My question is in regard to facelifts. I am particularly concerned with the "chicken"...

Q:

My question is in regard to facelifts. I am particularly concerned with the "chicken" neck I have developed, while I don't feel the rest of my facial features are bothersome. Is it possible to just have the neck fixed or is it part of an entire facelift?

A:

It is possible to lift the neck if you only have excess skin below your jaw line. If your facial skin is also lax, doing a neck lift only (without an incision behind the ears) can cause pleating or bunching of the skin just in front of the earlobe. You may also get a non-harmonious appearance if your neck appears youthful and your face looks old & tired. The overall outcome should be the most important factor when making your decision about facial rejuvenation.

A:

Necklift

 

Though it is not technically part of the face, a neck with loose, sagging skin can age the face dramatically. A neck lift is a standard part of most facelift surgeries, as the neck skin is mobilized in continuity with the lower face.

Immediately under the skin of the neck is the platysma muscle, which you can easily see in a mirror when you clench your teeth and tighten your jaw. In youth, this paired muscle meets in the midline below the chin. With age, the right and left sides of the platysma often separate, producing vertical 'cords' in the anterior neck. The platysma can be divided anteriorly and tightened during neck lift cosmetic surgery to permanently eliminate these 'cords' and improve the neck contour. One tightened in the midline below the chin, lateral traction on the platysma then creates a 'sling' which elevates the soft tissues below the jawline.

 

A:

Necklifting – The optimal management of a neck lift is to not de-fat the neck, but to do platysmal band correction and reshaping of the neck to give it a natural look.

A:

A necklift can be done as a stand alone procedure but this will depend upon the presentation of the individual. Chances are if the skin of the neck is loose and hanging there will also be age related changes of the face which should be addressed at the same time. Seek out a board certified plastic surgeon with experience in facial rejuvenation to help clarify  what the best approach to achieving your desired results would be. I hope this was helpful

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