Neck lift (platysmaplasty) is an aesthetic surgical procedure performed to correct sagging and wrinkles in the neck caused by aging, genetics, or weight loss. During this procedure, the platysma muscle under the neck skin is tightened, and excess skin and fat tissue are removed to achieve a younger and tighter appearance. Thanks to small incisions made under the chin and around the ears, scars remain minimal. The recovery process generally varies between 1-2 weeks. However, rare risks such as infection, scarring, or nerve damage exist. Therefore, choosing an experienced surgeon is critical for success.
The development of neck lift surgery has paralleled advancements in facial aesthetics. In the early 20th century, aesthetic surgical applications were limited to removing excess skin. One of the first examples was performed in 1901 by Eugen Holländer, who achieved facial contour improvement by removing skin segments around the ears. This period, due to its skin-focused approaches, was called the “skin-only” era.
The 1970s saw revolutionary innovations in facial aesthetics. During this period, the concept of the Superficial Musculoaponeurotic System (SMAS) was defined, providing a better understanding of facial anatomy. In 1976, Mitz and Peyronie detailed the SMAS layer, pioneering the development of facial and neck aesthetic techniques targeting deeper tissues. The subfascial dissection method introduced by Tord Skoog in 1974 allowed for the elevation of the SMAS layer together with the skin, resulting in more natural and longer-lasting results.
In the 1990s, Sam Hamra’s deep plane facelift technique aimed to reposition facial and neck tissues as a whole. This method offered more durable and effective results, particularly in the neck region. In recent years, minimally invasive techniques have come to the forefront, with innovative methods such as the Serdev Sutures® developed by Nikolay P. Serdev providing neck and facial rejuvenation without large incisions.
Neck lift surgery continues to evolve with modern technologies and anatomical understanding, achieving increasingly successful results.
Who is a Neck Lift Suitable For?
A neck lift (platysmaplasty) is an ideal surgical option for individuals seeking to address aesthetic issues in the neck area. Especially those who experience significant neck deformities due to aging, genetic factors, or weight loss may opt for this procedure. The following conditions are the most common reasons for seeking a neck lift:
Loss of skin elasticity with age or significant weight loss resulting in noticeable sagging in the neck.
Deformities seen as vertical bands in the neck due to weakening or separation of the platysma muscle.
Fullness in the neck caused by fat accumulation under the chin that disrupts neck aesthetics.
Loss of sharp contours between the chin and neck, softening the neck outline.
Early signs of aging or structural irregularities in the neck area due to genetic reasons.
Loose skin and muscle deformities left in the neck after significant weight loss.
Aesthetic differences caused by irregularities in skin and muscle structure.
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Neck lift surgery is an effective procedure for patients seeking aesthetic rejuvenation and tightening in the neck area. However, certain health criteria must be met for this operation to be performed safely. Active infections or skin diseases in the treatment area constitute a contraindication for surgery. Similarly, patients with respiratory tract infections and those in the exacerbation phase of chronic diseases are not suitable for this procedure.
Individuals with bleeding disorders (e.g., hemophilia) face increased risks during the procedure, making it risky. Patients using anticoagulants or antiplatelet medications may need to temporarily discontinue these due to the increased risk of bleeding. Additionally, systemic diseases such as viral hepatitis, HIV infection, or active cancer must be considered due to potential complications during recovery.
Moreover, individuals with autoimmune diseases, a history of poor wound healing, or a tendency for keloid formation may not achieve satisfactory surgical results. Women who are pregnant or breastfeeding are not suitable candidates due to hormonal and physical changes that may affect the operation. If non-dissolvable fillers or implants have been previously placed in the area, this may complicate surgical planning.
Relative contraindications include uncontrolled hypertension, heart diseases, kidney failure, and other medical conditions that pose a risk for anesthesia. Therefore, a detailed preoperative evaluation should be performed, and each patient should be assessed individually.
How is a Neck Lift Performed?
A neck lift procedure is performed with a surgical approach to correct signs of aging and deformities in the neck area. This procedure is carried out according to a detailed plan tailored to the patient and generally includes the following steps:
Anesthesia Selection:
The procedure is performed under anesthesia to ensure patient comfort. The type of anesthesia used is typically intravenous (IV) sedation or general anesthesia. This choice depends on the patient’s general health condition and the surgeon’s recommendation.
Incision Techniques:
Incisions vary depending on the extent of corrections required during the operation:
Traditional Incision: Begins along the hairline and extends around the ears. With this method, the surgeon accesses underlying tissues to tighten the platysma muscle and remove excess skin.
Mini Incision: For less extensive corrections, small incisions are made around the ears. This method provides a faster recovery process but offers limited results.
Submental Incision: For localized problems under the chin, a small incision is made to remove excess fat and tighten muscles.
Tightening the Muscles (Platysmaplasty):
One of the key components of a neck lift is reshaping the loosened platysma muscle. The surgeon stabilizes this muscle with sutures to achieve a younger and smoother appearance in the neck.
Removal of Excess Fat:
Excess fat in the neck area is removed through liposuction or direct surgical excision. This creates a more defined neck contour.
Removal of Excess Skin:
The skin is carefully stretched over the underlying structures, and excess skin is removed. Achieving a natural appearance is prioritized during this process.
Closure of Incisions:
Incisions are carefully closed with sutures or skin adhesives. The surgeon positions the incisions in natural skin folds or around the ears to minimize visible scarring.
What are the Side Effects of a Neck Lift?
A neck lift is a procedure aimed at improving aesthetic appearance, but like any surgical intervention, it carries certain risks and side effects. These side effects can vary depending on personal health status, surgical technique, and the recovery process. One of the most common side effects is swelling and bruising after surgery, which usually resolves on its own within a few weeks. Some patients may experience tightness, tingling, or numbness in the neck area during the postoperative period. These sensory changes are usually temporary but may rarely become permanent.
Scarring is inevitable due to the incisions made during the operation. In a neck lift, scars are usually located under the chin or around the ears, minimizing their visibility. These scars typically fade within 12-18 months as part of the natural healing process. However, genetic factors or inadequate wound care may cause scars to remain more prominent. In such cases, corrective treatments or laser applications may be needed.
A rarer complication is nerve damage, which can affect the control of facial muscles and cause temporary or permanent difficulties in smiling or frowning. Nerve damage is usually temporary, but in rare cases, it may be permanent, making treatment more complex. Additionally, complications such as subcutaneous fluid accumulation (hematomas) or infections may occur. Infections can usually be controlled with antibiotics, while a hematoma may require drainage.
Postoperative skin sensitivity, numbness, or discoloration may occur. These effects usually resolve over time but may remain permanent in some individuals. Serious but rare risks include allergic reactions to anesthesia and deep vein thrombosis (DVT). Following the surgical team’s instructions carefully is essential to minimize these risks.
How Successful is a Neck Lift?
A neck lift is one of the aesthetic surgical procedures that yield highly successful results in terms of patient satisfaction. According to evaluations on the RealPatientRatings platform, 94.4% of 3,005 patients reported satisfaction with their neck lift procedure. Similarly, 92% of patients who underwent this operation on the RealSelf platform stated that the results were “worth it.”
A study published in the Aesthetic Plastic Surgery journal examined patient satisfaction rates following a neck lift using FACE-Q scales. The study showed that patients felt they appeared an average of six years younger after the surgery, and this positive perception lasted for six to twelve months. Additionally, neck lifts performed with minimally invasive techniques reported similarly high satisfaction rates. For example, laser-assisted neck lift procedures achieved a 95% patient satisfaction rate due to their rapid recovery process and minimal discomfort.
The success of the surgery depends on various factors, including the surgeon’s experience, the techniques used, and the patient’s anatomical characteristics. Moreover, realistic patient expectations and thorough discussions of potential risks are essential for both satisfactory results and a safe recovery process. Therefore, it is recommended to consult a qualified plastic surgeon for a comprehensive evaluation.
How to Prepare for a Neck Lift?
Preparing for a neck lift involves not only a surgical intervention but also physical and emotional preparation. This preparation is critical to enhancing the success of the operation and facilitating the recovery process.
First, a comprehensive medical evaluation is mandatory. This evaluation is conducted by a certified plastic surgeon. The patient’s medical history, current health status, and aesthetic goals are thoroughly discussed. During this process, the surgeon assesses the neck anatomy and skin quality to determine suitability for surgical intervention. Information about medications, supplements, and vitamins being used is also requested. Especially medications that increase bleeding risk may need to be discontinued before the surgery.
Smoking and alcohol consumption are significant factors that can negatively affect recovery both before and after surgery. Smoking patients are asked to quit at least four to six weeks before and after the operation. Smoking slows wound healing and increases the risk of complications. Similarly, alcohol consumption should be stopped at least a week before the surgery, as alcohol can interact with anesthesia and complicate surgical processes.
Dietary adjustments are also part of the preparation phase. A balanced diet rich in vitamins, minerals, and proteins is recommended to support skin regeneration. Additionally, drinking sufficient water increases the body’s healing capacity.
On the day of surgery, patients are instructed not to wear makeup, facial cream, or lotion. Comfortable clothing, especially buttoned models, is recommended as they can be easily worn and removed without harming the surgical area.
How to Care After a Neck Lift?
Appropriate post-operative care is crucial for accelerating the recovery process and minimizing complications after a neck lift. In the first days after surgery, swelling, bruising, and mild pain in the neck area may occur. To alleviate these symptoms, it is recommended to keep the head elevated, especially during sleep, by using extra pillows to keep the head above heart level.
Pain management should be achieved with medications prescribed by your doctor. Avoid medications such as aspirin and ibuprofen that may increase bleeding. Wound care is critical in preventing the risk of infections. Follow your surgeon’s instructions carefully for changing dressings regularly. Keeping the wound area clean and dry is vital in preventing infections. If drainage tubes are used, they are usually removed within a few days, and you should closely follow your surgeon’s instructions during this period.
Avoid heavy physical activities during recovery, but support circulation with light movements. In the first week, it is recommended to take short walks at home to avoid immobility. From the second week onwards, you can resume your daily activities under your surgeon’s guidance. Protecting scars from the sun is important; the use of high-SPF sunscreen is advised.
Attend all follow-up appointments on time to monitor your recovery process closely. If you notice unusual swelling, redness, or signs of infection, contact your healthcare provider immediately. Following your surgeon’s instructions meticulously ensures both safe and successful recovery.
How much does a Neck Lift cost in Turkey?
An average Neck Lift cost in Turkey is between 2,500€ to 4,000€.
All-Inclusive Neck Lift packages include;
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Turkey has become a great destination for deep plane facelift and neck lift abroad . It performed more than 553000 aesthetic surgeries in 2023. This has been increasing yearly. India is one of the top ten countries in the world when it comes to facelift. Turkey welcomes more than 1.2 million international patients in its medical tourism sector alone, with many guests being cosmetic surgeries. In view of the considerable number of plastic surgeons in the nation and its high density of cosmetic surgery clinics, it is emphasized that the country is a leader in aesthetic surgery. Additionally, the access and exchange rates of Turkey are also suitable for patients worldwide and offer affordable treatment.
Receiving a deep plane facelift and neck lift in Turkey is considered safe, provided your clinic is accredited and your physician is certified. Turkey has high healthcare standards and most patients are satisfied with their results. In fact, many commend the skills of Turkish surgeons and the quality of care they receive. Being a surgery, it is important to do thorough research and choose an accredited facility and a good surgeon for the safety of the individual. Also, keep in mind that there can be complications when opting for medical treatment abroad. Consulting geographical medical professionals can help.
Having a deep plane facelift and neck lift overseas can be beneficial. Almost 97% of patients are satisfied with the results. Many patients say that after surgery, they appear up to six years younger, with results lasting about 10 years. Countries renowned for clinical tourism like Turkey, Hungary and Poland perform a lot of cosmetic surgeries every year which helps them achieve high success rates. Countries that provide modern facilities with the latest technology and highly experienced cosmetic surgeons. These experts may be accredited by organizations such as the Joint Commission International (JCI) or the International Organization for Standardization (ISO). Moreover, patients get the chance to indulge in new experiences before or after their treatment by combining it with luxury vacation. Although, one must keep in mind the risks like the hematoma formation being much more in deep plane facelifts as compared to SMAS plication techniques. The recovery time can be a bit different for everyone. Most people manage to get back to work and socialize within 3 to 4 weeks. However, it may take a few months for them to feel completely better. Do the research and consult with qualified personnel to ensure it is safe and satisfying.
If you’re planning a deep plane facelift and neck lift in Turkey, you ought to plan to stay, at least, 10 days to 14 days in Turkey. This time frame allows for the process, recovery, and required medical recheck before coming back home for healing. Most recoveries involve wearing a compression garment and neck support for the first 1 to 2 weeks. This will manage swelling and drain fluid. Most people must not go back to work for at least two weeks and not do strenuous work for about six weeks, depending on how you’re recovering and your job. Swelling and bruising usually go away in about seven to ten days but complete healing can take four to six weeks. Following your surgeon’s instructions post-operatively is very important for your recovery and results.
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