Jeffrey Kenkel, MD, FACS
1801 Inwood Road, 5th Floor
Dallas, TX 75390
(214) 645-3112
Specializing in Cosmetic Surgery
of the Face, Breast & Body
(214) 645-3112 Dallas, Texas

5 Reasons to Consider a Surgical Neck Lift vs. Tightening Procedures

Neck lift vs skin tightening

In years past, seeing a plastic surgeon for facial rejuvenation often required a commitment to full facial surgery and an extensive recovery. Today, our goals and ability to recover are different. Many plastic surgery patients considering a neck lift here in Dallas and Frisco, TX, are more comfortable with localized and focal changes and less dramatic and noticeable transformations.

This has led to an increased demand for office-based, nonsurgical procedures to enhance facial appearance attempting to avoid surgery. Unfortunately, these devices have not lived up to the hype surrounding them. We have tried very hard to critically assess these devices objectively to determine a few things:

  • Do they work?
  • How much improvement can one expect?
  • How long will the treatment last?
  • What type of recovery is expected?

While there are a few devices that may result in improvement in selected patients, we do understand that many of our patients are likely not candidates for these minimally invasive procedures. Patients with the following may have to seek surgical alternatives:

  • Excessive neck skin or thin, inelastic skin
  • Prominence to the muscular bands beneath the neck
  • Excessive fat associated with loose skin

These patients are better served with a definitive surgical procedure.

Dr. Kenkel visits with a patient at his Dallas clinic.

Dr. Kenkel visits with a patient at his Dallas clinic.


What are the 5 benefits of a neck lift?

More definitive and predictable result

You really cannot compare the result obtained from a surgical procedure to anything we can achieve with devices in the office. Surgery provides patients with a more predictable result that leads to a greater change for our patients. Surgical results can last 5 to 10 years depending on the patient and their tissues.

It addresses all components of the aging neck

There are 4 things that can contribute to the fullness of the neck:

  • Loose skin
  • Superficial and deep fat
  • Prominence to the muscle edges resulting in “banding”
  • Enlarged or droopy salivary glands

A surgical neck lift addresses each of these 4 components, whereas office-based devices can only address one of these problem areas at a time. Occasionally, heat-based devices can address loose skin and underlying fat simultaneously, but never as aggressively as surgery can. Patients of all ages request a surgical neck lift.

More limited scars

A typical neck lift involves an incision that begins at the base of the ear (lobule) and extends behind the ear and back along the hairline.  It often involves a small incision under the chin. The incisions behind the ears are nicely hidden by your hair during the recovery phase until they mature. Most of us have an old scar under the chin from a fall we have taken at some point during our childhood. These are easily concealed given their location and how well they heal. There is no stigmata or surgical appearance. Many of our patients state that people comment they look “refreshed” or like they “lost some weight.”

Quicker recovery

Most of our patients are back in public or even at work after 7 to 10 days. There is minimal swelling associated with the procedure. Occasionally, patients experience bruising in the lower neck that can be covered with camouflage makeup or more concealing clothing. Things are tight, particularly deeper in the neck, but there is no distorted appearance or significant swelling associated with a neck lift.

It’s day surgery

The procedure takes around 2.5 hours and is a day surgery. If our anesthesiologist agrees, the procedure can be done under sedation if so desired. Most of our patients prefer to be put completely asleep.  We send you home with a chin strap that you wear for most of the first week. There is a drain tube that stays in 3 to 4 days and sutures that need to come out around 1 week’s time. Once the sutures are removed, we start you on some scar cream to help with the healing process. At 2 weeks, we let you start to increase your activities. Driving can commence around 1 week’s time.

Check out the before and after photos below, or click here for the full gallery.

Neck Lift Case #252

Neck Lift Case #252

Neck Lift Case #252

Neck Lift Case #252

Neck Lift Case #252

Neck Lift Case #252

Neck Lift Case #169

Neck Lift Case #169

Neck Lift Case #169

Neck Lift Case #169

Neck Lift Case #169

Neck Lift Case #169

Neck Lift Case #170

Neck Lift Case #170

Neck Lift Case #170

Neck Lift Case #170

Neck Lift Case #170

Neck Lift Case #170

Neck Lift Case #223

Neck Lift Case #223

Neck Lift Case #223

Neck Lift Case #223

Neck Lift Case #223

Neck Lift Case #223

A neck lift can also be combined with other procedures such as a facelift, brow lift, or eyelid surgery for total facial rejuvenation. I talk about some of the procedures we often include with a facelift in this related blog post.

Are you a good candidate?

 A surgical procedure is an order of magnitude greater commitment than any office-based one.  That being said, in a healthy individual, the outcome and longevity of the procedure cannot be matched with any device-based neck treatment.  Your safety and well-being are always our primary concern.  We have an incredible team at UT Southwestern to help me care for you and get you through the procedure and its recovery.  Surgical neck lifts are a much more common request in my practice than a traditional facelift and in selected patients can provide the kind of improvement that some patients are looking for without a considerable recovery.


Remember, board-certified plastic surgeons with a focus in cosmetic surgery are best trained to care for your needs.  If you have questions about whether a doctor is board-certified in plastic surgery you can check credentials on the American Board of Plastic Surgery’s website.

If you would like to learn more about your best rejuvenation options from an experienced plastic surgeon in Dallas, TX, please contact us online or call (214) 645-3112 to request a consultation.

 

 

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