You will have a feeling of tightness of your newly contoured neck; however this is generally not uncomfortable to patients. You will also have some swelling and possibly bruising, which will diminish over a couple of weeks. Pain is typically not a problem. Scars are very well hidden around and behind the ear, as well as a very small one under the chin.
Facelift Or Necklift
A neck lift, sometimes referred to as platysmaplasty, can tighten the skin and remove fat in the neck. Having a neck lift reduces the wrinkles and loose skin associated with aging and provides a taut, slimmer profile. The procedure is done on an outpatient basis and may take a few hours.
You will receive either general anesthesia or local anesthesia with intravenous sedation. The plastic surgeon will then tighten the muscles in the neck and remove excess skin and fat. After surgery, your plastic surgeon will wrap a pressure dressing around your head and underneath your chin.
1 AnswerIt turns out that when fat stem cells are injected into wrinkled skin along with a common tissue filler called hyaluronic acid, wrinkles immediately look better and in a few weeks, the skin starts making more collagen. And that's a good thing, because it is the collagen that thins as we get older, contributing to wrinkling.
So, it's a good thing to inject fat into faces, right? Hold on a minute…there's the little fact that when hyaluronic acid without stem cells is injected into the skin, the same thing happens -- wrinkles go away and the skin pumps out more collagen. And, in fact, this was acknowledged in the very paper that showed that the stem cell/hyaluronic acid mixture helps wrinkles. By the way, did I mention that this research was performed in wrinkled mice, not humans?
So, what's the bottom line? Well, the words "stem cells" seem to sell plastic surgery like the word "sex" sells magazines. Fat grafting with stem cells probably isn't any different from fat grafting without stem cells -- and that's been done for 2 decades. And no one has showed that adding stem cells to hyaluronic acid filler keeps wrinkles away longer than hyaluronic acid alone. And no one has shown that a stem cell facelift is any better than traditional fat grafting or facelifting. But one thing is for sure about those stem cell facelifts -- they cost more than the older techniques. Ten years from now, I might be performing stem cell facelifts. But I'd like to wait until science has proven their worth. And you should, too.
1 AnswerBarbed sutures are little strands of plastic that are studded with little fishhook-like barbs that are embedded into tissue. When they were lifted, the cheek, the jowl, the brows and the bands in the neck also were lifted. And this was all done in an hour under local anesthesia in the office.
Sounds incredible, doesn't it? If only it worked. The problem was that many of these barbed sutures slipped. Imagine waking up in the morning with one side of your face lifted and the other side droopy? Within a few months, very few people actually saw a benefit from these things and 10% of people actually could feel the barbs through the skin. This required an operation to remove them. Nowadays, it's hard to find a doc who does these things, since the main company yanked them from the market.
1 AnswerUlthera ultrasound face lift procedures won't be cheap; a procedure will cost a few thousand dollars and probably would have to be repeated every now and then. But only time will tell if this procedure joins the other white elephants of the plastic surgery world, gathering dust in their closets, or whether this device will win this round of the wrinkle wars.
2 AnswersThe Ulthera system uses ultrasound -- high energy sound, to fry and shrink face skin and the underlying tissues. No anesthesia is needed and not a drop of blood is spilled. That sound energy passes right through the skin and targets the areas you want lifted. I've seen the early results and I'm impressed with this technology. This thing may actually work and might really become an option for people who just don't think going under the knife is fun. But hold on to your horses … and your money. Plastic surgeon's closets are filled with high tech devices that promise the world but don't deliver. And early results do not translate to sustained effects -- we saw that with threadlifts. Let's all slow down and let the scientists spend some time gathering data -- that's science talk for finding out if the horse will run.
2 AnswersFine wrinkles can be treated with wrinkle fillers, peels and all sorts of lasers. But nothing, other than facelifts, has been successful at lifting the jowls and sagging neck skin. And only browlift surgery has been able to reposition the brows. Technology like radiofrequency and threadlifts haven't really worked all that well -- many surgeons feel that their risks outweigh their benefits. Now there's a new procedure called the Ulthera system that claims to help plastic surgeons perform noninvasive face and browlifts.
1 AnswerStuart Linder, MD, Plastic & Reconstructive Surgery, answered
A thread lift is a less invasive surgical procedure for lifting the face and neck. The surgeon will use both a needle and barb into the facial tissues to tighten the skin and tissue beneath. No incisions or stitches are required. There are presently 2 types of thread lifts performed in the United States. Contour thread lifts are unidirectional and fixed while the Aptos threadlift are bidirectional. The Contour Thread is made of clear polypropylene with barbs that allow tightening and support of the underlying tissue. Either closed technique or combination approach can be used to hook the barbs and suspend the tissue. Patients may undergo procedure under either local anesthesia or intravenous sedation.
1 AnswerJoseph Ajaka, Plastic & Reconstructive Surgery, answered
Less invasive options to a standard neck lift are allowing patients to have their sagging jowls and turkey necks tightened and unwanted fat deposits melted away. Patients being treated with these new technologies are enjoying the benefits of a faster recovery which is allowing them to return to work in as little as 2 days. Although not alternatives to the extreme results that can be achieved with a traditional neck lift, these procedures are suitable options for patients who are suffering from mild to moderate sagging skin and fat pockets. The benefit of these less-invasive options is that the mild technique results in less scarring, less downtime and a faster recovery.
The Laser Neck Lift, also known as “The Swan Lift,” is a suitable procedure for patients who have small amounts of fatty deposits and mild loose skin in the neck.
This new Swan Lift technology involves the use of an ultra thin laser fibre that is placed just below the surface of the skin. The laser energy heats up the all-important collagen & elastin fibres causing them to contract, whilst melting small fatty deposits. The Laser Neck Lift or Swan Lift delivers results that will continue to improve over the following 6-9 weeks. There is significant improvement in the overall skin quality without the need to cut skin off.
Another option is the iGuide Neck Lift, a popular choice for patients with moderate amounts of loose skin and fatty pockets around the neck.
The iGuide Neck Lift is a gentle, minimally invasive neck lift done as a day procedure under mild sedation and local anaesthetic. Discreet punctures are made along the jaw line to allow a suture (thread) to be passed under the skin. This suture is weaved back and forth in a “shoelace” pattern through the neck area and then tightened. The tightening effect elevates the skin, muscle and soft tissue of the neck and enhances jaw line contours. There is minimal downtime and most patients are back to normal activities within 2 to 3 days.