Why does my neck sag and how can a neck lift help me?
Similar to the aging process in the face, a slackening of the mimic muscles in our neck leads to a flabby tissue, wrinkled skin or hanging ‘skin flaps’. The aging process on the neck can also start while the face is still in good shape. The well-known book by Nora Ephron titled ‘The Neck Never Lies’ takes a charming look at the aging neck and describes already on the first pages what is generally known, the neck gives away the person’s age. Although creams and masks can positively influence this natural process, there is also a natural limit here. When they lose effectiveness, people often seek surgical measures, which can surgically correct a double chin, unattractive transverse wrinkles or sagging skin in the neck area.
How big is the surgery and what exactly happens during the neck lift?
In aesthetic surgery, neck lifting is one of the smaller to medium sized procedures in terms of the surgical scope. The surgical rejuvenation of the neck, like a facelift, consists in tightening the extensions of the SMAS (Superficial Musculo Aponeurotic System Lift). In this procedure, the skin, the superficial connective tissue/muscle layer (SMAS) and the underlying layer are separated from each other and the SMAS tissue is tightened and reattached. In the preparation of the SMAS tissue, the deep extensions to the neck are prepared. Here, strips as thick as a finger are prepared on both sides up to the jaw angle, which then serve as a lasso for the neck lift. This lasso can then be used to pull on the neck and, by means of a redirection (hypomochlion) at the jaw angle, the neck can be effectively rejuvenated. This process allows very natural and lasting results to be achieved.
What is the difference between the SMAS lift and the neck lift?
On the neck, the SMAS extensions are called ‘platysma’, which is why neck lifts in aesthetic surgery are also called ‘platysma lift’ or ‘platysmalift’. These procedures can be combined well with a facelift operation: the incision used for the facelift can then also be used to perform the neck lift and does not require any further lengthening of the incision. This is why a neck lift is often carried out with a facelift. This is usually so that the neck fits in with the natural continuation of the face and thus the entire facial lines blend harmoniously into each other. Nothing looks more unflattering than a facelift sitting on a rooster neck.
Do I always have to have a facelift with a neck lift?
The neck lift can of course be performed separately from the facelift
. This requires a small incision, which is made below the chin. Right and left neck muscle (platysma) are brought back into shape and sutured. The effect is a well-formed beautiful neck. Usually the operation takes about 2 hours, it is performed under general or local anaesthesia. If the neck is lifted in isolation, i.e. without combining a facelift with it, then the patient is usually in a twilight sleep and does not experience any pain, as the anaesthetic has made the patient unconscious for the duration of the operation. In addition, it can be useful to remove excess fat from the neck with liposuction
. This will be discussed with the patients in advance.
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