Info About Necklift procedures by Dr. Andrew Jacono in New York
Necklift New York – Best Neck Lift Surgeon
Necklift Before and After Patient 1: This beautiful 62-year-old patient wanted to lift her drooping cheeks and jowls and smooth her neck and jawline. Dr. Jacono performed a combination of procedures to address her concerns which included his deep plane facelift technique to lift her cheeks and jowling, a blepharoplasty to open her eyes so she does not look tired anymore, and a necklift with platysmaplasty for her platysma bands. Her after photo was taken 3 years post-operative and she still looks amazing and natural.
As we age, the muscles of the neck become loose and drop underneath the skin, resulting in what many women and men refer to as a “Turkey Neck”. Vertical banding in the neck may also occur with two paired cords in the middle of the neck due to laxity of the platysma muscle. With the neck muscle dropping, the neck skin stretches out with gravity creating loose winkling skin that can hang towards the top of the chest.
Neck Drooping and Turkey Neck, What Happens to the Neck as We Age
In addition to the above, some people develop unsightly fat deposits under the chin with age. These fat deposits can be superficial above the muscle called the pre-platysma fat pad, or under the platysma muscle and called the sub-platysma fat pad.
Additional anatomic factors can limit the definition of the neck including the location of a muscle in the neck called the digastric muscle, and the size and position of glands in the neck called the submandibular glands. If the digastric and submandibular glands become ptotic or droop, this will also blunt definition of the jawline.
The Solution an Isolated Neck Lift
Necklift Learn more about necklift procedures with Dr. Andrew Jacono as this female necklift patient discusses her experience and surgical results.
While neck drooping is an isolated problem and most surgeons will explain to you that you need a total face and necklift to correct it which is more surgery than most people want. In cases like this Doctor Jacono’s customized approach is an isolated necklift (necklift alone which lifts the sagging muscles of the neck). This creates youthful and natural definition of the neck, without a tight look of older facelift and necklift techniques. This technique can be combined with a lower facelift if you want to correct the jowls at the same time.
Dr. Jacono’s necklift differs from many standard necklifts because it addresses the deeper tissue by going under the platysma muscle, sliding it back into its original youthful position. This helps avoid the appearance of an artificial overly tight neck that is created by simply pulling on the skin. The muscle is tightened on the sides of the neck and also in the middle of the neck with a platysmaplasty, which removing the cording in the center of the neck. This approach requires two incisions, a small 1-centimeter incision under the chin and one behind each ear. There are none in front of the ear so no scars are visible.
Necklift Before and After Patient 2: This patient is a woman in her late fifties who wanted to restore a more youthful jawline, lift her hanging neck and chin, and smooth vertical platysma bands under her neck. After her surgery, she looks natural and not tight because he performs a deeper procedure that lifts under the muscles and does not stretch the skin
Deep Necklift Before and After Patient 3: This woman in her late 60s had progressive loss of her jawline with a heavy neck with excess fat under the neck, deep muscle drooping, and excessive neck skin from gravity over the years. To address the fat Dr. Jacono performed a deep necklift that combines removal of extra platysma muscle and reconstituting the platysma muscle to its deeper attachments in the neck overlying a ligament at the bend of the neck called the hyoid fascia. This was done with a small incision under the chin using a direct approach with a fiberoptic lighted retractor, during which he also removed the superficial pre-platysma fat pad and the deeper sub-platysma fat pad. Heavy digastric muscle was reduced as well as enlarged submandibular glands. Excessive neck skin was removed in a hidden location behind the ears.
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 behind the ears. Scars heal better because there is no tension on superficial layers and skin. This lift results in a natural, softer look and creates definition along the jawline and neck, not tightness.
Heavier Neck: Addressing the Neck Fat, Deep Muscles and Submandibular Glands
Leaving an adequate amount of fat in the neck leaves a soft appearance. Under the platysma muscle, extra digastric muscle is reduced and large submandibular glands are shaved down so they do not bulge in the neck contour.
Doctor Jacono does not use general anesthesia for necklift surgery. He either performs the necklift procedure under twilight anesthesia ( IV sedation administered by an anesthesiologist) or with local anesthesia alone with a mild oral sedative. With no general anesthesia necklift, patients recover more quickly, have less bleeding and bruising, and feel great after surgery without the general anesthesia hangover. Patients are socially presentable in 7 days after surgery with minimal bruising and swelling. This bruising can easily be hidden even earlier with a turtle neck or collared shirt, or by wearing a scarf. Dr. Jacono’s neck lifts and facelifts restore youthful volume and usually, patients can wear their hair up within two weeks without a visible scar.
Necklift Before and After Photos
Necklift and Platysmaplasty Before and After Patient 4: This woman in her 60s wanted to permanently correct her “turkey neck” created by excessive skin and vertical banding under her neck. Dr. Jacono tightened her neck muscle called the platysma with a platysmaplasty procedure and lifting it under the deep muscular layer supporting the neck for a long lasting repair. . At the same time he removed the excessive skin of the neck with an incision behind the ears that is hidden.
Necklift Patient 5: This beautiful 65-year-old patient was unhappy with her visibly droopy neck and cheeks. She felt like she looked tired and aged. To reverse these signs of aging, Dr. Jacono performed a deep plane facelift and necklift with platysmaplasty. The deep plane facelift approach works on the deep facial musculature and recreate the structure and underpinnings of the facial support that is longer lasting. She looks 20 years younger!
Necklift Patient 6: This lovely 75-year-old patient is pictured 6 months after her facial plastic surgery with Dr. Andrew Jacono. She was concerned about the aging of her face and neck. She wanted to rejuvenate her drooping jawline, jowls, and she hated how loose, hanging neck skin. Dr. Jacono performed a deep plane facelift, platysmaplasty, necklift, and lip lift, to address her concerns. She looks completely rejuvenated and natural, not fake or tight.
Necklift with Platysma Corset Before and After Patient 7: This wonderful patient in her late 60’s wanted to look younger, but she wanted her results to look natural. Dr. Jacono gave her a total facial rejuvenation starting with a deep plane facelift for her drooping cheeks, nasolabial folds, and jowls, a necklift to smooth her neck and reduce the appearance of her neck bands, and a temporal lift to open her eyes so she does not look tired. To complete the process, he used a co2 laser to resurface her skin and reduce her deep lines. She looks 20 years younger and is thrilled that it looks natural.
Necklift with Platysma Corset Before and After Patient 8: This woman in her 60s wanted to get rid of the platysma bands (drooped neck muscle) under the neck that goes from the chin down to her chest that became excessive in the past 5 years. She had tried ultherapy previously with minimal improvement. Doctor Jacono approached the problem in two directions, one with a small incision under the chin of approximately 1 centimeter, and an incision behind the ears. He tightened the muscle of the neck behind the ears and in the midline creating a “platysma corset”. All extra neck skin was removed behind the ears with hidden incisions.
Necklift With Deep Neck Fat Removal Before and After Patient 9: This woman in her mid-50s has a family tendency and genetics that creates fat deposits immediately under the chin as well as premature neck skin dropping. To address the fat doctor Jacono made a small incision under the chin to access the fat with liposuction above the platysma muscle which is called the pre-platysma fat pad, and then removed the deeper neck fat below the platysma muscle called the sub-platysma fat pad with a direct approach using a fiberoptic lighted retractor. This deep fat neck contouring was combined with tightening of the platysma muscle with a platysmaplasty procedure. Excessive neck skin was removed in a hidden location behind the ears.
Necklift with Platysma Correction Before and After Patient 10: This woman in her late 60s had progressive loss of her jawline with a heavy neck with excess fat under the neck, deep muscle drooping, and excessive neck skin from gravity over the years. To address the fat Dr. Jacono performed a deep necklift that combines removal of extra platysma muscle and reconstituting the platysma muscle to its deeper attachments in the neck overlying a ligament at the bend of the neck called the hyoid fascia. This was done with a small incision under the chin using a direct approach with a fiberoptic lighted retractor, during which he also removed the superficial pre-platysma fat pad and the deeper sub-platysma fat pad, Excessive neck skin was removed in a hidden location behind the ears.
Necklift Before and After Patient 11: This woman in her mid 50s has a family tendency and genetics that creates excessive skin under her neck that prematurely ages her appearance. Doctor Jacono approached the problem in two directions, one with a small incision under the chin of approximately 1 centimeter, and an incision behind the ears. He tightened the muscle of the neck behind the ears and in the midline creating a “platysma corset” which includes a platysmaplasty procedure. All extra neck skin was removed behind the ears with hidden incisions.
Necklift with Deep Plane Facelift Patient 12: This beautiful 73-year-old patient is just 8 weeks post-operative following a deep plane facelift procedure that included a necklift and platysmaplasty to address her mid face, jawline, and neck region. To complete the overall facial rejuvenation, a lower blepharoplasty was performed to reduce the puffiness under her eyes. She is very active and loves that her face now matches her active lifestyle.
Necklift with Deep Plane Facelift Patient 13: This lovely 63-year-old patient was unhappy with the appearance of the loose wrinkled skin on her neck and how old her face made her look and feel. A deep plane facelift was performed to lift her cheeks and smooth her jawline, and a necklift with platysmaplasty was performed to remove the excess sagging skin from under her neck. A lower eyelift surgery was also performed to address her under eye bags. She looks refreshed and natural.
Lower SMAS Face and necklift Patient 14: This female patient had concern for her heavy turkey neck and her sagging jawline. Dr. Jacono performed a lower SMAS facelift which tightened the jaw muscles and platysma muscles in her neck. Fat was removed from the neck and a platysmaplasty was performed to tighten the vertical platysma bands.
Deep Plant Facelift and necklift Patient 15: This patient is 1-year post-operative and in her early fifties. She wanted to look younger and more rejuvenated. Dr. Jacono performed a deep plane facelift procedure combined with a neck lift, platysmaplasty, lateral temporal lift and a lower blepharoplasty with orbital fat transposition. Her after photos show her looking natural and refreshed. Not pulled or too tight.
Necklift Patient 16: This patient wanted a necklift only and not a total face lift. You can see how the excess muscle and skin has been redraped resulting in a natural and crisp jawline. The “Turkey Neck” and the excess platysma cording in the neck were addressed with a platysmaplasty.
Necklift Patient 17: This patient wanted a necklift only to rejuvenate the jowls, jawline and neck and not an entire face lift. The “Turkey Neck” was removed by removing the excess skin and tightening the neck muscles that fall with age. The excess platysma cording in the neck was addressed with a platysmaplasty.
Necklift Patient 18: This patient wanted an isolated necklift and not an entire face lift. You can see how the excess muscle and skin has been redraped resulting in a natural and crisp jawline. The “Turkey Neck” and the excess platysma cording in the neck were addressed with a platysmaplasty.