We inform patients that it can take up to 6 months to see the final results of their procedure. Considerations include the amount and location of excess cervical adiposity, the presence of jowling, severity of dynamic and static platysmal banding, and the distance between the medial platysmal borders (< or >2 cm; Fig. The decision to open the neck is determined preoperatively based on the presence of cervical skin laxity and is accessed via a 3–4 cm incision marked 1–2 cm posterior to the submental crease. Dr. Pitman: The patient gave no history of having had a parotidectomy. You may shower and shampoo after the dressings are removed. Farmington, Connecticut Facelift | Connecticut Facial Plastic Surgery. In the grimace picture, she has no significant banding. All patients receive 2 mg of midazolam in the preoperative holding area.
For aging around the eyes, we can pair a facelift with an upper or lower blepharoplasty, which are types of eyelid surgery. Prevention of acute hematoma after face-lifts. Vascularized membranes determine the anatomical boundaries of the subcutaneous fat compartments. With minimal scarring and short recovery periods, a neck lift could provide you with an improved look to your neck without extreme disruption to your routine. At least 3 mm of subcutaneous fat is left on the skin to maintain flap vascularity and to prevent contour irregularities. In contrast, long faces with narrow bimaxillary width, jowling, and redundancy medial to the lateral canthus require extended skin undermining for more complete release of the mandibular septum, zygomatic, and masseteric retaining ligaments for proper skin redraping and medial SMAS advancement (Fig. Avoiding surgery in high-risk patients (ie, nicotine product users) and maintaining at least 3 mm of fat on the skin flap undersurface prevent the majority of cases. General anesthesia is preferred. I suspect it may be fat. Puckering under chin after neck lift surgery. Accessed October 14, 2018. She had a very small scar in her submental crease. Conservative management is used. LaFerriere is also correct in that some of the marginal or cervical branches of the facial nerve lie in the subplatysmal plane just superficial to the thin gland capsule, and if the surgeon is not careful the capsule can be easily torn in some cases with possible injury to a nerve branch. For persistent areas of induration and if the seroma cannot be aspirated, injections of Kenalog 10 mg/ml diluted with 1% lidocaine injections are used.
Facelift complications and the risk of venous thromboembolism: a single center's experience. Dr. Feldman: It is never just skin when it hangs over the jawline like that. Keep your head elevated and still as much as possible during the first part of your recovery to reduce swelling and maximize your results. If the irregularities in the neck completely cleared when simulating a face lift pull, I would probably not go into the neck either. The previous facelift resulted in issues with the mouth, ears, or hairline. We'll meet with you throughout recovery to answer any questions and ensure that healing is progressing as expected. There is a real or apparent midline submental hollow between the chin and the hyoid. It is not the kind of very lax, or crepey, or weathered skin that generally does not shrink down well. The previous facelift resulted in asymmetry. The avoidance of an occipital component to the incision also preserves a better blood supply to the neck skin flap. How to Take Care of Your Face After a Facelift. However, I do think improvement could be achieved, using relatively conservative measures.
I would make a submental incision in the submental skin crease, clean it up, and suture the platysma together. Learn more about your options for facelift surgery by contacting Connecticut Facial Plastic Surgery at (860) 676-2473. The decision of which SMAS technique to use is somewhat a topic of debate, including SMAS plication, 44 SMASectomy, 10, 45 extended SMAS flap, 19 high SMAS, 46, 47 and deep plane 32, 48 techniques. There's not much we would recommend for laser treatments here, but we would normally recommend everywhere else. Neck rejuvenation through the lateral platysma window: a key component of face-lift surgery. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Beer GM, Goldscheider E, Weber A, et al. The Pros and Cons of the Different Types of Neck Lifts. But if I were feeling and looking at the skin, and it is thin, I would do a subSMAS dissection with the skin attached instead of raising a skin flap or a separate SMAS flap. Quality Medical Publishing.
It is important to avoid lifting heavy items (including children and pets) for the first few weeks. Further, this particular method of a neck lift may be best suited for individuals with low skin elasticity, leading to sagging of the skin. If the digastrics were big, I would shave them down with electrocautery and then put the platysma edges together securely with a corset platysmaplasty to obtain a smooth and flat submental plane. If it is fat, you could get by very well with lipoplasty, and I also would undermine her skin. The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. She had face and neck surgery 16 years ago (of an unknown type) and reported a history of skin slough in her left lower cheek and upper neck. High blood pressure or other circulatory disorders. While patients do experience bruising from this procedure, it is usually mild and on the neck and underneath the ears. In smokers, urine nicotine metabolites are tested 1 month before surgery to confirm abstinence. Puckering under chin after neck lift cost. The two bands evident under the chin could be skin bands rather than platysma muscle bands, especially because she does not have platysma function on the right.
Any scars resulting from the procedure are hidden under the chin or around the contours of the ears. It is very easy, it is dry, and you see everything you are doing. I would address all of those problems in a secondary procedure. Chin strap after neck lift. Attitude and expectations. The Necklift Plus combines Dr. Yang's traditional Necklift with a Mini-facelift (also known as a lower facelift). Results are long lasting, and many patients enjoy the results from their procedure for many years or even decades.
Dr. LaFerriere: I would be somewhat guarded. Loss of facial muscle tone. Yang undermines tissue in the lower face and red drapes the skin, thereby addressing wrinkles and jowling. To schedule your consultation with Dr. Seeley or Dr. Karter in Farmington, CT or Hartford County, call our office at (860) 676-2473. SPECIAL CONSIDERATIONS. If partial resection of the glands, for some reason, was not appropriate, I would do a careful intracapsular mobilization of the superficial lobes and then attempt to tuck the glands up and under the mandibular border using stout vertical submandibular platysma muscle pleats executed in conjunction with a corset platysmaplasty. 68 year old female before and 2 months after mini lateral neck lift (2 small 1 cm incisions).