Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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Cervicoplasty refers specifically to the surgical removal of excess skin from the neck. This procedure is indicated for patients with significant skin laxity, often referred to as a turkey neck, who do not necessarily require extensive muscle repair or fat removal.
The procedure involves incisions around the ears and, sometimes, under the chin. The skin is elevated, redraped, and the redundant tissue is excised. This smooths the external neck envelope, eliminating wrinkles and hanging folds.
While effective for smoothing the surface, cervicoplasty alone does not address the underlying structural causes of a heavy neck, such as muscle banding or deep fat. Therefore, it is rarely performed in isolation and is usually combined with other contouring techniques to achieve a lasting, natural result.
Platysmaplasty is the surgical reconstruction of the platysma muscle. This is the cornerstone of modern neck contouring. It addresses the vertical bands and the loss of muscle tone that defines the aging neck.
The procedure typically involves a midline incision under the chin. The surgeon identifies the separated edges of the platysma muscle and sutures them together, similar to a corset. This creates a continuous muscular sling that supports the submental contents and sharpens the neck angle.
Lateral platysmaplasty is also performed, often in conjunction with a facelift. This involves tightening the outer edges of the muscle and anchoring them to the strong fascia behind the ear. This suspension creates a crisp jawline and prevents sagging from recurring.
Liposuction is the gold standard for removing subcutaneous fat from the neck. It is ideal for patients with good skin elasticity and localized fat deposits under the chin and along the jawline. It is less effective for patients with significant loose skin or deep subplatysmal fat.
Using small cannulas inserted through tiny incisions, the surgeon aspirates the excess fat. This sculpts the neck and reveals the jawbone’s underlying definition. The procedure relies on the skin’s ability to retract and conform to the new, leaner volume.
Advanced forms of liposuction, such as ultrasound-assisted or laser-assisted lipolysis, may be used to enhance skin tightening and facilitate fat removal in fibrous areas. These energy-based technologies add a level of refinement to the standard suction technique.
Deep neck contouring is an advanced surgical approach that addresses structures beneath the platysma muscle. This includes the removal of subplatysmal fat, partial resection of the submandibular glands, and, sometimes, reduction of the digastric muscles.
This procedure is necessary for patients with a heavy or bulky neck that cannot be corrected by superficial liposuction. By debulking the deep compartment, the surgeon can create a significantly sharper neck angle and a slimmer profile that was previously impossible to achieve.
Deep neck surgery requires a thorough understanding of the neck’s complex anatomy to avoid complications. It transforms the foundational shape of the neck, offering results that are both dramatic and natural-looking, addressing the root cause of the fullness.
MyEllevate is a minimally invasive procedure that uses a lighted suture rod to place a permanent suture support system underneath the skin and over the platysma muscle. It is often described as a percutaneous neck lift.
This technique binds the platysma muscles together and suspends the submandibular glands without the need for large incisions or extensive skin removal. It is ideal for younger patients with early signs of aging or those seeking a less invasive alternative to a full neck lift.
The suture creates a web of support that defines the jawline and lifts the submental tissues. It is often combined with energy-based skin tightening to enhance the overall result. While effective, it is not a substitute for skin excision in patients with severe laxity.
Chin augmentation is frequently performed in conjunction with neck contouring. A weak or recessed chin can contribute to a fleshy neck by reducing the structural tension on the soft tissues.
By placing a chin implant or advancing the chin bone (a sliding genioplasty), the surgeon increases the chin’s projection. This elongates the jawline and pulls the neck skin and muscles tighter, significantly improving the definition of the cervicomental angle.
This adjunctive procedure addresses the skeletal deficiency that often underlies a poor neck profile. It provides the necessary framework for the soft tissue work to be effective and long-lasting.
RFAL, often known by trade names like FaceTite or NeckTite, bridges the gap between non-invasive treatments and surgery. It delivers radiofrequency energy both internally and externally to melt fat and tighten skin simultaneously.
A small cannula is inserted into the subcutaneous tissue to deliver thermal energy to the septal network and the dermis. This heating causes immediate contraction of the tissues and stimulates the long-term production of collagen and elastin.
RFAL is an excellent option for patients with moderate skin laxity and fat who wish to avoid the scars of a traditional neck lift. It offers significant improvement with less downtime, although it cannot replicate the results of surgical muscle tightening.
Submentoplasty is a hybrid procedure that sits between liposuction and a full neck lift. It involves a short incision under the chin to perform a platysmaplasty (muscle tightening) and fat removal, but it does not include removing skin or incisions around the ears.
This procedure is indicated for younger patients with good skin elasticity who have genetic muscle banding or deep fat deposits. It corrects the deep structural issues without the need for skin excision.
Submentoplasty offers a more durable, defined result than liposuction alone because it addresses the underlying muscle. However, patient selection is critical, as performing this on a patient with loose skin can result in skin bunching or irregularities.
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A standard neck lift typically addresses the skin and the platysma muscle. A deep neck lift goes further, removing structures under the muscle, such as deep fat pads, parts of the salivary glands, and the digastric muscle, to create a much sharper contour in heavy necks.
Liposuction removes fat but relies on the skin’s natural elasticity to shrink back. It does not actively tighten skin. However, the scar tissue formed during healing can provide a mild retraction effect. If skin is loose, liposuction alone may make it look worse.
No, but it is very common. A weak chin makes the neck look fuller because there is less bone to stretch the skin forward. Adding a chin implant can dramatically enhance the results of a neck lift by providing the structural support needed.
Suture suspension procedures like MyEllevate are long-lasting but not permanent in the same way as skin excision. The sutures are permanent, but the aging process continues. Results typically last several years, depending on tissue quality and aging.
Absolutely. The most effective neck contouring often involves a combination: liposuction for fat, platysmaplasty for muscle, and perhaps RFAL for skin tightening. Combining modalities allows the surgeon to address every layer of the neck anatomy to achieve the best results.
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