Deep Neck Lift

Deep Neck Lift

Dr. Jason Roth (MED0001185485) Registered medical practitioner, specialist otolaryngology, head and neck surgeon. 

Please note that all cosmetic surgery involves risks and individual results vary. The outcomes shown in any images on this page are relevant only to the specific patient depicted and do not reflect the results that other patients may experience, as results may differ due to factors such as genetics, diet, and exercise. Decisions about cosmetic surgery should be made after careful consideration and consultation with a qualified medical practitioner.

Introduction

A deep neck lift is a surgical procedure designed to address concerns related to the contour and structure of the neck area. It is intended for individuals who seek to revise the appearance of their neck due to changes associated with ageing or other factors. This procedure focuses on the deeper tissues beneath the skin, aiming to provide a more defined neck profile. As with all cosmetic surgery, it is important to have realistic expectations and to understand that outcomes depend on individual circumstances.

Cosmetic surgery is an invasive medical treatment that carries risks. Patients are encouraged to discuss their goals and any concerns during a consultation to determine if this procedure is appropriate for them.

What is a Deep Neck Lift?

A deep neck lift is a type of cosmetic surgery that involves making a small incision beneath the chin to access and modify the deeper structures of the neck. This may include adjusting muscles, removing or repositioning fatty tissue, and addressing glandular structures if necessary. The procedure does not typically involve incisions around the ears and is distinct from a traditional neck lift or facelift, which may address sagging in the lower face or jowls.

This surgery is performed to alter the appearance of the neck by targeting underlying tissues, but it does not address skin laxity in the lower face or significant crepiness of the skin. It may sometimes be combined with other procedures, such as removal of buccal fat pads through incisions inside the mouth or liposuction to a jowl with reposition in the pre-jowl sulcus, to enhance facial contours. A chin implant is occasionally recommended. However, such combinations are determined on a case-by-case basis during consultation.

All cosmetic surgery procedures are serious medical interventions. A deep neck lift requires general anaesthesia or deep sedation and is conducted in an accredited surgical facility. Patients must be aware that recovery involves downtime, and there are potential complications that will be discussed in detail.

Suitability for a Deep Neck Lift

Not everyone is a suitable candidate for a deep neck lift. This procedure is generally considered for individuals in good overall health, typically between the ages of 20 and 50, who have concerns about neck fullness or lack of definition but maintain reasonable skin elasticity. Candidates should not have significant sagging in the lower face, such as jowls, or excessive loose skin that might require alternative approaches.

Key factors for suitability include:

• Being a non-smoker, as smoking can impair healing and increase risks.
• Having a body mass index (BMI) of 30 or less to minimise surgical risks.
• Absence of medical conditions that could complicate surgery or recovery, such as uncontrolled high blood pressure or bleeding disorders.
• Realistic expectations about what the procedure can achieve, understanding that it addresses neck contour but not all aspects of facial ageing.

Individuals with significant skin laxity, crepey skin, or other facial concerns may require alternative or additional procedures. A thorough consultation is essential to assess whether a deep neck lift aligns with the patient’s goals and health status.

The Consultation Process

Identifying Concerns

During the initial consultation, patients are invited to describe their specific concerns about their neck appearance. Dr Roth will review your medical history, including any previous surgeries, medications, allergies, and lifestyle factors such as smoking or exercise habits. This helps to ensure that the procedure is tailored appropriately and that any potential risks are identified early.

The discussion will focus on achieving balanced outcomes that suit the individual’s facial structure. If other areas, such as skin texture or adjacent facial features, require attention, options like laser treatments or complementary procedures may be mentioned, but only if relevant.

Physical Examination

A comprehensive physical examination of the neck and face is conducted to evaluate skin quality, muscle tone, fat distribution, and glandular structures. Dr Roth will assess the degree of fullness or laxity and determine if the deep neck lift is the most appropriate option. This may involve discussing related areas, such as the chin or jawline, to ensure cohesive results.

Photographs may be taken for medical records, with patient consent, to aid in planning. These images are stored securely and are not used for advertising without separate, informed consent.

Preoperative Appointment

Approximately two weeks before the scheduled surgery, a preoperative appointment is arranged. This includes:

• Reviewing surgical instructions, such as fasting requirements and what to bring on the day.
• Issuing prescriptions for postoperative medications, if needed.
• Obtaining final consent after ensuring all questions are answered.
• Advising on avoidance of blood-thinning substances, such as aspirin or certain supplements, for at least two weeks prior to surgery.

Patients are encouraged to raise any concerns at this stage to ensure they are fully prepared.

The Deep Neck Lift Procedure

On the day of surgery, patients arrive at the accredited facility early in the morning, having fasted overnight. A final medical review is conducted, and surgical markings are made while the patient is upright to ensure accuracy.

The procedure is performed under general anaesthesia. It typically lasts several hours. A small incision is made beneath the chin, which is hidden in a natural crease. Through this access, Dr Roth modifies the deeper neck structures, which may involve:

• Tightening or repairing muscles.
• Removing excess fat.
• Adjusting salivary glands if they contribute to fullness.

Drains may be placed to manage fluid accumulation. The incision is closed with sutures. Typically the patient remains in hospital overnight and is discharged the next morning.

Recovery from a Deep Neck Lift

Recovery from cosmetic surgery varies between individuals, and patients should plan for adequate time off work and activities. Swelling and bruising are common, peaking around days three to five post-surgery. Discomfort, such as tightness in the neck, is expected and can usually be managed with prescribed pain relief, such as paracetamol.

Key aspects of recovery include:

• Drains, if used can usually be removed the next morning but occasionally remain in place for longer (up to 5 days).
• Sutures are removed between days seven and ten.
• Patients must avoid strenuous activity, heavy lifting, or exercise for at least two weeks to allow healing.
• Follow-up appointments are scheduled at regular intervals to monitor recovery.
• Makeup can be applied after day seven to conceal bruising, if desired.
• Full recovery, including resolution of swelling, may take several weeks to months.

Patients should follow all postoperative instructions, including wound care and activity restrictions, to minimise complications. Different patients heal at different rates, and pain thresholds vary.

Risks and Potential Complications

All surgery carries risks, and cosmetic surgery is no exception. It is essential that patients are fully informed about these before proceeding. Potential risks associated with a deep neck lift include, but are not limited to:

• Bleeding or haematoma formation.
• Infection.
• Scarring, although the incision is designed to be discreet.
• Nerve injury, which could lead to temporary or permanent numbness or weakness.
• Asymmetry or irregularity in contour.
• Swelling or bruising that persists longer than expected.
• Adverse reactions to anaesthesia.
• Poor wound healing, particularly in smokers or those with certain medical conditions.
• Need for revision surgery.

More serious complications, though rare, can include deep vein thrombosis or pulmonary embolism. Risks are minimised through careful patient selection and adherence to surgical protocols, but they cannot be eliminated entirely. Full details of risks will be provided during consultation, and patients are directed to the risks section on our website for further information.

Expected Outcomes

Outcomes from a deep neck lift vary between individuals due to factors such as age, skin quality, genetics, and lifestyle. The procedure aims to provide a more defined neck contour by addressing underlying structures. Results are generally long-lasting, provided patients maintain a stable weight and healthy habits, but ageing continues naturally.

The incision beneath the chin typically fades over several months and becomes less noticeable. Patients should understand that while improvements in appearance may occur, no surgery can guarantee specific results or halt the ageing process. Complementary procedures may be considered in the future as natural changes progress.

If you have questions or wish to schedule a consultation, please contact our practice. Remember, cosmetic surgery is a significant decision that requires thoughtful consideration.