
A neck lift (sometimes known as a platysmaplasty) is a surgical procedure which is usually carried out under general anaesthetic to remove any loose skin along the jaw and neck for a smoother, tighter and more youthful appearance.
This procedure is effective alone but is often combined with a face lift for significant results. Your surgeon will discuss this with you in your initial consultation and recommend what is best for your individual case.
Click here to view our gallery of before and after and Neck Lift
We offer a free, no-obligation 30-60 minute consultation with one of our Patient Advisors. They will work with you to understand your objectives and the results you want to achieve, talk you through the procedure and answer any questions you may have. If you decide that you would like to proceed to the next step and see a surgeon, your Patient Advisor will be happy to arrange this for you. At this point, you will be required to pay a consultation fee.
Once you’ve booked your consultation, the next step will be for you to meet your chosen surgeon at the Cadogan Clinic. Your surgeon will use this time to make a comprehensive medical assessment of you, your condition, and your expectations before making a recommendation and personalised treatment plan for you. You will then discuss the outcomes you can expect to see and ask any questions
On the day of your procedure you will be welcomed at the Cadogan Clinic by your Patient Advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anaesthetist to run through the details of your procedure one final time and answer any last questions you may have.
After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the clinic the very same day. In some cases patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you.
Our care and support continues in the days and weeks following your procedure with our complimentary aftercare programme. This comprised of a series of appointments made with your surgeon and nursing team to monitor your progress and recovery. They will also introduce you to several scar minimization techniques and bespoke products to aid your progress. Our team are also on call to answer any questions you have around your surgery at any time you are concerned.
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