Neck Lift New York City


Choosing a Neck Lift

A neck lift (technically called a “lower rhytidectomy”) is a surgical procedure that restores a more youthful look to your neck and jawline. Patients who choose a neck lift often refer to the excess, sagging skin on their neck as a “turkey neck” or they are bothered by excess fat under the chin/jaw or by vertical bands that form in the neck called platysmal bands. A neck lift can include a cerivcoplasty (which removes excess skin) and/or a platysmaplasty (which tightens loose muscles). After a neck lift, patients look younger, the neck looks slimmer, and patients appear more rested.

Am I a Good Candidate for a Neck Lift?

You are a good candidate for a neck lift if you are bothered by sagging skin on your neck. You may also have fatty jowls, vertical bands in the front of your neck that span from underneath the chin downward, or a tired appearance that makes you look older or heavier than you feel. Neck lift candidates must also be in good health, live in New York City (or be willing to travel), and be motivated to follow Dr. Cangello’s pre-operative and post-operative instructions.

Good candidates must also have realistic expectations for the surgery. While a neck lift will provide a more youthful look to your jawline and neck, it will not change the appearance of your face. Dr. Cangello will explain the results that you can expect from your neck lift and may suggest additional procedures (such as a facelift) to achieve your desired look. Patients who have excess fat in their necks can also benefit by surgical debulking (removal) of the fat and lifting of the skin which can be accomplished with a neck lift.

The Consultation: Creating Your Plastic Surgery Plan

Your neck lift journey begins with a consultation with Dr. David Cangello in our New York City office. Dr. Cangello will discuss your medical history and the results that you want from your neck lift. For your surgery to proceed safely, you need to be honest about your allergies, medications, personal habits, and previous surgical procedures.

Dr. Cangello will conduct a physical examination. He will be looking at your bone structure, skin quality, the presence of excess fat and the laxity of the muscles of your neck. These factors will enable Dr. Cangello to design a surgical plan that will create a more youthful contour for your neck.

After the examination, Dr. Cangello will let you know if a neck lift will create the youthful look that you desire. In some cases, he may also recommend additional procedures such as a facelift or liposuction.

Preparing For a Neck Lift

Dr. Cangello is committed to achieving the best results possible. During your initial consultation, Dr. Cangello and his staff will create a pre-operative plan for you to follow. This plan is designed for your unique needs, to make sure that you have the best outcome possible. Your pre-op plan may include changes in diet and other habits that impact your health. You will be advised to avoid ANY nicotine-containing products for at least two to four weeks before and after surgery.

Dr. Cangello will also give you instructions for the days before your surgery. These include stopping certain medications and supplements. You will also be told not to eat beginning at midnight on the day of your surgery. Pre-operative medical clearance by your physician (or Dr. Cangello can provide a referral) will need to be obtained prior to surgery to ensure that you are medically fit to undergo the procedure. It will be imperative, if you are a patient who has hypertension (high blood pressure) that you and your primary physician have your blood pressure well controlled prior to having surgery.

Finally, Dr. Cangello will explain your post-operative plan. He will give you prescriptions to fill prior to surgery and ask you to find someone to accompany you home or to a hotel following surgery. Arrangements will be made for you to have a registered nurse spend the night with you.

Where Will the Surgery Be Performed?

Your neck lift surgery will be performed at Dr. Cangello’s New York City office. He has a fully accredited (AAASF) state-of-the-art operating room on-site. You are encouraged to ask for a tour of the operating facility when you come in for your consultation. Alternatively, if you have a preference for having your surgery in a hospital setting, Dr. Cangello can perform the surgery at Manhattan Eye Ear and Throat Hospital (MEETH).

Types of Anesthesia

Neck lift surgery generally takes two to four hours. It may be performed using general anesthesia or using local anesthetic with IV sedation. In either case, you will not feel any pain or remember the surgery.

Neck Lift Surgery Techniques

The incision type will depend on your anatomy, the elasticity of your skin, and the amount that the platysma muscle – which is a large “sheet” of muscle that runs from your lower jaw to your clavicles (collar bones)– will need to be tightened. A traditional neck lift incision begins at the lower portion of the ear called the lobule and continues up the posterior surface in the groove behind the ear, and ends at the hairline. No incision is made on the face so there is zero potential for having any visible facial scarring. Additional incisions may need to be made in the neck area (usually a very small incision under the chin) to accommodate liposuction or the platysma muscle repair.

Once the incisions are made, the excess skin is elevated off of the underlying muscles. Any excess fat in the jowels, below the chin and along the jawline is removed so that the final results highlights the underlying bone structure. If necessary, the platysma muscle will be repaired and tightened. Excess skin is excised. The remaining skin is carefully draped over the muscle and sutured in place. Drains will be placed to collect any fluid that accumulates under the skin flap. Usually the drains are removed on the first post operative day.

Scarring is always a concern. Dr. Cangello will do his best to ensure that scars are hidden within your hairline or the natural contours of your face.

The Recovery Process

You will wake up with a surgical dressing over your incisions and a small drainage tube. Your neck may feel tight, bruised or swollen. Although most patients do not experience much pain after a neck lift, Dr. Cangello will prescribe pain medication to keep you comfortable. You will be instructed to take it easy for a few days and to keep your head elevated when you are lying down. A nurse will accompany you for the first night to make sure that you are comfortable, that any pain is controlled and that your blood pressure is maintained in a safe range.

Surgical dressings and drains are removed within one or two days. Your sutures will be removed within five to ten days. You should be able to return to work within one to two weeks, as long as your job does not require heavy lifting. Although the results of your neck lift will be obvious immediately following surgery, it may take a few months for swelling to completely disappear.

Please call our New York City office at 212-644-4416 to set up a consultation and learn how you can benefit from a neck lift.

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