Case Studies Direct Neck Lift

  • Before
  • After
  • Before
  • After
  • Before
  • After

Chief Complaint

“I feel that my sagging eyelids and neck make me look older than I feel. I don’t like the thought of being put to sleep. So what can we do to make me look better that is affordable and easy? ”

Assessment

The patient has significant upper eyelid skin laxity. Her eyelid function and vision are otherwise normal. Her neck has a substantial degree of skin laxity, platysmal bands and poor skin elasticity. The remainder of her facial examination is not relevant, as she did not want to address anything else at the time.

Procedures

In the office procedure room, using local anesthesia, the patient had an upper eyelid contouring procedure (blepharoplasty) and a direct neck lift in which the excess skin of the midline neck was removed and the platysma muscles sutured in the midline and tightened. Upon closure of the operative site in the central neck, a Z-plasty was created to break up the vertical component of the straight line scar to optimize healing.

The patient is shown at 6 months after surgery. Her upper eyelids now have a pleasing contour with an appropriate amount of upper eyelid show and improved peripheral vision without an unnatural, surprised look and her neck contour is youthful and attractive.  he scars are subtle and will continue to improve  with time. Furthermore, the resultant midline neck scar is well hidden in the shadow of his chin making it even less noticeable.

  • Before
  • After
  • Before
  • After
  • Before
  • After

Chief Complaint

 

“I am an airline captain and when in uniform, I dislike that my neck hangs over my shirt collar. Also, my eyelids feel heavy”

The patient is a man in his early 60’s who wants to address his two concerns but wants to “keep it simple” and avoid general anesthesia if possible.

 

Assessment

The patient has significant upper eyelid skin laxity. His eyelid function and vision are otherwise normal. His neck is both heavy and has a substantial degree of skin laxity resulting in a loss of an aesthetically pleasing neck contour. The remainder of his facial examination is not relevant, as he did not want to address anything else at the time.

Procedures

In the office procedure room, using local anesthesia, the patient had an upper eyelid contouring procedure (blepharoplasty) and a direct neck lift in which the excess skin and fat of the midline neck were removed and the platysma muscles sutured in the midline and tightened. Upon closure of the operative site in the central neck, a Z-plasty was created to break up the vertical component of the straight line scar to optimize healing.

The patient is shown at 6 months after surgery. His upper eyelids now have a pleasing contour with an appropriate amount of upper eyelid show and improved peripheral vision without an unnatural, surprised look and his neck contour is youthful and attractive.  The scars are subtle and will continue to improve  with time. Furthermore, the resultant midline neck scar is well hidden in the shadow of his chin making it even less noticeable.

  • Before
  • After
  • Before
  • After
  • Before
  • After

Chief Complaint

 

” I hate my sagging neck. It makes me feel old”

The patient is a woman in her mid 70’s who is oxygen dependent due to chronic obstructive pulmonary disease (COPD) and is not a candidate for elective general anesthesia. She is extremely unhappy with the appearance of her neck and hoped for a corrective procedure that could be done safely and quickly with local anesthesia.

Assessment

The patient has only a small amount of fat excess in her neck, however, there is a very significant degree skin laxity, platysma muscle separation and poor skin elasticity. The remainder of his facial examination is not relevant, as she did not want to address anything else at the time.

Procedures

In the office procedure room, using local anesthesia, the patient had a direct neck lift, in which the excess skin and fat of the midline neck were removed and the platysma muscles sutured in the midline and tightened.  Upon closure of the operative site in the central neck, a Z-plasty was created to break up the vertical component of the straight line scar to optimize healing.

The patient is shown at 6 months after surgery. Her neck contour is dramatically improved and attractive. The scar is subtle and will continue to improve  with time. Furthermore, the resultant midline neck scar is well hidden in the shadow of his chin making it even less noticeable.