The loss of youthful contours in the face and neck can be due to a variety of factors, including heredity, gravity, environmental conditions and stress. Some people feel they are not ready for a full facelift because the upper face is still pleasing. However, many patients will note excess wrinkling of the neck skin, a “turkey wattle” or double chin and jowl lines. When the neck area doesn’t match the upper facial appearance, a neck lift may be a good solution.
A neck lift, or lower rhytidectomy, is a surgical procedure that improves visible signs of aging in the jawline and neck, such as:
• Excess fat and skin relaxation in the lower face that creates jowls
• Excess fatty deposits under the chin
• Loose neck skin
• Muscle banding in the neck that contributes to abnormal contours
In general, good candidates for a neck lift include:
Rejuvenation procedures that can be performed in conjunction with a neck lift include brow lift (to correct a sagging or deeply furrowed brow), fat transfer (to add fullness to the lips and cheeks and reduce the appearance of wrinkles) and eyelid surgery (to rejuvenate aging eyes).
As a restorative surgery, a neck lift does not change your fundamental appearance and cannot stop the aging process. A neck lift can only be performed surgically; non-surgical rejuvenation treatments cannot achieve the same results, but may help delay the time at which a neck lift becomes appropriate or complement the results of surgery.
• What to do the night before and morning of surgery
• The use of anesthesia during your neck lift
• Post-operative care and follow up
A neck lift may be performed in an accredited office-based surgical facility, licensed ambulatory surgical center or hospital.
Since your neck lift will be performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Depending on the degree of change you’d like to see, your neck lift choices include a traditional neck lift incision or a limited-incision neck lift. A traditional neck lift incision often begins in the hairline at the level of the sideburn, continues down and around the ear and ends in the posterior hair. Fat may be sculpted or redistributed from the jowls and neck. The tissue underlying the neck skin is repositioned, and commonly the platysma muscle is tightened. Skin is redraped over the uplifted contours and excess skin is trimmed away. A separate incision under the chin is often necessary for liposuction of this area and for repair of the muscle. Sutures or skin adhesives close the incisions.
Incision lines are closed with sutures and possibly skin glue. Sutures may be dissolving, or may need to be removed after a few days.
Once healed, the incision lines from a neck lift are usually well concealed within the hairline and in the natural contours of the ear.
The visible improvements of a neck lift will appear as swelling and bruising subside. Your final result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself.
• Riscos anestésicos
•Hemorragia
• Temporary or permanent hair loss along incision site(s)
• Facial asymmetry
• Rare nerve injury that could cause weakness of the lower lip
• Fluid accumulation (hematoma)
•Infeção
• Cicatrizes desfavoráveis
• Prolonged swelling
• Skin irregularities and discoloration
• Perda de pele
• As suturas podem surgir espontaneamente através da pele, tornar-se visíveis ou produzir irritação e exigir remoção
• Dormência ou outras alterações na sensação da pele
• Dor persistente
• Má cicatrização de feridas
• Rare risk of deep venous thrombosis with cardiac or pulmonary sequelae
• Unsatisfactory results that may require revisional surgery
Esses riscos e outros serão amplamente discutidos antes do seu consentimento. É importante que você responda a todas as suas perguntas diretamente com seu cirurgião plástico.
When your procedure is completed, a bandage may be placed around your face and neck to minimize swelling and bruising. A thin tube may be present to drain any excess blood or fluid that collects under the skin.
Você receberá instruções específicas que podem incluir como cuidar do local da cirurgia e drenos, medicamentos para aplicar ou tomar por via oral para ajudar na cicatrização e reduzir o potencial de infecção, preocupações específicas a serem observadas no local da cirurgia ou em sua saúde geral e quando fazer o acompanhamento com seu cirurgião plástico.
It is important to keep your head elevated above your heart to minimize swelling and to keep your head straight (no excessive twisting or bending of the neck).DO NOT APPLY ICEto the neck as this can compromise blood flow and result in skin death.
• Para onde serei levado após a conclusão da cirurgia?
• Que medicação me será dada ou prescrita após a cirurgia?
• Terei curativos/curativos após a cirurgia?
• Quando eles serão removidos?
• Os pontos são removidos? Quando?
• When is it safe for me to drive?
• Quando posso retomar a atividade normal e o exercício?
• When do I return for follow up care?
It may take several weeks to months for swelling to fully dissipate and up to six months for incision lines to mature. Life-long sun protection and a healthy lifestyle will help extend the results of your rejuvenated, more youthful appearance.
As swelling and bruising subside, the visible improvements of a neck lift appear. Your final result should not only provide a more youthful and rested appearance, but also help you feel more confident about yourself.
Embora bons resultados sejam esperados do seu procedimento, não há garantia. Em algumas situações, pode não ser possível obter os melhores resultados com um único procedimento cirúrgico e outra cirurgia pode ser necessária.
Following your physician’s instructions is essential to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion or motion during the time of healing. Avoid wearing any clothing that must go over your head. Your doctor will give you specific instructions on how to care for yourself.
Prices for a neck lift can vary. A surgeon’s cost may be based on his or her experience, the type of procedure used and the geographic location of the office. Many plastic surgeons offer patient financing plans, so be sure to ask.
• Taxas de anestesia
• Custos hospitalares ou cirúrgicos
• Exames médicos
• Prescrições de medicamentos
• Honorários do cirurgião
A maioria dos seguros de saúde não cobre cirurgia estética ou complicações relacionadas. Você deve revisar cuidadosamente sua apólice de seguro de saúde.
