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NECK LIFT SURGERY

Considering a neck lift?

Are you unhappy with your neck due to excess sagging skin, excess fullness, or maybe feel as if you have a double chin? If yes, then you are not alone. The neck is an area that concerns many patients and Dr. Jason specializes in helping achieve a smooth, younger looking neck.

For the aging patient, skin excess is inevitable over time and a common complaint among patients that come see Dr. Jason. Even at an early age, some patients have noticed a fullness with or without excess skin, commonly referred to as a “double chin,” that bother them.

Another common complaint among patients in the neck are plastysmal bands. These tend to occur in aging patients and are related to a thin muscle just deep to the skin called the platysma which tends to pull away from the deeper structures of the neck over time. An easy way to see and feel your platysmal muscle is to bite down and make a frowny face that pulls down your lower lip. This muscle can form vertical bands in the neck over time and distort your once youthful neckline.

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Am I a good candidate for a neck lift?

A left lateral before and after view of Dr. Jason Roostaeian's female facelift neck lift and brow lift patient

There are 3 main issues that can addressed with the neck lift procedure: 1) Skin excess or sag, 2) Excess fullness from fat, and 3) Platysmal bands.

Neck lift procedures can include anything from simple liposuction to address excess fullness in the neck not associated with platysmal bands and/or skin excess, anterior neck lifts which requires a small incision below the chin and can address platysmal bands and fullness, to a formal neck lift which addresses all 3 issues: skin excess, excess fullness from fat, and platysmal bands.

Natural looking neck lift results

The formal neck lift requires an incision behind the ear and into the scalp and/or hairline similar to a facelift. The incisions generally heal well and are very difficult to see , particularly in females who tend to wear their hair down.

In males, another option, called a Direct Neck Excision or Neck Z-plasty, is to remove the excess skin directly at the neck within their beard line.  Dr. Jason Roostaeian believes this is a very effective technique but it has a slightly higher risk of a visible scar.

A left oblique before and after view of Dr. Jason Roostaeian's female facelift neck lift and brow lift patient

UCLA neck lift consultation

Coming in for a consultation with Dr. Roostaeian is the best way to determine whether neck lift surgery is right for you.

During your meeting, you’ll have the chance to explain your concerns and ask as many questions as you need, without being rushed or feeling obligated to book a procedure. Dr. Roostaeian prefers to listen and get to know patients first, which helps him guide you to a solution that works best for you. Together, you’ll discuss the look you’re trying to achieve, and you’ll be able to view standardized before and after photos of Dr. Jason’s previous results that are similar to your aesthetic goals.

A photo of Dr. Jason Roostaeian examining a patient's face

All consultation fees may be credited to any subsequent service performed by Dr. Jason. To book a consultation, please complete the form and we will contact you within two business days.

Alternatively, you may call 310.825.8827 to speak with Lili to make an appointment.

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Dr. Jason and our staff at the UCLA Plastic & Reconstructive Surgery Suite are ready to get you started on your journey. Whether to answer questions, schedule a consultation, or simply to listen, we're ready when you are.

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      Everything you need to know about neck lift surgery

       

       

      Frequently Asked Questions (FAQs)

      PREPARING FOR NECK LIFT SURGERY

      During your consultation, Dr. Roostaeian will listen to your goals, answer any questions, and help you determine the best treatment plan for you. If you decide to reserve a date for your lower rhytidectomy, Dr. Jason’s surgery coordinator, Lili, will also schedule you a pre-op appointment to take place about a week or two prior to your surgery.

      As with any surgical procedure, you must be physically and mentally fit for facelift surgery. To ensure patient safety, Dr. Jason only operates on patients who do not smoke, and who have received anesthesia clearance by their primary physician.

      Am I a good candidate for a neck lift?

      As the saying goes, “age is but a number” and facial aging is no different. There are many factors involved with how your face ages, both your genetics and environmental exposures play a crucial role. Therefore, there is no particular age that one should wait before considering a necklift. The procedure is effective for anyone who feels as though they have either 1) Skin excess, 2) Excess fullness from fat, and/or 3) Platysmal bands.

      In addition, Dr. Jason will only perform a facelift on patients who meet the following criteria:

      • Are in good health
      • Do not smoke
      • Are able to avoid any blood-thinning medications for several weeks
      • Have been cleared for surgery by a primary care physician
      • Have reasonable expectations and aesthetic goals
      What kind of neck lift is best for me?

      Dr. Jason tailors each procedure to your individual needs. If you only have excess fat under the neck, than liposuction or Kybella injections can be great options. If you have platysmal bands, than a small incision under the chin and/or behind the ears is required to address this. If you have excess skin than an incision behind the ear (or directly at the neck within the beard line if you are a male) is required

      How do I find the best neck lift surgeon?

      When searching for the best neck lift surgeon to perform your lower rhytidectomy, Dr. Roostaeian advises you to consider several key factors:

      1. Credentials and Certifications: Research your prospective neck surgeon online – not just on their website, but on industry credentialing sites such as www.surgery.org, which lists board certified plastic surgeons. Do not choose a cosmetic surgeon who is a member of the ABCS – they do not receive the extensive training and oversight that plastic surgeons do. Look for plastic/cosmetic surgeons like Dr. Roostaeian, who are ABPS and ASAPS members.
      2. Before and After Photos: The doctor you choose to perform your neck lift should be happy to show you an extensive array of standardized before and after photographs. Scrutinize them carefully, making sure the lighting is consistent and the various views are shown with detail. View enough neck lift pictures to determine whether or not the work is of high quality, with an aesthetic that matches your personal goals. Dr. Jason strives to provide patients with the highest quality of standardized neck lift photographs so you can feel confident in your choice. Click here to view Dr. Jason’s gallery of before and after neck lift photos. [LINK]
      3. Office and Surgery Facility: Before choosing an aesthetic surgeon to perform your lower rhytidectomy, closely evaluate the office staff, as well as the surgery facility. All of the staff should be helpful and friendly, and pleased to provide you with detailed information about their operating rooms and equipment. Dr. Jason and his staff are proud to be affiliated with UCLA, world renowned for state-of-the-art surgical facilities and patient care. Click to learn more about our top-ranked hospital.[LINK]
      4. Personal Connection: Seeing eye to eye with your neck lift surgeon is just as important as assessing their operating skills. Plastic surgery is a very personal endeavor, and Dr. Jason strongly believes in creating a connection with all of his patients prior to heading into the OR. 

       

      Click to read Dr. Jason’s blog post How to Find the Best Plastic Surgeon.

      How much does a neck lift cost?

      Neck lift costs vary considerably from patient to patient. The exact cost of neck lift surgery will depend on the complexity of your procedure, and whether or not you are combining procedures. You will receive a written quote following your consultation.

      Can I combine a neck lift with other procedures?

      It is possible to have multiple procedures done at the same time. For instance, including a brow lift and/or eyelid procedure (blepharoplasty) to a neck lift is very common. However, it is important to keep the planned operating time to less than 6-8 hours in order to optimize your safety. In most cased a neck lift is usually included in a facelift procedure and is done at the same time and included in the one price. Make sure to let Dr. Jason know exactly what you would like to achieve and he can recommend the best procedure(s). 

      If I plan to lose weight, should I wait to get a neck lift?

      If you plan to lose a significant amount of weight in the near future then Dr. Jason recommends to wait to have your neck lift until your weight has been stable for 6 months. Patients with massive weight loss, are common candidates for neck lifts as their once very full face and neck deflates and leaves behind a lot of excess skin. Smaller changes in weight (<25 lbs), however, will likely not affect the result.

      How do I prepare for facelift surgery?

      When preparing for a facelift procedure, follow all instructions issued by Dr. Roostaeian, his office, and the staff at the UCLA Surgery Center. These guidelines include, but are not limited to:

      Avoid smoking cigarettes, wearing a nicotine patch or using nicotine gum three weeks prior and three weeks after surgery. All nicotine products inhibits circulation and slows your healing process.

      TWO WEEKS BEFORE SURGERY

      • Do not take aspirin or any aspirin products. These medications cause bleeding which can lead to complications. You may only use Tylenol.
      • If you are using Retin-A, discontinue use two weeks prior to surgery date. Do not recieve a dermabrasion, chemical peel, or laser, within five days prior to your surgery date.
      • Do not take Vitamin E  (it will cause you to bleed more).
      • Surface skin breakouts (rash, fever blisters, pustules, etc.) on your face or body may cause your surgery to be cancelled.  Call us immediately so you can be treated and avoid surgery cancellation.  Also, call if you develop a fever or any illness.
      • Do not cut your hair (even your bangs) two weeks prior to surgery.  Longer hair helps hide fresh incisions.  Also, longer hair is easier to manage in surgery (we braid it to keep it out of the way).
      • Do not color, perm, or chemically treat your hair during the 2-week period before and after surgery. Failure to do so may result in hair breakage and hair loss.
      • Make arrangements for someone to drive you home after the doctor sees you the day following surgery.
      • It is extremely important that we are informed about any medications or supplements that you are currently taking such as diet pills, mega doses of vitamins, prescriptions for depression, etc., Dr. Roostaeian and your anesthesiologist need to know every medication that is in your system.

       THE DAY BEFORE + THE DAY OF SURGERY

      • Shampoo your hair and body with an antiseptic soap the night before surgery. We prefer you to use Hibiclens (sold at most drug stores) to wash your hair, face, and body (avoid the eyes) the night before and/or morning of surgery.
      • Do not eat or drink anything (not even water) after midnight.  The morning of surgery you may take your regular medications such as blood pressure, heart, thyroid, etc. with a small sip of water.
      • Leave all your jewelry at home, including any body (pierced) jewelry.  Do not wear contact lenses- not even extended wear.   Remove all makeup.  Do not apply lotion or creams.   Bring a robe, gown (one that will slip easily over your head or one that buttons up the front) and slippers.
      • DO NOT “WORKOUT” THE DAY BEFORE OR THE MORNING OF SURGERY.  This will dehydrate your body and you will not be able to replenish it with water. 
      Is there a facelift surgery shopping list?

      If you are scheduled for a facelift surgery with Dr. Roostaeian, here is a shopping list of what to buy or bring in order to have an optimal surgery experience.

      • Button-up pajamas- to avoid pulling any clothes over your face after surgery.
      • Handheld mirror to hold up behind your head and look into your bathroom mirror, so can see where to apply the ointments and peroxide to the areas behind your ears and neck, especially if you don’t have anyone helping you.
      • At least four clamp hairpins, to hold your hair out of the way so you can see to apply ointments and peroxide.
      • Hydrogen Peroxide and Q-tips – Dilute peroxide keeps your wounds clean, thereby reducing infections and helping the healing process. You will apply it using Q-tips around the ears and chin areas. (Avoid peroxide in the areas around your hair as it can cause bleaching).
      • Witch Hazel – To use in the areas where the sutures are in the hair to avoid bleaching.
      • Ziplock bags to make ice packs.
      • Mild soap (ie Dove or Cetaphil) and Aquaphor lotion for washing your face after the first week. Your skin will become dry at first and this will help as you want to avoid any harsh soaps or lotions.
      • Foods with Very Low Salt- you want to really minimize salt, ideally to less than 1-2 grams per day, as this will help reduce your swelling. You want to maintain the low salt diet for at least 6 weeks and ideally for 3-6 months.
      A photo of a middle aged woman at the computer representing Dr. Jason Roostaeian's natural looking facelift surgery

      undergoing  neck LIFT surgery

      A photo of Dr. Jason Roostaeian's natural looking plastic surgery practice at 200 Medical Plaza Drive UCLA

      When you arrive for your neck lift surgery, the UCLA Surgery Center nurses will prepare you for your operation. Dr. Roostaeian will stop in to answer any remaining questions you may have, and to make surgical markings for the OR.

      Once you have received the anesthesia and are comfortably sleeping, Dr. Jason will perform the lower rhytidectomy as discussed during your previous meetings.

      Dr. Jason will explain to you during your consultation that sometimes, a surgical plan may need to be slightly amended depending upon what is revealed in the operating room. He will make adjustments as needed in order to achieve the results that you’ve agreed upon. 

      Will I have local or general anesthesia during my neck lift surgery?

      Typically, Dr. Roostaeian performs neck lift surgery using general anesthesia. Local anesthesia with IV sedation is also possible, though rare. During your pre-operative appointment, Dr. Jason will review your options and help you decide on an whether to use local vs general anesthesia to best suit your needs.

      Is a neck lift an outpatient procedure?

      A single overnight stay is highly recommended for formal neck lift surgery patients only. The Surgery Center at UCLA is the only place in Los Angeles that allows you to have your surgery followed by a monitored overnight stay with a registered nurse (R.N.) in the same facility. Not to mention, that UCLA’s world class hospital ranked “Best in the West” according to the U.S. News and World Report for the last 2 decades, is next door in the rare event of an emergency.  This allows for a safer surgical experience which is one of the main reasons Dr. Jason is proud to be on faculty at UCLA.

      How long does neck lift surgery take?

      Lower rhytidectomy surgery with Dr. Roostaeian takes 1-4 hours depending on the technique; Neck liposuction 1hr, Anterior Neck lift/Platysmalplasty 2 hours, Formal Neck lift 3-4 hours, Direct Neck Excision or Neck Z-plasty in males 2 hours.

      Can I combine a neck lift with other procedures?

      It is possible to have multiple procedures done at the same time. For instance, including a brow lift and/or eyelid procedure (blepharoplasty) to a neck lift is very common. However, it is important to keep the planned operating time to less than 6-8 hours in order to optimize your safety. In most cased a neck lift is usually included in a facelift procedure and is done at the same time and included in the one price. Make sure to let Dr. Jason know exactly what you would like to achieve and he can recommend the best procedure(s). 

      What are the main neck lift surgery risks?

      Serious complications following neck lift surgery, while possible, are unlikely. Some potential complications can be avoided by carefully following Dr. Jason’s instructions.

      In addition to the usual risks associated with anesthesia, other risks include:

      • Hematoma
      • Infection (Risk less than one percent)
      • Pulmonary emboli (Extremely rare)

      NECK LIFT SURGERY recovery

       

      Prior to your neck lift procedure, Dr. Roostaeian will go over what you can expect after your surgery and answer any questions you may have. Before being discharged from the UCLA Surgery Center, you will receive detailed post-op instructions from the staff, as well as information about your follow-up appointment with Dr. Jason. If at any time you have a question or concern after your surgery, our staff is available to assist you. Dr. Jason cares deeply about providing the highest standard of care for his patients, and will closely monitor your healing process.

      As with any surgical procedure, recovery from a neck lift proceeds in stages. While everyone’s healing process is different, you may expect the immediate recovery period to take about one to two weeks, followed by an activity restriction. Full healing and results will be apparent around the 3-4 month mark, while your scar (if applicable) and swelling will continue to improve for 6 months to one year.

       

      How do I control swelling after a neck lift?

      Swelling is normal following a neck lift surgery. Some measures to reduce the amount of swelling include: a) Try to keep your head above the level of your heart at all times for the first 2 weeks. Do not sleep with your head resting on multiple pillows as this will flex your neck and cause bleeding and/or bunching of the neck skin. Dr. Jason recommends a large wedge that elevates your back and your head. b) Use cooling measures such ice water soaked gauze or ice water in a ziplock for the first 48 hours. Your skin should just feel cool to the touch. Avoid anything completely frozen such as gel packs as this can cause damage to your skin. c) Avoid activities that involve bending over or straining. You should also minimize your salt intake as much as possible after surgery. Ideally you should ingest no more than 2 grams per day for the first 3 months after surgery. d) Dr. Jason also will also prescribe a Medrol dose pack to help reduce your inflammation and swelling from surgery. All of these measures combined will help minimize the amount of swelling you encounter following surgery.

      What can I expect after a neck lift?

      Although every patient is unique, here is a general idea of what to expect after facelift surgery with Dr. Jason Roostaeian.

      Avoid smoking cigarettes, wearing a nicotine patch or using nicotine gum three weeks prior and three weeks after surgery. All nicotine products inhibits circulation and slows your healing process.

      TWO WEEKS BEFORE SURGERY

      • Do not take aspirin or any aspirin products. These medications cause bleeding which can lead to complications. You may only use Tylenol.
      • If you are using Retin-A, discontinue use two weeks prior to surgery date. Do not recieve a dermabrasion, chemical peel, or laser, within five days prior to your surgery date.
      • Do not take Vitamin E  (it will cause you to bleed more).
      • Surface skin breakouts (rash, fever blisters, pustules, etc.) on your face or body may cause your surgery to be cancelled.  Call us immediately so you can be treated and avoid surgery cancellation.  Also, call if you develop a fever or any illness. 
      • Make arrangements for someone to drive you home after the doctor sees you the day following surgery.
      • It is extremely important that we are informed about any medications or supplements that you are currently taking such as diet pills, mega doses of vitamins, prescriptions for depression, etc., Dr. Roostaeian and your anesthesiologist need to know every medication that is in your system.

       THE DAY BEFORE + THE DAY OF SURGERY

      • Shampoo your hair and body with an antiseptic soap the night before surgery. We prefer you to use Hibiclens (sold at most drug stores) to wash your hair, face, and body (avoid the eyes) the night before and/or morning of surgery.
      • Do not eat or drink anything (not even water) after midnight.  The morning of surgery you may take your regular medications such as blood pressure, heart, thyroid, etc. with a small sip of water.
      • Leave all your jewelry at home, including any body (pierced) jewelry.  Do not wear contact lenses- not even extended wear.   Remove all makeup.  Do not apply lotion or creams.   Bring a robe, gown (one that will slip easily over your head or one that buttons up the front) and slippers.
      • DO NOT “WORKOUT” THE DAY BEFORE OR THE MORNING OF SURGERY.  This will dehydrate your body and you will not be able to replenish it with water. 
      • Foods with Very Low Salt- you want to really minimize salt, ideally to less than 1-2 grams per day, as this will help reduce your swelling. You want to maintain the low salt diet for at least 6 weeks and ideally for 3-6 months.
      When will I see my final neck lift results?

      For the first couple of weeks, you will typically experience some bruising and swelling following neck lift surgery with Dr. Jason Roostaeian. For a scar to fully heal it takes at least 6 months to a year. Over this time you will see your scars become less visible, they will lighten in color and become softer to the touch. Your final result will be apparent within several months in most cases.

      When can I exercise or work out after neck lift surgery?

      For the first 2-3 weeks following surgery, you want to avoid straining (lifting anything more than 5 lbs), or getting your heart rate/blood pressure up as this can lead to bleeding. After 2-3 weeks you should avoid mechanical forces that will stress or put tension on your healing incisions for 3 months. This means you should avoid high impact activities that lead to excessive movement of your neck, such a running. If you feel up for it, after 2-3 weeks, Dr. Jason Roostaeian recommends starting with the seated stationary bicycle which is low impact and minimizes movement of your head and neck.  Listen to what your body is telling you at all times, for instance stop the workout if you experience any new discomfort in your face or neck. Remember, getting plenty of rest and reducing your overall activity will give you time to heal and speed up your recovery.

      As always, consult with Dr. Jason if you have any questions about your post-brow lift healing process.

      What does a neck lift scar look like?

      Dr. Jason Roostaeian is extremely meticulous about the placement of his neck lift scars.

      Typically, the scarring is inconspicuous, mostly concealed in the hair, behind the ear, or in natural facial creases.

      The scar fades over time, remaining extremely inconspicuous and undetectable in most people.

      How soon can I go out after a neck lift?

      For a scar to fully heal it takes at least 6 months to a year. Over this time you will see your scars become less visible, they will lighten in color and become softer to the touch. Most patients feel comfortable to attend any special engagements by 4-6 weeks as the majority of swelling has gone down and the scars can be easily concealed with make-up.

      How much time off work should I take after neck lift?

      While everyone heals at a different pace, there are general guidelines to help determine how much work or school you’ll miss after a neck lift. To promote proper healing, Dr. Roostaeian recommends taking at least 1 week off after facelift surgery. Most patients are able to work from home or do homework after a few days of rest. Most patients with non-strenous jobs can return to work after about one week. If your work requires significant physical activity (lifting more than 5 pounds) you want to wait at least 2-3 weeks to prevent any increases in your blood pressure that can lead to bleeding while your’re still in the early stages of healing.

      How long do the results of a neck lift last?

      The result of a neck lift is considered by most to last approximately 5-10 years. While a neck lift does not stop the aging clock, it is a great way to set the clock back a number of years. It is rare for patients to request another neck lift procedure before 10 years.

      A photo of a middle aged couple in pajamas representing Dr. Jason Roostaeian's natural looking facelift surgery

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