Neck Lift

Thailand Neck Lift at Bangkok's Best Hospitals and Performed by Board Certified Plastic Surgeons.

Neck Lift

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Thailand Neck Lift Plastic Surgery in Bangkok Hospitals

For many people, the neck is the first area to show age. For people who have lost weight, an unfortunate side effect may be leftover, loose-hanging skin that has lost its elasticity. Whether it is band lines, excess skin, or fat, a neck lift can bring your neck back into shape.

Neck-lift plastic surgery can be performed in a variety of ways, depending on the needs of the individual.

Three possible neck-lift procedures include:

  • liposuction
  • cervicoplasty
  • platysmaplasty

Typically, a neck-lift will include liposuction to remove fat. Cervicoplasty may be included to remove excess skin, and platysmaplasty to remove or tighten neck muscles: a process that gets rid of unwanted band lines. These procedures are described later in this article.

A neck-lift may also be part of a combination treatment plan, in conjunction with a forehead lift, facelift, or eyelid surgery. For a less invasive alternative, you may want to investigate the micro neck-lift.

Best Candidates for Neck Lift

There is no ideal age for neck-lift surgery. Candidates may range from teenagers to octogenarians. People who suffer from certain diseases may be excluded from treatment. Talk to a qualified plastic surgeon about your goals and expectations, and to determine if you would be a good candidate. Your doctor will also review your medical history and the risks associated with the procedures to create a treatment plan that works best for you.

Preparing for Neck Lift

During your consultation, your surgeon will instruct you on what medications to avoid prior to your surgery. Certain medications, vitamins, and herbal preparations thin your blood and can cause increased bleeding.

If you are a smoker, you will need to quit at least two weeks before the surgery and two weeks after. You cannot just plan to cut down; you must not smoke for this time period to ensure proper healing. You must stop all forms of nicotine. Nicotine gum and nicotine skin patches can lead to the same healing problems caused by smoking. Also, make sure that you eat properly because this will help your body heal.

Wear loose, comfortable clothing on the day of surgery. You should especially plan to wear a button-down blouse or shirt that does not have to be pulled over your neck or head.

You should plan to take at least one week off from work to recover; however, your doctor may adjust your time-off schedule based on your personal situation.

If you are having platysmaplasty, cervicoplasty, or a combination of any of the procedures discussed here, you should plan on having a home recovery area set up before you undergo surgery.

This should include:

  • Post-op pain medication
  • A two-week supply of any of you normal prescription medications
  • Gauze and towels
  • Thermometer
  • Supply of comfortable, loose clothing (button-down shirts or blouses that do not have to be pulled over your neck and head)
  • Antibacterial ointment for incision sites (use this only if directed by your surgeon)
  • Telephone within reaching distance of where you'll be lying or sitting most of the time
  • Supply of pillows that will allow you to keep your head in a comfortable position
  • Someone who can stay with you at least the first 24 hours after surgery

Neck Lift Surgery Overview

Neck-lifts are most often performed by a board-certified plastic surgeon. The location of the procedure may be the doctor's office, outpatient surgery center, or hospital. Since there may be more than one procedure performed during a neck-lift, your time in surgery may be one hour to several hours. The procedure may be performed under local anesthesia or general anesthesia, but usually does not involve an overnight stay.

The procedures involved in a neck-lift may be performed endoscopically. For an endoscopic neck-lift, an instrument visually guides the surgeon through the procedure. The advantages of an endoscopic procedure may include a smaller incision, no general anesthesia, reduced bruising, and faster recovery. You can talk about the endoscopic option with your doctor.

Liposuction

If your neck-lift requires liposuction to remove excess fat, the liposuction procedure is typically performed first. An incision will be made below the chin to remove the excess fat deposits. The fat deposits will be removed by inserting a small cannula (a hollow tube with an opening near its blunt end) beneath the skin and into the fatty tissue. The cannula is used to break up the fat, and then remove it from the neck area. A bandage will be applied to reduce swelling and discomfort. The doctor may also apply a bandage around your neck and head.

Cervicoplasty

The cervicoplasty procedure is performed to remove excess skin on the neck. An incision is made under your chin and behind the ears (or possibly in just one of these locations). The surgeon will then cut back and lift the skin, which will be secured with permanent sutures or a special type of permanent adhesive glue. A bandage and tape will be applied to the incision locations to reduce swelling and discomfort. An elastic bandage will be applied to your neck and head.

Platysmaplasty

The platysmaplasty procedure is performed to reduce the banded appearance of the neck. During the procedure, incisions will be made under the chin or behind the ears, or both. The surgeon will then insert a tiny instrument to either remove a portion of specific neck muscles or realign them, which will tighten the middle area of the neck. The doctor will permanently suture areas of the muscles in order to clasp them in the best position. A bandage and tape will be applied across the chin or behind the ears (or both) to reduce swelling and discomfort. An elastic bandage will be wrapped around the neck and head.

Neck Lift Results

Patients should expect to see, within a few days of their neck lift, the cosmetic results of the procedure. Final results usually take from three to six months to fully appear, though most people will be almost completely healed within a matter of weeks. Scarring is usually minimal, and surgeons can usually conceal the scars behind the ears and underneath the patient's chin. The tighter neck and more defined jaw will typically last from five to ten years, after which the patient will return to his or her pre-surgery state.

Recovery After Neck Lift

Many patients have questions about neck lift and about recovery after neck lift surgery. The plastic surgeon will discuss all this before and after your surgery. Depeding on your surgery, if you had other surgery in combination, and how much surgery was required will determine you specific treatment plan.

Neck Lift Surgery Recovery

Your neck, jaw, and ears may be bruised and may continue to swell for up to ten days. The doctor may suggest using two pillows when you sleep. The physician will also recommend keeping your head and neck still and elevated at all times for up to ten days.

Oral pain medication and an antibiotic can be administered to reduce pain and reduce the risk of infection. Severe pain or abnormal symptoms should be reported to the doctor immediately. The doctor will set dietary guidelines and instruct you to limit physical activity. Exercise may be restricted for a short period of time.

The bandage around your neck and head typically can be removed the day after surgery. However, an elastic-type garment must be worn throughout the evening for at least two weeks. Stitches may be dissolvable, or will require removal up to seven days after the procedure. Final results will be evident in about three to six months.

Cervicoplasty Recovery

Your neck, jaw, and ears may be bruised and continue to swell for up to ten days. Recovery for this procedure is the same as for liposuction recovery.

Platysmaplasty Recovery

Your neck, jaw, and ears may be bruised and continue to swell for up to ten days. Oral pain medications and an antibiotic can be administered to reduce pain and fight infection. Severe pain or abnormal symptoms should be reported to the doctor immediately. Recovery guidelines are the same as for liposuction recovery.

Neck Lift Post Operative Care

You will see some bruising and feel sore after the procedure, and you will have to wear a dressing for two weeks. This must be kept dry.

  • Have someone drive you home after surgery and help you at home for 1-2 days.
  • Get plenty of rest.
  • Follow balanced diet.
  • Decreased activity may promote constipation, so you may want to add more raw fruit to your diet, and be sure to increase fluid intake.
  • Take pain medication as prescribed. Do not take aspirin or any products containing aspirin unless approved by your surgeon.
  • Do not drink alcohol when taking pain medications.
  • Even when not taking pain medications, no alcohol for 3 weeks as it causes fluid retention.
  • If you are taking vitamins with iron, resume these as tolerated.
  • Do not smoke, as smoking delays healing and increases the risk of complications.

Activities

  • Start walking as soon as possible, as this helps to reduce swelling and lowers the chance of blood clots.
  • Do not drive until you are no longer taking any pain medications (narcotics).
  • Return to work in approximately 2 weeks.
  • Avoid strenuous exercise and activities for 3-4 weeks.

Incision Care

  • If a drainage tube(s) has been placed, you may shower 48 hours after removal.
  • Avoid exposing scars to sun for at least 12 months.
  • Always use a strong sunblock, if sun exposure is unavoidable (SPF 30 or greater).
  • Keep steri-strips on.
  • Keep incisions clean and inspect daily for signs of infection.
  • Hair can generally be shampooed in 2-3 days.
  • Hair bleach and/or a permanent can be applied after complete healing, usually 3-4 weeks.
  • When using a hair dryer, never use a "hot" temperature setting, as you may not have feeling in the operated area.

What To Expect

  • Minimal postoperative pain.
  • Temporary numbness.
  • Swelling, discoloration, and tightness of skin for 10-14 days.

Follow-Up Care

  • Sutures are usually removed within 7 days.

Possible Neck Lift Risks

Numbness of the skin occurs often for a few weeks after neck-lift surgery. In rare instances, this condition can be permanent. Other risks include excess scar tissue build up or bruising and puckering of the skin.

As with any plastic surgery, there is a risk of complications related to infection or reaction to anesthesia. You can avoid most complications by selecting the right plastic surgeon and following pre- and postoperative instructions. With proper precautions by the surgical team, complications are typically minimized or prevented.