Neck Lift (Submental Lipectomy)


Neck Lift

Modified Neck lift or Submental Lipectomy with Playtsmal Plication is a surgical procedure which involves removing the localized fat deposits under the chin. It also tightens the platysma muscle further defining the neckline. Fat deep to the platysma muscle may also require removal as well as weakening of some of the deeper muscles (anterior belly of the digastric muscle). The procedure is performed through a small incision under the chin. This procedure significantly improves the neck and jawline.

Best Candidates

Patients whose angle from the chin to the neck is blunted due to excessive amount of fat or the positioning of some of the underlying vessels are good candidates for this procedure. There may be also bands in the neck which are a result of shortening of the platysma muscle under the skin due to aging. The Modified Necklift (Submental Lipectomy with Platysmal Plication) should significantly improve the above mentioned problems. Patient’s ages that are candidates for this procedure may range from 20 to 55 years of age. A chin implant may also be helpful to enhance the esthetic outcome when a receding chin is encountered.


Neck Lift Surgery

Dr. Nikolov may recommend surgery, which involves making cuts under your chin or behind your ears or both to access a neck muscle called the platysma. Sometimes, that may even mean removing some muscle.

Newer procedures may let Dr. Nikolov make smaller cuts and use an endoscope (a small camera attached to a thin tube) to complete your surgery. Make sure you ask Dr. Nikolov for all your options during your consultation.

You and Dr. Nikolov will discuss what type of anesthesia to use, depending on your level of comfort. If you want to remain asleep during the procedure, you should request general anesthesia. Otherwise, Dr. Nikolov can use local anesthesia with sedation. It’s up to you, however, to make that choice.

Instead of surgery or in addition to it, Botox injections can relax parts of the platysma that are responsible for the “band” appearance or look of fullness. Those injections can be done in 15 minutes on an outpatient basis, meaning no overnight stay.

• Liposuction: During liposuction, your Dr. Nikolov will make a small cut below your chin and remove excess fat. If you are also getting other procedures, it is very common for plastic surgeons to begin with liposuction. You will be able to determine this with your doctor during your consultation.

If this is the only procedure you’re getting, you should plan on the operation lasting up to an hour. Your incisions will be stitched and bandaged. It’s important to make sure you understand and follow your Dr. Nikolov’s instructions on properly caring for the stitches and bandage.

• Too Much Skin on Your Neck: Dr. Nikolov will trim parts of the skin and lift it into place, securing it with tissue glue or stitches. This takes about two to four hours, depending on the complexity of your procedure. Again, your anesthesia will depend on your own personal comfort level.

Dr. Nikolov will fit you with a compression bandage that you will have to wear for at least one week unless instructed otherwise.


Neck Lift Recovery

Remember, with any facial surgery, you may feel and look better in a short period of time. However, it may not be advisable to participate in certain activities — especially activity that may result in the face being jarred or bumped — for several weeks. It’s best to check with Dr. Nilolov about such matters.

Recovering From Neck Lift Surgery

You will experience some discomfort and swelling in the affected area for several days. It’s normal to experience some temporary difficulty with moving your head back and forth. Black and blue marks may be visible around the chin and neck. Dr. Nikolov will instruct you on proper hygiene, eating and any restrictions to your activities after surgery.

Dr. Nikolov will provide you with instructions about post-operative care. There will be dietary restrictions as well as limitations to your activities during neck lift recovery. Again, these instructions will vary, especially if another procedure was performed along with your neck lift surgery. However, you should be aware that your ability to move your neck will be restricted due to the fact that you will be wearing a compression bandage to keep the swelling down and ensure that you have a fantastic outcome. Dr. Nikolov will instruct you on the use of this bandage.

Swelling is sometimes significant immediately following surgery, usually peaking 24 to 48 hours afterward. Although most of the significant swelling will subside over a period of several days, prolonged mild swelling may prevent your final neck contour from becoming apparent for several months.

During the healing phase, your activities and diet will be restricted. You will need to take great care in following the diet restrictions. This will make a big difference in how quickly you heal and will keep bruising and swelling to a minimum.

Your New Look

You may not be able to accurately evaluate your appearance for weeks. Perhaps even months. Give yourself plenty of time to get used to your new look.

You may be surprised to find that most people won’t recognize that you’ve had neck lift surgery — only that you look slimmer and more attractive.

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The Nikolov Center for Plastic Surgery
436 N. Bedford Dr., Suite 207
Beverly Hills, CA 90210
Phone: 310-247-1932
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