Cervical lifting or neck lift is a popular surgical procedure designed to stretch the non-elastic structures (skin and muscles) on the mandibular and throat lines. As a person ages, the skin usually becomes lax, the muscles lose their tone and the excess fat increases. Surgery of the neck treats the muscle called platysma, which extends from the clavicle to the mandible, so as to obtain a natural but rejuvenated appearance of the anterior cervical region.
What are the indications for cervical ascension?
Ideal candidates for a neck lift are patients of 40-70 years of age, in good health and with realistic expectations about the procedure. A good muscle tone and good skin elasticity are helpful. If your main concern is the double chin, the surgeon may recommend alternative treatments to reduce the fat under the chin. The neck skin and muscles will be evaluated at the initial consultation to determine if a cervical lifting is right for you.
Patients usually choose this procedure to correct one or a combination of the following: double chin, lax neck skin, wrinkled skin on the middle of the neck.
Some patients with skin laxity may be candidates for a non-surgical approach. Our doctors will discuss minimally invasive options such as fractional radiofrequency procedures for stretching the skin.
During the first consultation, before planning your surgery, Dr. Sinescu will carefully evaluate your neck structure, skin elasticity and the underlying muscle tone to establish the best therapeutic strategy. We will discuss what you can expect from this surgery and we’ll review all the existing options. You will be given a detailed explanation of the procedure, steps to be followed before and after surgery, potential risks and complications, costs and payment methods. We will answer all your questions. We’ll ask for medical history, information on cigarette and alcohol consumption and a list of all the medicines you use, including the over the counter ones.
Surgery will take place in one of the ultramodern clinics where our surgeons work. If your neck lift is extended or combined with other procedures, a 1-2 night hospitalization may be required.
The operation lasts 1-3 hours and can be done in general anesthesia or local anesthesia with sedation, depending on what you and your doctor prefer. With general anesthesia, you will be completely asleep throughout the procedure. With local anesthesia, you will be slightly sedated, and the face and neck area will be numb. You will be awake but you will be relaxed and you will not feel uncomfortable. The type of anesthesia used and the need for hospitalization will be discussed with you prior to surgery.
Working through an incision located under the chin, your doctor carefully picks up the neck skin, removes excess tissue, and tightens underlying muscles with sutures. Excess tegument can also be cut through the incision points. After suturing the skin, a dressing is placed under the chin, and the head and neck are wrapped in an elastic bandage to help the healing process. The bandages and possible drainage tubes are removed within 48 hours, but the elastic compression should be maintained at least two weeks after surgery.
Recovery after cervical lifting
Removing the dressings – 1 day postoperatively
Body and hair shower – 2 days postoperatively
Suture removal – 7-10 days postoperatively
Return to work – 2 weeks postoperatively
Driving – as soon as you feel comfortable
Intense physical activity – 3 weeks postoperatively
Fading of scars – a few months to one year
What are the possible side effects or risks?
All surgical interventions have a certain degree of risk; however, major complications after a neck lift are unusual. During the first consultation, the individual risks will be evaluated and discussed. You can help reduce risks by carefully following the pre- and post-operative instructions provided. Our staff will be at your side at every step of the way to ensure a safe and aesthetic result.
The most likely side effects include the following:
– sensory or motor peripheral nerve injury
– pathological scarring
– delayed incision healing
How long do the results last?
Cervical lift removes excess skin and repositions fat and muscles for a younger look. These results generally last between 5 and 10 years, even more in many cases. It is important to note that the effects of aging, gravity and environmental factors will continue to affect the elasticity and tone of the face and neck. Constant skincare is essential to maximize the efficacy and longevity of surgical results.
Frequently asked questions
Are there any procedures we might associate for an improved result?
Cervical lifting is often performed in conjunction with face- or forehead lift. For adding volume in selected areas, facial implants can also be used, especially in the mandibular line and chin. All complementary procedures will be discussed with you during initial consultations.
Is my health insurance covering the costs of the surgery?
Neck lift is considered cosmetic surgery and is therefore not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during the first consultations.
Are there alternatives to cervical lifts?
If you have an excess of adipose tissue in the neck but your skin is still elastic, cervical liposuction can produce a more beautifully defined mandibular line. Platysmal bands may be treated in some cases with botulinum toxin type A injections. Neck rejuvenation can also be achieved by injecting hyaluronic acid fillers.