Neck Lift (Platysmaplasty)

What is a neck lift (platysmaplasty)?

A neck lift (platysmaplasty) is a cosmetic surgery that gives your neck a more contoured and youthful appearance. The surgical procedure removes excess skin and fat around the jawline, effectively lifting and tightening the platysma muscle. Although neck lift surgery does not stop the aging process, the results can last for a long period of time. The procedure is sometimes referred to as a “neck rejuvenation.”

Who gets a neck lift (platysmaplasty)?

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Getting a neck lift is common for people who have:

  • Excess neck fat
  • Horizontal bands of skin (neck bands)
  • Saggy neck skin
  • Wrinkles
  • Lost weight and now have loose neck skin

Neck lifts are commonly done in conjunction with facelifts. Speaking to your doctor is the best way to know if you are a good candidate for either or both of these procedures.

What are the benefits of a neck lift (platysmaplasty)?

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There are many benefits of a neck lift procedure, and chief among them is that it will last years longer than any non-surgical rejuvenation methods. These benefits include:

  • A defined jawline
  • Firmer, smoother skin
  • A youthful appearance

Your doctor should speak to you about your expectations to make sure that they are realistic before you undergo any cosmetic procedure.

What are the risks of a neck lift (platysmaplasty)?

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Every surgery involves associated risks. Neck lift surgery risks include:

  • Bleeding under the skin (hematoma)
  • Bruising
  • Scarring
  • Deep vein thrombosis (DVT)
  • Changes in skin sensation (nerve injury)
  • Pain
  • Skin loss
  • Infection
  • Swelling (edema)
  • Lack of healing for wound
  • Temporary hair loss along incisions
  • Reaction to anesthesia

One non-medical risk of neck lift surgery is that you may not like the results. Discussing all of your options with a surgeon is the best way to avoid disappointment or unhappiness.

How do you prepare for a neck lift (platysmaplasty)?

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Several days prior to surgery, you must stop taking aspirin or other blood-thinning medications. These can include:

  • Warfarin (Jantoven)
  • Heparin
  • Other medications like ibuprofen (Advil, Motrin IB, others)

You should also stop smoking tobacco products. Along with associated health risks, smoking tobacco promotes wrinkling of the skin and can also slow your recovery and healing. Plan to arrange for a ride home after your surgery and for someone to stay with you that first night.

What can you expect from a neck lift (platysmaplasty) procedure?

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The three stages of a neck lift procedure may differ for different individuals, but there are some common aspects that you can expect. Before a neck lift:

  • A healthcare provider will evaluate your health and discuss surgical goals/expectations
  • Your provider will choose the best surgical method for you
  • You may discuss additional procedures (brow lift, eyelid surgery, skin resurfacing)
  • Your doctor will examine and measure your face (possibly taking photographs)

 

During a neck lift surgery, you can expect:

  • The use of general anesthesia (common) or sedation and local anesthesia
  • Varying methods like liposuction (less invasive), an anterior neck lift, or an extended neck lift (combined with a facelift)
  • Z-plasty, if you are older and/or have a large amount of excess skin

The type of surgery will depend on your desired outcome, your budget, and what you want to change about your neck’s appearance.

Once the procedure is completed, you will need to wear a compression garment to reduce any swelling. You will also need to keep your head straight and elevated above the heart. Do not twist or bend your neck.

What is the difference between a facelift and neck lift?

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Facelifts can include components of a neck lift, but the purpose of a facelift is to restore youth to the upper portion of your face. Neck lift surgery is less invasive and focuses on the region below your chin and above your collarbone.

What are neck lift (platysmaplasty) alternatives?

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Despite neck lifts having the longest-lasting effects, there are multiple alternatives depending on the desired outcome. Temporary non-surgical options that may require multiple procedures are:

  • Botulinum toxin injections (to reduce neck bands)
  • Deoxycholic acid (to destroy fat cells)
  • Dermal fillers (to restore volume by plumping sagging skin)
  • Fractionated laser treatments (to make skin texture more consistent)

Getting more than one professional opinion may be worthwhile as you decide whether a neck lift or other non-surgical procedure is the best option for you.

What is the neck lift (platysmaplasty) recovery process?

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A neck lift is typically an outpatient procedure, where the patient goes home the same day. Your doctor may place small, temporary tubes to clear blood and other fluid from beneath the surface of your skin. Neck muscle tightness can also last for several months.

Once you are recovering at home, you should:

  • Avoid alcohol and aspirin
  • Not apply ice to your neck
  • Keep your head elevated while you sleep
  • Avoid turning your head at your neck
  • Not lift heavy objects

Your doctor should send you home with incision care and recovery instructions.

How long does a neck lift (platysmaplasty) last?

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Neck lift results can last for years. The exact duration will depend on the individual’s:

  • Lifestyle choices (smoking, sun exposure)
  • Genetics (skin elasticity, muscle tone)
  • Recovery process and any complications

When should I contact my doctor about my neck lift recovery?

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Speak to your surgeon immediately if you experience signs of complications, such as:

  • Bleeding
  • Blood clot symptoms (abnormal swelling in arm or leg)
  • Unusual incision soreness
  • Fever or chills (possible sign of infection)
  • Pain that does not respond to medications

If you are experiencing a medical emergency, dial 911 for immediate emergency care.

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