DETAILED EXPLANATION OF NECK LIFT
Dr Sandeep employs various techniques during a neck lift, depending on the individual’s specific concerns and their unique facial and neck anatomy and deformity resulting from aging.
NECK LIFT TECHNIQUES
Some common neck lift techniques used by Dr Sandeep include:
CERVICOPLASTY
This technique focuses on removing excess skin from the neck. Dr Sandeep makes incisions behind the ears and under the chin to access the neck area. The excess skin is then carefully trimmed, and the remaining skin is re-draped and tightened to create a smoother, more youthful contour.
PLATYSMAPLASTY
The platysma is a thin muscle in the neck that can become lax and form vertical bands, contributing to the appearance of a “turkey neck.” Platysmaplasty involves tightening or repositioning the platysma muscles in the midline to improve neck firmness and reduce banding, depending on the extent of neck drooping and heaviness. This additional procedure addresses vertical cords and bands in the neck and removes chin fat that accumulates with age.
SUBMENTOPLASTY
This is a less invasive neck lift technique that focuses on the central neck area. It involves a small incision under the chin to access and tighten the underlying structures like the platysma and digastric muscles.
EXTENDED DEEP PLANE NECK LIFT
This more advanced technique involves addressing the deeper layers of tissue in the neck, including the deeper muscle layers and fascia. It provides a more comprehensive correction and is often used for significant neck laxity.
Dr Sandeep’s use of the extended subplatysmal neck flap approach significantly improves the contour of the jawline and addresses the gathering of skin that can occur beneath the chin when using midline platysma plication methods. This enhances both the neck and jawline’s overall appearance. His surgical method allows for greater upward and outward movement of the midline platysma compared to traditional midline SMAS purse-string suture techniques.
As a result, a separate midline platysmaplasty might not be necessary, except in cases where clients have a more substantial neck and submental area, or when the platysmal separation measures between 2.5 and 3 cm or more.
NECK LIFT PROCEDURE STEPS
CONSULTATION
Before considering a neck lift, you’ll have a detailed consultation with Dr Sandeep. During this session, you can expect to cover:
- Medical History: A review of any medical conditions, allergies, medications, and previous surgeries to ensure suitability for the procedure.
- Physical Examination: An evaluation of the neck’s skin elasticity, muscle tone, and fat distribution to determine the best surgical approach.
- Aesthetic Goals: Discussion of your expectations and aesthetic goals to align the procedure with your desired outcome.
- Photographs: Capture standardized, high-quality photographs from various angles for reference and surgical planning.
- Anesthesia Plan: Discuss whether the procedure will be under local anaesthesia with sedation or general anaesthesia, based on what’s best for you and Dr Sandeep’s recommendation.
SURGERY
INCISION
Dr Sandeep will strategically make incisions in inconspicuous areas, such as under the chin or behind the ears, to minimize visible scarring.
TISSUE REMOVAL OR ADJUSTMENT
The procedure may involve:
- Removing excess skin to reduce sagging and create a smoother neck profile.
- Adjusting or tightening the platysma muscles to address banding and improve neck contour.
- Liposuction to remove excess fat and refine the jawline.
CLOSURE
Incisions are closed with sutures that are typically removed within a week, ensuring a fine line that follows the natural contours of the neck and chin.
RECOVERY
Post-procedure care includes:
- Immediate Post-Op: Application of ointment and a cold compress to reduce swelling.
- First Few Days: Expect some swelling, bruising, and discomfort. Keeping the head elevated and applying cold compresses helps.
- Medication: Dr Sandeep will prescribe pain relievers and possibly antibiotics to reduce the swelling and risk of infection.
- Stitches: These are usually removed after about a week.
- Physical activity: You will be advised to limit activities and avoid strenuous exercise for a few weeks.
- Sun Avoidance: Protect the area from sun exposure with high-SPF sunscreen and wearing supportive garments if recommended. Silicone gel will be prescribed to help achieve fine scars.
FINAL RESULTS
While you’ll see initial improvements right away, the full benefits of the neck lift will emerge as swelling subsides and incision lines mature over the following months.
POTENTIAL RISKS AND COMPLICATIONS OF NECK LIFT
While neck lifts are generally safe when performed by a skilled and experienced surgeon like Dr Uppal, like any surgical procedure, they carry potential risks and complications. Some of the risks associated with a neck lift include:
- Anaesthesia risks: Anaesthesia is used during the procedure, and there are potential risks associated with its administration.
- Deep vein thrombosis (DVT) and pulmonary embolism (PE): Although rare, there is a small risk of developing blood clots that can potentially lead to DVT or PE.
- Bleeding: Any surgical procedure carries a risk of bleeding, and excessive bleeding may require additional intervention.
- Infection: There is a risk of developing an infection at the incision sites, which may require antibiotics or additional treatment.
- Visible Scarring: Despite best efforts to place incisions in discreet locations, some patients may develop scars that are more visible than desired.
- Nerve injury: The surgery involves manipulating tissues and muscles around the neck, which may lead to temporary or permanent nerve damage, causing numbness or weakness in certain areas.
- Hematoma: A hematoma is a collection of blood under the skin that may occur after surgery and may require drainage.
- Skin irregularities: In rare cases, there may be unevenness or irregularities in the skin texture after surgery.
- Skin necrosis: In very rare instances, the blood supply to the skin may be compromised, leading to skin necrosis (death of skin tissue).
- Swelling and bruising: Swelling and bruising are common after a neck lift and may take time to resolve.
- Poor wound healing: Certain factors like smoking, diabetes, or certain medications can increase the risk of poor wound healing.
- Asymmetry: One side of the neck might appear different from the other, requiring revision surgery.
- Dissatisfaction with Overall Look: While a neck lift aims to produce positive outcomes, individual satisfaction with the results can vary. Despite technically successful surgery, the aesthetic outcome may not align with the patient’s expectations.
- Overcorrection or Under correction: It’s possible for the neck lift to result in a look that is either too tight and unnatural or insufficiently rejuvenating.
- Skin Pleating or Dimpling: Occasionally, the skin may not lay flat and smooth, resulting in pleats, dimples, or irregularities in the skin surface. Cobra neck deformity may occur due to appearance of vertical bands or ridges that run along the front of the neck.
- Inadequate Contouring: The procedure may not sufficiently address all the areas of concern, leaving behind fatty deposits or loose skin.
- Discoloration or Hyperpigmentation: Changes in skin colour can sometimes occur, either due to bruising that takes an extended time to resolve or due to the skin’s reaction to the surgical process.
- Skin Texture Changes: Some patients may experience a change in skin texture, making it either too shiny or overly dry.
- Hairline Distortion: For men, especially, incisions near the hairline can sometimes cause distortion or “step-offs” in the natural hairline.
- Unnatural Jawline: If not done carefully, a neck lift may result in an overly defined or artificial-looking jawline.
HOW TO MINIMIZE THESE RISKS?
It’s essential to have a thorough discussion with the Dr Sandeep about the potential risks and benefits of the procedure to make an informed decision regarding neck lift. Dr Sandeep is fellowship trained in facial plastic and reconstructive surgery and has 31 years of surgical experience. He uses techniques that have stood the test of time thus reducing the risk of surgery. As a patient you can help to reduce the risk by follow all pre-operative and post-operative instructions closely. Attend all follow-up appointments to ensure proper healing and address any concerns promptly.
Dr Sandeep and his team take a comprehensive approach to minimize these risks, from the initial consultation to post-operative care. They employ advanced surgical techniques and technologies to ensure that the results are as natural-looking and satisfying as possible. Nevertheless, they make it a point to set realistic expectations and discuss all potential complications openly with their patients.
COBRA NECK DEFORMITY
This specific complication is characterised by the appearance of vertical bands or ridges that run along the front of the neck, resembling the hood of a cobra when it is expanded. These bands are typically a result of skin and muscle not adhering properly after a neck lift, or due to excessive removal of fat during the procedure. Dr Sandeep and his team are well-versed in addressing complications that may arise from neck lift surgeries, one of which is Cobra Neck Deformity.
POTENTIAL CAUSES
- Overaggressive Liposuction: Removing too much fat can result in an unnatural contour.
- Inadequate Muscle Tightening: Failure to properly tighten the platysma muscle can lead to sagging and banding.
- Poor Skin Elasticity: In some patients, the skin may not have sufficient elasticity to conform to new contours.
- Improper Surgical Technique: Mistakes during surgery, such as uneven suturing, can also lead to cobra neck deformity.
MANAGEMENT AND TREATMENT OF COBRA NECK DEFORMITY
Revitalize your neckline and redefine elegance with Dr Sandeep’s specialized neck lift procedure. Tailor-made to address your unique needs, our approach is designed to not only refine your profile but also to harmonize your neck with your overall facial aesthetics. Let go of the notion that age defines your beauty. Contact us to arrange your consultation with Dr Sandeep and embark on the path to sophisticated poise and self-assurance. The transformation to a gracefully contoured neck is within your reach—your next step is just a consultation away!
