A neck lift, or lower Rhytidectomy, could be a surgical treatment that improves visible signs of aging in the jawline and neck, such as:
Many individuals neglect the appearance of their neck; however, the neck is one of the first places where signs of age start to show. Additionally, sun damage or extreme weight loss may contribute to the skin on a person’s neck looking loose, sagging, and aged. While we go to great measures to preserve or improve the appearance of our facial skin, it is equally important to tend to the neck. If your neck skin appears to have lost its natural elasticity and sags, or if there is excess skin or fat that you wish to remove, the best option is neck lift surgery.
The loss of young contours within the face and neck can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress.
Some people feel they are not ready for a full facelift because the upper face is still pleasing. However, several patients can note excess wrinkling of the neck skin, a “turkey wattle” or chin, and jowl lines.
When the neck space doesn’t match the higher facial appearance, a neck lift may be a good solution
4 Best Methods of Neck Lifting/Rejuvenation
Rejuvenation procedures that may be performed in conjunction with a neck lift are: a brow lift, to correct a sagging or deeply furrowed brow, fat transfer, to add fullness to the lips and cheeks and reduce the appearance of wrinkles, or eyelid surgery, to rejuvenate aging eyes.
Medications are administered for your comfort during the surgical procedure. The choices comprise intravenous sedation and general anesthesia. Your doctor will recommend the best alternative for you.
Depending on the degree of modification you’d wish to see, your neck lift choices include a traditional neck lift incision or a limited incision neck lift.
A traditional neck lift incision often begins in the hairline at the level of the burnside, continues down and round the ear and ends in the posterior hair. Fat could also be graven or decentralized from the jowls and neck. The tissue underlying the neck skin is repositioned, and normally the facial muscle is tightened. Skin is redraped over the elated contours and excess skin is trimmed away. A separate incision below the chin is usually necessary for liposuction of this area and for repair of the muscle. Sutures or skin adhesives shut the incisions.
A limited incision neck lift may involve incisions only around the ear. While the incisions are shorter, the results are also restricted.
Incision lines are closed with sutures and perhaps skin glue. Sutures may be dissolving or may have to be removed after some days. Once cured, the incision lines from a neck lift are usually well hidden within the hairline and in the natural contours of the ear.
The visible improvement of a neck lift appear as swelling and bruising subside. Your final result should not only restore a younger and rested appearance, but also helps you feel more confident about yourself.
With in the lower third of the face, the mentalis and platysma are easily treated with Botulinum toxins. Despite the fact that the platysma is not technically part of the lower third of the face, the muscle functions as a depressor of this region and its treatment greatly impacts the overall aesthetic of the entire face.
Newer modalities of radiofrequency, fractional resurfacing and laser are able to change the texture and color of the neck..Combining these with injections of botulinum toxin offers the opportunity to dramatically improve an area that has traditionally been recalcitrant to rejuvenation.
As with other Botulinum toxin treatments, proper patient selection is important when injecting the neck.
Description for the treatment of the platysmal area with Botulinum toxins
The platysma, as it invests the inferior sternum also give rise to wrinkles of the decollete. This area is one of the most frequently cited for cosmetic enhancement. Botulinum toxins have been successfully used to smooth this area.
Radiofrequency has been utilized for cosmetic enhancement of the neck with varying degrees of success. Recent advantages in the settings used for this treatment and improvements in the tips have enhanced the ability of these devices to treat the neck successfully. When used in conjunction with Botulinum toxins, they may help to create a smoother contour of the neck as the toxins reduce the bands formed formed by the platysma.
Liposuction is a minimally invasive technique to reduce the fat in the neck. Following this procedure, the muscular bands may become more prominent. Botulinum toxin may be injected in this scenario to minimize the appearance of these bands, which may have been camouflaged by the adipose. It is likely that many patients undergoing liposuction of the neck will want to have this area treated with Botulinum toxins for optimal outcomes.
Treatment of Neck Laxity with Radiofrequency and Infrared Light
Neck laxity may increase with due to progressive prominence of platysmal bands, loss of bony mass along the mandible and mental region, increased subcutaneous fat and loosening of the connective tissue framework. Additionally photoaging may result in progressive solar elastosis, which may contribute to rhytides, laxity and poor texture.
Important limitations to treatment include the anterior location of the thyroid and parathyroid glands, which must be shielded from deeply penetrating wavelengths.
The increased scarring risk on chest secondary to pulsed light indicates a potential increased scarring risk on the inferior aspect of neck as compared to face, thus necessitating greater care and lower fluences in this region.
In the vast majority of cases, a minimum of three treatments are required to achieve significant tightening, though some patients opt to pursue as many five treatment sessions.
The level of patient satisfaction has varied depending on the technology and protocol used between 30 and 70%.
Method of Device or Treatment Application
Dab with alcohol then remove the marking paper.Commence initial treatment level at 362.0 for the 3.0 cm2 ThermaTip TC. apply coupling fluid and deliver application of energy to assess pain tolerance. Titrate the setting based on patient’s heat sensation feedback. Current recommendations are to perform several (4-6) passes at lower settings within each treatment area before treating the next area.
Skin tightening technologies do not require postoperative care. Postoperative erythema is good moisturization only expected and typically dissipates over minutes to hours.
Minimally-Invasive Radiofrequency can also be used.
Treatment Of Neck Laxity with Therapeutic Ultrasound
Ultrasound represents sound waves above the capacity for human hearing (16 kHz)
Ultrasound may also be applied by a variety of means including curved transducers or phased arrays that enable focusing of the waves. This method of application is known as High Intensity Focused Ultrasound (HIFU). Depending on how these waves are focused, small, high-energy foci can be created at variable depths within tissue that result in coagulative necrosis and cavitation. THis technique was first described in the mid 20th century and has subsequently been used clinically.
As high-energy sound waves propagate through tissue a certain amount is absorbed by the tissue. This mechanical energy is converted into thermal energy causing selective tissue necrosis in a well defined area, at a specified distance from the transducer. This depth depends on the size of the transducer, the frequency of the waves, and their angle of incidence. The ability to tailor the depth at which this coagulation occurs establishes the basis for HIFU as a potential means of noninvasive skin tightening. HIFU has been shown to elevate the brow and cause clinically appreciable results for facial rejuvenation.
Generally, higher frequencies are used for more superficial effects compared to lower frequencies which may penetrate tissue more deeply. The Ulthera System and the Hironic can administer ultrasound at 7 MHz on the neck to target the mid to deep reticular layer of dermis and subdermis, sparing the overlying papillary dermis and epidermis. This device is specifically designed for the treatment of the dermis in comparison to previously available HIFU devices, which facilitates fat reduction. Based on the biophysical properties of the skin tissue, rapid heating of this focal zone to greater than 60 degree C results in rapid denaturation of collagen, producing controlled regions of coagulative necrosis with an approximative volume of 1 mm3.
The ensuing wound healing process will promote new collagen production.
Patient History and Clinical Examination
Candidates for therapeutic ultrasound to the neck are patients who do not have active systemic or local infection including labial HSV or folliculitis. Additionally patients should not be on anticoagulants and should have not taken isotretinoin with past 6 months.Patient’s expectations must be addressed. The ideal candidates for this procedure are those with mild jowling, neck, sagging and rhytides. Patients with severe neck laxity should be counseled that the desired effect may be beyond the capacity of this modality and offered full disclosure of surgical and nonsurgical options. Patients with obvious submental fat pads should be considered for liposuction before undergoing ultrasound therapy.
Because the zones of thermal injury are delivered to the mid-to -deep reticular dermis, patients are usually treated without any topical anesthetic prior to performing the procedure.Oral premedication with pain medications or benzodiazepines is seldom necessary.
The patient should be in supine position to enable access to the neck and submental regions. Cool ultrasound gel is applied onto the transducer handpiece. Then the transducer is placed firmly on the targeted skin surface, and pressed firmly to the skin surface.
Firing is then initiated. Erythema if observed in comparison to the deeper transducers resolves in 20-40 min after the procedure. Handpiece is moved approximately 2-3 mm up the neck before firing it again. This is repeated until the entire neck and submental areas have been treated. Typically two passes on either side of the trachea is sufficient. The submental area can be treated with one pass over the center of the submental area or bilateral passes that merge as we move the handpiece anteriorly. If the external jugular vein is appreciated this area is avoided.It is important to document how many lines were applied to ech side of the neck to ensure an even application of the device and prevent asymmetry. This ultrasound device therapy can be repeated every 30-45 days for up to three treatments. To obtain optimal results from subsequent treatments, patients may be recommended to wait at least 90 days for new collagen to be formed.
Practice gentle skin care. Patients may follow -up for additional treatments if they are desired.
As with other non invasive devices that cause collagen remodelling the patient should be counseled that changes to the collagen and thus, clinical improvements in neck laxity may take up to 3 months to observe. This improvements may persist for up to 10 months.
The early experience looks promising for non surgical neck rejuvenation. The treatment is well-tolerated with mild intraprocedural pain, and transient redness and swelling. Ultrasound can be uses to penetrate deeper into the skin without significantly injuring superficial skin layers. The safe and effective treatment settings have been defined.
Meeting with Dr satya is just like talking to an old friend..very war hearted person and explained the procedure with utmost details. Never had any apprehensions regarding surgery...... Was an experience and have gained confidence in myself Regarding my looks and would recommend everyone whosoever is planning or even thinking about it..... Please go ahead in the guidance and care of Dr.satya Saraswat.. ;-).........- Dr. Anurag -