Neck Lift Surgery

Neck Lift Surgery

Neck Lift Surgery : The neck area is one of the first regions where signs of aging become noticeable, and over time it significantly affects the aesthetic appearance in harmony with the face. Skin laxity, fat accumulation, decreased muscle tone, and sagging due to gravity can lead to problems such as jowling, double chin, and excess skin in the neck. This not only raises aesthetic concerns but can also make a person look older or more tired than they actually are. At this point, neck lift surgery (cervicoplasty or platysmaplasty) stands out as one of the most effective rejuvenation methods in aesthetic surgery.

In Istanbul, at his own clinic, ENT Specialist Prof. Dr. Ozan Seymen achieves natural and balanced results in neck lift surgeries by integrating the face and jawline contours with modern surgical techniques.

In this content, all topics will be covered in detail: What is neck lift surgery, how it is performed, who are ideal candidates, the recovery process, risks, and postoperative considerations.

What Is Neck Lift Surgery?

Neck lift surgery is the procedure of tightening and firming the loosened neck skin along with its underlying muscles and connective tissues, which have become lax due to aging or weight fluctuations. This operation is often performed in conjunction with a facelift surgery, but it can also be chosen as a standalone procedure focusing solely on the neck area.

The surgery not only addresses skin laxity but also tightens the platysma muscle (the neck muscle), providing a more defined jawline, a smoother chin profile, and a younger-looking neck contour.

Who Is a Candidate for Neck Lift Surgery?

Ideal candidates for neck lift surgery are individuals who:

  • Experience laxity and sagging in the neck area
  • Have fat accumulation under the chin (double chin)
  • Have a youthful upper face but an aging-appearing neck
  • Have lost skin elasticity but are in good overall health
  • Desire a more sculpted jaw-neck transition
  • Have realistic expectations

Prof. Dr. Ozan Seymen determines each patient’s suitability for this procedure through a detailed preoperative examination and evaluation, planning the most appropriate surgical approach.
How Is Neck Lift Surgery Performed?

Neck lift surgery is performed under general anesthesia and takes approximately 2 to 4 hours. While the specifics vary according to the patient’s anatomy and aesthetic needs, the basic steps are as follows:

Incision Sites: Incisions are usually made along natural skin creases extending from behind the ear to the hairline. In some cases, a small incision under the chin may also be necessary.

Release of Subcutaneous Tissues: The loosened connective tissues and platysma muscle under the skin are freed and reshaped.

Platysma Tightening: If needed, the neck muscle is sutured together at the midline—a procedure called “platysmaplasty.”

Fat Contouring: Excess fat tissue may be removed, or liposuction may be performed to improve contour.

Skin Redraping and Excision: The tightened skin is repositioned and excess skin is excised, then closed with aesthetic sutures.

Prof. Dr. Ozan Seymen ensures that each patient’s face–neck balance is maintained, aiming for results that are not only firmer but also proportionate and natural.

Recovery Process After Neck Lift Surgery

The recovery process after neck lift surgery generally progresses in a controlled and predictable manner. Swelling, bruising, and tightness in the first few days are normal and typically begin to subside within a few days, with significant improvement by 7–10 days.

Key postoperative considerations include:

  • Drain Use: Drains placed to prevent fluid accumulation are usually removed after 1–2 days.
  • Cold Compress: Regular application of cold compresses for the first 48 hours helps reduce swelling and bruising more quickly.
  • Head Position: Keeping the head elevated (especially while sleeping) helps minimize edema.
  • Pain Management: Mild to moderate discomfort is common but can be easily controlled with prescribed pain medications.
  • Suture Removal: Non-absorbable sutures are typically removed between days 7 and 10; absorbable aesthetic sutures will dissolve on their own.
  • Return to Work: Most patients can resume desk work and social activities within 10–14 days, though complete healing and final results may take 4–6 weeks.

Prof. Dr. Ozan Seymen provides each patient with a personalized follow-up and monitoring plan to manage every stage of the recovery process safely.

Postoperative Care Instructions

Preserving the aesthetic and functional results of neck lift surgery is closely related to the patient’s adherence to postoperative care. Important guidelines include:

  • No Smoking or Alcohol: Strictly avoid for the first several weeks, as they can negatively affect healing.
  • Sun Protection: Avoid direct sun exposure during recovery and use high-SPF sunscreen if necessary.
  • Avoid Strenuous Movements: Refrain from excessive facial expressions, vigorous neck movements, and bending forward for the first few weeks.
  • Hair and Shower Care: Follow the surgeon’s instructions for washing hair and showering in the early postoperative days.
  • Nutrition: A balanced, antioxidant-rich diet can accelerate healing.

Prof. Dr. Ozan Seymen offers holistic recovery guidance, considering both physical and psychological needs throughout this period.

Risks and Complications of Neck Lift Surgery

As with any surgical procedure, neck lift surgery carries rare complications, but these risks are minimal when performed by experienced surgeons.

Possible complications include:

  • Hematoma: Blood collection can occur early but is preventable with drains and compression dressings.
  • Infection: Rare and controllable with antibiotics.
  • Nerve Injury: Although extremely rare, temporary or permanent effects on the facial nerve’s lower branches may occur.
  • Poor Wound Healing: Smokers may experience delayed healing.
  • Scarring: Proper technique and appropriate suturing minimize visible scars.

Prof. Dr. Ozan Seymen minimizes these risks through meticulous surgical technique and attentive postoperative follow-up, managing any complications at the earliest stage.

Is the Result of Neck Lift Surgery Permanent?

Yes. The results are long-lasting, though because the aging process continues, a secondary procedure may be recommended in about 8–12 years.

Should Neck Lift and Facelift Be Performed Together?

Not always. However, if there is sagging in the mid and lower face, a combined procedure may be recommended for a more balanced and aesthetic outcome.

Will There Be Scars?

Incisions are concealed behind the ears and along the hairline, so scars are generally imperceptible and fade over time.

Are Non-Surgical Neck Lift Methods Effective?

Non-surgical methods (e.g., HIFU, radiofrequency) can be effective in early-stage and mild laxity. For more advanced sagging, surgical methods provide more permanent and effective results.

Will My Facial Expression Change?

No. When performed correctly, only the neck contour is rejuvenated, and facial expression remains natural.

Neck lift surgery not only addresses aesthetic concerns but also restores ideal proportions in the face–chin–neck triangle, making the patient appear younger, healthier, and more dynamic. Modern techniques used today enhance contours without disrupting the natural appearance and deliver long-term satisfaction.

In Istanbul, ENT Specialist Prof. Dr. Ozan Seymen combines anatomical expertise, surgical experience, and an aesthetic perspective to offer personalized solutions and reconstruct the face–neck balance for each patient.

If you are bothered by sagging in the neck area, double chin appearance, or a profile that does not harmonize with your face, contact Prof. Dr. Ozan Seymen to schedule a detailed evaluation and surgical planning.

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Prof. Dr. Ozan Seymen Sezen Answers Your Questions.

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MD, Ozan Seymen Sezen