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Neck Lift, Platysmaplasty - DR.Fathy Khodair

Neck Lift

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Neck Lift

  What Is a Platysmaplasty:

If the eyes are the first place we begin to show our age, then the neck is arguably the second. Vertical banding, horizontal creases, fatty jowls, the dreaded and a crepe-y quality to the skin all work together to make us look much older before our time. A neck lift (or platysmaplasty, so named for the plastysma muscles which run along the front of the neck) tightens the skin and the underlying muscles to lift the neck as well as improve and sharpen the contour of the jawline. It is often performed in conjunction with a face lift, but may also be done as a stand-alone procedure.

  Who Is a Good Candidate?

The best candidates for a neck lift are non-smokers who are in generally good health and who have a positive outlook and realistic expectations about outcome. Sagging of the neck may be due to age, but may also be a result of significant weight loss or simple heredity. Those who have sagging and/or wrinkling of the neck and a loss of separation between the neck and the chin or jaw can benefit from a neck lift procedure.

  Pre-Operative Considerations:

Your surgeon will almost certainly order some type of lab tests to confirm your health status before operating. He or she may also require that you adjust, cease, or begin taking certain medications in the week or two before your surgery. It is also very important that you avoid aspirin, many anti-inflammatory drugs, and herbal supplements, in the 2 weeks prior to surgery, as all of these can increase bleeding. Talk to your surgeon about everything you may be taking.

  Post-Operative Care:

Most neck lifts are performed on an out-patient basis. After surgery, your surgeon will place a pressure dressing that will wrap around your head and underneath your chin. Your neck will feel tight and sore as the anesthesia wears off, and may show even more swelling and possible bruising over the next 3 days. Dressings may be removed after just a few days, but your sutures will remain in place for 7-10 days.

  Recovery & Downtime:

Most patients can return to non-strenuous work after 5-10 days. However, for the first several weeks after surgery, you should avoid bending over, lifting heavy objects, and even turning your head from side to side. You will also have to sleep with your head elevated for one or two weeks. These guidelines can vary widely based on the patient’s personal health, the techniques used, and other variables. Always follow your surgeon’s recommendations.

  Risks & Complications:

Risks and possible complications include: unfavorable scarring, excessive bleeding or hematoma, skin loss (tissue death), blood clots, numbness or other changes in sensation or intense itching, anesthesia risks, skin discoloration, persistent edema (swelling), skin contour irregularities, skin discoloration and swelling, recurrent looseness of skin, unsatisfactory aesthetic results, and the need for additional surgery.

After surgery, call your surgeon immediately if any of the following occur: chest pain, shortness of breath, unusual heartbeats, excessive bleeding.

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