Are you unhappy with your neck do to excess sagging skin, excess fullness, or maybe feel as if you have a double chin? If yes, than you are not alone! The neck is an area that concerns many patients and Dr. Jason specializes in helping achieve a smooth, younger looking neck. For the aging patient, skin excess is inevitable over time and a common complaint among patients that come see Dr. Jason. Even at an early age, some patients have noticed a fullness with or without excess skin, commonly referred to as a “double chin,” that bother them. Another common complaint among patients in the neck are “plastysmal bands”. These tend to occur in aging patients and are related to a thin muscle just deep to the skin called the “platysma” which tends to pull away from the deeper structures of the neck over time. An easy way to see and feel your platysmal muscle is to bite down and make a frowny face that pulls down your lower lip. This muscle can form vertical bands in the neck over time and distort your once youthful neckline. Therefore, there are 3 main issues that can addressed with the neck lift procedure: 1) Skin excess or sag, 2) Excess fullness from fat, and 3) Platysmal bands.

Neck lift procedures can include anything from simple liposuction to address excess fullness in the neck not associated with platysmal bands and/or skin excess, anterior neck lifts which requires a small incision below the chin and can address platysmal bands and fullness, to a formal neck lift which addresses all 3 issues: skin excess, excess fullness from fat, and platysmal bands. The formal neck lift, requires an incision behind the ear and into the scalp and/or hairline similar to a facelift. The incisions generally heal well and are very difficult to see , particularly in females who tend to wear their hair down. In males, another option, called a Direct Neck Excision or Neck Z-plasty, is to remove the excess skin directly at the neck within their beard line.  Dr. Jason Roostaeian believed this is a very effective technique but has a slightly higher risk of a visible scar.

During your consultation, Dr. Jason Roostaeian will guide you through neck lift procedure options and surgery processes, while answering any questions and/or concerns you may have. He will listen to what your are looking to achieve with the surgery in order to deliver the highest quality, natural-looking enhancement you desire.

Neck Lift Surgery Facts

facelift-necklift-los angeles+ Length Of Neck lift Surgery: 1-4 hours depending on the technique; Neck liposuction 1hr, Anterior Neck lift/Platysmalplasty 2 hours, Formal Neck lift 3-4 hours, Direct Neck Excision or Neck Z-plasty in males 2 hours.

+ Anesthesia: Typically general anesthesia. Local anesthesia with IV sedation is also possible.

+ Length Of Stay: A single overnight stay is highly recommended for formal neck lift surgery patients only. The Surgery Center at UCLA is the only place in Los Angeles that allows you to have your surgery followed by a monitored overnight stay with a registered nurse (R.N.) in the same facility. Not to mention, that UCLA’s world class hospital ranked “Best in the West” according to the U.S. News and World Report for the last 2 decades, is next door in the rare event of an emergency.  This allows for a safer surgical experience which is one of the main reasons Dr. Jason is proud to be on faculty at UCLA.

+ Neck Lift Recovery: Initial mild to moderate discomfort; up and about within by the next day; wash hair in one to two days; stitches removed at 1 week; swelling, bruising mostly gone by two weeks; back to work with makeup, two weeks; avoid any exercise or significant increase in your heart rate for 2 weeks.  Full effect and return to full activity at 3 months.

+ Neck Lift Scars: Inconspicuous scarring, mostly concealed in the hair, behind the ear, or in natural facial creases.

+ Neck Lift Recovery: Initial mild to moderate discomfort; up and about within by the next day; wash hair in one to two days; stitches removed at 1 week; swelling, bruising mostly gone by two weeks; back to work with makeup, two weeks; avoid any exercise or significant increase in your heart rate for 2 weeks. Full effect and return to full activity at 3 months.

Top 10 Neck Lift Procedure Questions


1. I am only 45 years old, can I be a good candidate for a neck lift?
As the saying goes, “age is but a number” and facial aging is no different. There are many factors involved with how your face ages, both your genetics and environmental exposures play a crucial role. Therefore, there is no particular age that one should wait before considering a necklift. The procedure is effective for anyone who feels as though they have either 1) Skin excess, 2) Excess fullness from fat, and/or 3) Platysmal bands.


dr. jason plastic surgery2. What should I ask during my consultation to find the right doctor for me?
You should look at the plastic surgeon’s before and after photos critically and decide whether you like their sense of aesthetic. Cosmetic surgery is an art and therefore you want to find a doctor that matches your taste so to speak. During your consultation, Dr. Jason Roostaeian will guide you through neck lift procedure options and surgery processes, while answering any questions and/or concerns you may have. He will listen to what your are looking to achieve with the surgery in order to deliver the highest quality, natural-looking enhancement you desire.

3. What kind of neck lift is best for me? Dr. Jason tailors each procedure to your individual needs. If you only have excess fat under the neck, than liposuction or Kybella injections can be great options. If you have platysmal bands, than a small incision under the chin and/or behind the ears is required to address this. If you have excess skin than an incision behind the ear (or directly at the neck within the beard line if you are a male) is required.

4. If I plan to lose weight, should I wait to have my neck lift? If you plan to lose a significant amount of weight in the near future then Dr. Jason recommends to wait to have your neck lift until your weight has been stable for 6 months. Patients with massive weight loss, are common candidates for neck lifts as their once very full face and neck deflates and leaves behind a lot of excess skin. Smaller changes in weight (<25 lbs), however, will likely not affect the result.

5. How long will the effects of a neck lift procedure last? The result of a neck lift is considered by most to last approximately 5-10 years. While a neck lift, does not stop the aging clock but is a great way to set the clock back a number of years. It is rare for patients to request another neck lift procedure before 10 years.

neck-lift-los-angeles6. I have been considering additional procedures (rhinoplasty, facelift, fillers, breast augmentation, etc.). Can I have multiple procedures done at the same time? It is possible to have multiple procedures done at the same time. For instance, including a brow lift and/or eyelid procedure (blepharoplasty) to a neck lift is very common. However, it is important to keep the planned operating time to less than 6-8 hours in order to optimize your safety. In most cased a neck lift is usually included in a facelift procedure and is done at the same time and included in the one price. Make sure to let Dr. Jason know exactly what you would like to achieve and he can recommend the best procedure(s). 

7. How can I control swelling after facelift surgery? Swelling is normal following a neck lift surgery. Some measures to reduce the amount of swelling include: a) Try to keep your head above the level of your heart at all times for the first 2 weeks. Do not sleep with your head resting on multiple pillows as this will flex your neck and cause bleeding and/or bunching of the neck skin. Dr. Jason recommends a large wedge that elevates your back and your head. b) Use cooling measures such ice water soaked gauze or ice water in a ziplock for the first 48 hours. Your skin should just feel cool to the touch. Avoid anything completely frozen such as gel packs as this can cause damage to your skin. c) Avoid activities that involve bending over or straining. You should also minimize your salt intake as much as possible after surgery. Ideally you should ingest no more than 2 grams per day for the first 3 months after surgery. d) Dr. Jason also will also prescribe a Medrol dose pack to help reduce your inflammation and swelling from surgery. All of these measures combined will help minimize the amount of swelling you encounter following surgery.

8. How long will it take to heal (aka when will I be ready for a special engagement) after a neck lift surgery? For a scar to fully heal it takes at least 6 months to a year. Over this time you will see your scars become less visible, they will lighten in color and become softer to the touch. Most patients feel comfortable to attend any special engagements by 4-6 weeks as the majority of swelling has gone down and the scars can be easily concealed with make-up.

9. When can I start working out again after neck surgery? For the first 2-3 weeks following surgery, you want to avoid straining (lifting anything more than 5 lbs), or getting your heart rate/blood pressure up as this can lead to bleeding. After 2-3 weeks you should avoid mechanical forces that will stress or put tension on your healing incisions for 3 months. This means you should avoid high impact activities that lead to excessive movement of your neck, such a running. If you feel up for it, after 2-3 weeks, Dr. Jason Roostaeian recommends starting with the seated stationary bicycle which is low impact and minimizes movement of your head and neck.  Listen to what your body is telling you at all times, for instance stop the workout if you experience any new discomfort in your face or neck. Remember, getting plenty of rest and reducing your overall activity will give you time to heal and speed up your recovery.

10. When can I go back to work after getting a neck lift surgery? It really depends on what you do for work. If you have a desk job you can typically return to work after 1 week. If your profession is more physically demanding,  Dr. Jason recommends to wait at least 2-3 weeks before returning to work. Remember, you do not want to strain or lift anything that weighs more than five pounds for the first 2-3 weeks.

NonSurgical Neck Lift Options

double chin Kybella  los angelesIf you are not ready for a neck lift surgery then there are some nonsurgical options available in order to pause the so called “clock”. If you suffer from excess fat in your neck & want to find a solution to get rid of your double chin then call or contact Dr. Jason Roostaeian’s office today to inquire about a new FDA approved injectable called Kybella. Kybella is the first FDA approved injectable drug to improve the appearance of the jaw line by dissolving excess fat underneath the jawline, often referred to as a “double chin”. For more in depth information about Kybella please Dr. Jason’s article, What is Kybella? New Nonsurgical Treatment to Get Rid of “Double Chin”.

During your appointment, Dr. Jason will thoroughly discuss the different treatment options you are a candidate for, both surgical and non-surgical, and answer any questions you may have.

UCLA Neck Lift Consultation

UCLA-Plastic-Surgery-LobbyLobby1If you are considering neck rejuvenation in Los Angeles, please come in for a consultation with Dr. Jason at UCLA Division of Plastic and Reconstructive Surgery in Westwood, UCLA Medical Center in Santa Monica or his prime Beverly Hills Office. Click here to book a consultation or call 310.825.8827.

At your neck lift consultation, Dr. Jason will listen closely to what you are looking for and what look you are trying achieve with a neck lift procedure. You will have the opportunity to thoroughly review Dr. Jason Roostaeian’s work and see whether the results of his natural looking neck lifts are what you are looking for.

About Your Neck lift Surgery

Dr. Jason’s Pre-Operative Neck lift Do’s and Dont’s:
Avoid smoking cigarettes, wearing a nicotine patch or using nicotine gum three weeks prior and three weeks after surgery. All nicotine products inhibits circulation and slows your healing process.

TWO WEEKS BEFORE SURGERY

+ Do not take aspirin or any aspirin products. These medications cause bleeding which can lead to complications. You may only use Tylenol.

+ If you are using Retin-A, discontinue use two weeks prior to surgery date. Do not recieve a dermabrasion, chemical peel, or laser, within five days prior to your surgery date.

+ Do not take Vitamin E  (it will cause you to bleed more).

+ Surface skin breakouts (rash, fever blisters, pustules, etc.) on your face or body may cause your surgery to be cancelled.  Call us immediately so you can be treated and avoid surgery cancellation.  Also, call if you develop a fever or any illness.

+ Make arrangements for someone to drive you home after the doctor sees you the day following surgery.

+ It is extremely important that we are informed about any medications or supplements that you are currently taking such as diet pills, mega doses of vitamins, prescriptions for depression, etc., Dr. Roostaeian and your anesthesiologist need to know every medication that is in your system.

 THE DAY BEFORE + THE DAY OF SURGERY

+ Shampoo your hair and body with an antiseptic soap the night before surgery. We prefer you to use Hibiclens (sold at most drug stores) to wash your hair, face, and body (avoid the eyes) the night before and/or morning of surgery.

+ Do not eat or drink anything (not even water) after midnight.  The morning of surgery you may take your regular medications such as blood pressure, heart, thyroid, etc. with a small sip of water.

+ Leave all your jewelry at home, including any body (pierced) jewelry.  Do not wear contact lenses- not even extended wear.   Remove all makeup.  Do not apply lotion or creams.   Bring a robe, gown (one that will slip easily over your head or one that buttons up the front) and slippers.

+ DO NOT “WORKOUT” THE DAY BEFORE OR THE MORNING OF SURGERY.  This will dehydrate your body and you will not be able to replenish it with water. 

+ Foods with Very Low Salt- you want to really minimize salt, ideally to less than 1-2 grams per day, as this will help reduce your swelling. You want to maintain the low salt diet for at least 6 weeks and ideally for 3-6 months.