For many people, the neck can show their age before their face and sometimes they desire to have a cosmetic surgeon perform a neck lift, or a platysmaplasty. This cosmetic procedure will remove or alter the muscles in the neck. In many cases, a cosmetic surgeon will also perform other procedures such as liposuction which removes any excess fat; or a cervicoplasty which is a cosmetic procedure through which excess skin is removed from the area of the neck. Botox may also be used to help remove some of the bands, or fullness of the neck. A neck lift may be comprised of any combination of these procedures which are performed in order to enhance or improve the appearance of the neck area.
The platysmaplasty is a procedure that will reduce the bands or banded appearance that is common to the neck area. The procedure is often called a corset platysmaplasty because it works similarly in the neck area like a corset works to hold the abdomen tightly. A platysmaplasty is performed by making a small incision through which fat is removed from under the skin. Short Hills plastic surgeons insert an endoscope under the skin to remove or at least realign portions of the neck muscles. This will help reduce the banding and tighten up the middle section of the neck. Muscles are sutured into position so that they are no longer sagging. A corset platysmaplasty involves sewing the platysma muscles together or folding them into themselves and sewing them up so that they stay in position permanently. This procedure redefines the angle of the chin and will help prevent the neck lift from failing as well as preventing neck bands from recurring. The procedure has the effect of removing banding and tightening up the neck muscles because the vertical length of the muscles has been shortened.
In most cases the patient will need to wear a compression garment for about 2 to 3 weeks after the surgery. This provides additional support to the newly realigned neck and contoured skin. Most of the patients who undergo this type of plastic surgery are able to return to work after 10 to 14 days. Daily cleaning of the sutures is important to a successful recovery. Sutures will need to be cleaned well and covered with an antibacterial ointment until they are ready to be removed approximately 14 days after the surgery. Also remember that sleeping or resting with the head slightly elevated can help reduce swelling in the area which may be bruised or swollen for as long as 10 to 14 days. It is possible for the incisions to feel very tight for the first couple of days and it can involve some slight pain. After 48 hours the pain should subside and patients will not typically require any pain medication.
When we first meet someone we most likely notice their facial features and neck area first. Improvements to these areas can mean a dramatic change. By trimming and firming up the neck a more youthful look will be achieved. This can help offer some individuals more incentive to make healthier lifestyle choices as well as maintain fitness for the rest of their body. In many cases, the patient has been very self conscious about the neck portion of the body; following the cosmetic procedure they are much more comfortable about wearing different styles of clothing and jewelry that were formerly uncomfortable. In general, after a platysmaplasty a person will feel more confident and feel better about themselves.