Doctor Jacono specializes in male face lift and neck lift surgery, using advanced less invasive techniques that leave men looking natural and not altered. By using smaller incisions and telescopes, he can minimize visible scarring even for men with balding and short haircuts.
According to the American Academy of Facial Plastic and Reconstructive Surgeons, one of the most common surgeries performed on men are procedures to define and rejuvenate the neck – the Male Mini Neck Lift is on the rise. As men age, the chin and jawline become less defined, with extra fatty tissue depositing itself under the chin. This usually begins in the late thirties and early forties. In the late forties to early fifties, the neck skin begins to sag. As time goes on, a "turkey neck" with large amounts of skin underneath the neck and vertical bands forms. These vertical bands represent the neck muscles called the platysma that loosen with gravity and time.
Patient 1. Male Facelift Before & After. This man with hanging neck and jowls wanted a natural appearance without any signs of male plastic surgery or tightness. Dr Jacono specializes in natural appearing facelift and necklift for men with hidden incisions and by lifting the muscle without stretching the skin surface.
In male plastic surgery, Doctor Jacono performs the surgery differently than in female plastic surgery in order to maintain a natural appearance that is not feminized. Men are as sensitive about their "turkey neck" as women are, but do not want a face-lift. This procedure has a longer recovery time and requires more surgery. These details are important because men want to look like themselves, simply rejuvenated. There are both non-invasive and minimally invasive surgical treatments that can rejuvenate a man's neck. Whether a surgical treatment is necessary to tighten the jawline and neck depends upon the degree of loosening, and should be evaluated by Doctor Jacono
Esquire Magazine Dr Jacono was recently featured in the April 2017 issue of Esquire Magazine where he discussed facial plastic surgery for men.
The best non-invasive, non-surgical treatment available today is Ultherapy. Ultherapy® is the first and only ultrasound energy-based device for aesthetics cleared by the FDA with a non-invasive "lift" indication for the neck. Ultrasound is sound at frequencies higher than those detected by human hearing (at least 18 kilohertz or 18,000 cycles per second). Ultherapy® addresses the deep skin layers AND the foundational platysma muscle that supports the neck. With ultrasound, we can bypass the upper layers of the skin and deliver the right amount of energy at the right depths to contract and then ultimately lift the platysma. As a result, there is no damage on the surface of the skin, so there is no downtime with this therapy. This triggers the body's natural response mechanism, which is to rejuvenate tired collagen and supplement it with fresh, new collagen. Collagen is the protein latticework that provides structure to the skin and to the deep supportive connective tissue and muscles below the skin.
The results of this treatment are dependent upon the facial structure. Doctor Jacono has noticed improvements range from a 10 to 35 % tightening. Better results occur in patients with thin skin, a defined jawline, and less facial fat. Patients with a chubby face, thick skin, weak skeletal structure and a very heavy face tend to have less improvement. In these cases, sometimes more than one treatment of Ultherapy® is required or they are a better candidate for surgery.
For men with more neck drooping that require more tightening than Ultherapy can deliver, or a heavy neck with significant fat deposits, a minimally invasive, isolated neck surgery can be performed.
Excess fat deposits beneath the chin can occur in men of all ages, causing an undesirable contour or the neck, which appears to hang. This area can be sculpted to produce a smoother, more attractive neck and jawline by using liposuction. To remove the fat, a tiny incision is made beneath the chin and behind each ear. Using a small device called a cannula, the fat is suctioned away. As the fat is removed it separates the skin from the underlying muscle. As the skin heals back to the muscles of the neck, it contracts and tightens up. This only works in patients without a lot of extra skin. If there is a lot of extra skin, removing the fat is like deflating a balloon and the skin will hang more.
If there is more loosening of the platysma muscle in the neck creating vertical bands, an additional muscle tightening is added. After the liposuction is performed, through the same small incision under the neck, the platysma muscle is tightened with sutures. This is called a platysmaplasty, but this procedure cannot remove large amounts of extra skin.
Patient 2 Male Face Lift. This procedure helps treat the jowl and neck. The incision are hidden inside the ear canal so even with short hair there are no visible incisions. The muscle in the neck are repositioned and the skin is not stretched so that it looks natural and not altered like you had a face lift.
Patient 3. Male Face Lift. Even in patients with balding and short hair the incision lines are well hidden by Doctor Jacono. The appearance looks natural and not tight by repositioning the muscles of the face and not tightening the skin.
Patient 4. Male Neck Lift. This male facelift patient was unhappy with his large hanging turkey neck and the loss of volume to his cheeks. Dr. Jacono performed a lower facelift and neck lift procedure to lift the cheeks and restore a natural looking jawline and neck region.
If you have lots of extra neck skin, it needs to be removed surgically. The least invasive way to accomplish this is with a "direct neck skin excision" where we can make an incision under the chin and remove the hanging neck skin. The immediate effect is that the jawline looks more defined, and it appears that the individual has lost weight because the heaviness under the neck has been removed. A more athletic and energetic appearance is the result. Because of the bearded skin, the incision on the neck heal well and are camouflaged. Doctor Jacono has performed many surgeries like this on men with a busy work schedules, most of whom have only had to take off four or five days from work. A Band-Aid can be placed over the area, so that you can just tell people that you had a cyst removed from your neck. The drawback to this procedure is that the incision is in a more visible spot; the benefit is the shorter recovery.
For those men who want more hidden incisions, a traditional neck lift is performed, where the incisions are placed behind the ears, and the extra neck skin is lifted and removed in this hidden location. This procedure has a more extended healing time, with bruising and swelling that can last from ten days to two weeks. This lift is different in men because a tighter look needs to be avoided so that the male face is not feminized. This is accomplished by lifting the deeper tissue by going under the muscle, sliding it backwards into its original youthful position, and not by simply lifting and tightening the skin. The muscle is tightened on the sides of the neck and also in the middle of the neck. This technique results in less bruising and swelling since it lifts beneath the muscle and not the skin where all the bruising occurs. Once the deeper tissue is lifted, the excess skin is trimmed. Scars heal better because there is no tension on superficial layers and skin. This lift results in a natural look, and creates definition along the jawline and neck, not tightness.
Patient 5 Male Plastic Surgery. This male patient was unhappy with his neck, cheek, and jowl area. Dr. Jacono performed a deep plane facelift procedure along with a necklift procedure. He also had his adams apple shaved to complete the facial rejuvenation process and he looks younger and more refreshed.
Patient 6 Male Plastic Surgery. This man in his forties was experiencing early jowling and drooping of his cheeks with premature facial aging. He underwent a minimal incision mini facelift with endoscopes. After his surgery you the midface, cheeks, and jowls were lifted.
Patient 7 Male Face and Neck Lift After Weight loss. This male patient wanted to correct the loose hanging skin under his neck and the loss of volume to his cheeks after he lost over 100lbs. Dr. Jacono performed a lower facelift combined with a neck lift to remove the excess hanging skin and to restore a natural looking jawline.
Patient 8 Male Necklift and Facelift. This male patient wanted to reverse the signs of aging. He was unhappy with his sagging cheeks, his visible jowls, and the large amount of loose fatty neck skin. Dr. Jacono performed a facelift procedure on this patient which addressed his concerns by lifting his cheeks and smoothing out his jawline to look more masculine and defined. He also reduced the amount of visible loose skin under the patients neck which resulted in this patient looking 10 to 15 years younger.
Patient 9 Male Necklift and Facelift. This middle aged man came to see Dr. Jacono to correct his double chin, sagging neck, and jawline. Dr. Jacono performed a necklift and lower face lift. The after photos show a refined and masculine jawline with no sagging skin under the chin and the heavy neck muscles have been lifted.
Patient 10. Facelift for Men Before and After Male Plastic Surgery. This man in his sixties was concerned about how is aging face was affecting the way he was perceived in business and in his personal life. He felt like he looked 25 years older than he feels. He underwent a male facelift and necklift with Dr Jacono creating a rejuvenated un-operated appearance that looks natural and not feminized.
Patient 11. Male Neck Lift with Incision under the chin called a platysmaplasty. The extra skin is removed and the muscle under the neck called the platysma is tightened. There is less improvement with the jowl in this procedure.