Loose, sagging, wrinkled skin under your neck can be the result of aging, sun-damage, tobacco use, heredity, or weight loss. As the population ages, face and neck lift surgery (called rhytidectomy) has become the third most desired facial plastic procedure. With facial aging, the skin and tissues lose volume and loosen on your face and neck. Crow’s feet around your eyes and forehead lines also appear and deepen while your jawline becomes undefined and jowls begin to form. Lines in the front of your neck occur and laxity in skin, muscle, and fat under your chin leads to the appearance of multiple chins. Relaxation of neck muscles can result in vertical bands running from your chin to the base of your neck and neck fat tends to descend and pooch, even without aging. Unfortunately the fat under your chin is often hereditary and unaffected by dieting and weight loss. Younger individuals may derive benefits from isolated liposuction since their tissues are still elastic and can conform to the new thinner contour of the neck following fatty tissue removal. Older individuals however, who have undesirable excess fat and flaccid neck muscles, may require a neck lift or facelift following liposuction to re-drape and smooth out your redundant midline neck skin.
Your neck is one of the first features to give away your age. The goal of neck lifting is to improve your overall facial appearance while obtaining a youthful and natural look. This procedure can be beneficial for patients in their 30”s to their 80”s. A Necklift cannot stop the aging process; however it can reverse some of the telltale signs and many patients experience increased self-confidence as a result of this procedure. Cosmetic surgery should be a rewarding experience that leaves you looking great and feeling more confident. At Neo Surgery Center, Dr. Brent Moelleken, M.D., F.A.C.S., can restore your firm, smooth neckline and help you look years younger. A plastic and reconstructive surgeon with offices in Beverly Hills and Santa Barbara, California, Dr. Moelleken is double board certified by the American Board of Surgery and American Board of Plastic Surgery and specializes in cosmetic surgery. He received his premedical, medical, and surgical training at Harvard University, Yale University, UCSF, and UCLA.
Dr. Moelleken has pioneered several innovated and trademarked procedures including: USIC® and LUSIC® Ultrashort incision Cheeklift procedures; the 360 Facelift® a natural 3-D facelift procedure; the Hybrid Tummy Tuck®, a short incision, full tightening tummy tuck procedure; LiveFill®, a lip and facial augmentation, all natural facial fillers using natural fat; and the Neck-Lace®, an interlacing technique to rejuvenate the neck. He is one of three surgeons in the world to complete the yearlong Aesthetic Surgery Fellowship at UCLA. He is a Fellow of the American College of Surgeons (FACS) and a member of the American Society of Plastic Surgeons (ASPS), The American Society for Aesthetic Plastic Surgery (ASAPS), Who’s Who in America, Who’s Who in the World and numerous medical and scientific organizations. He has been selected by Who’s Who in America’s Top Plastic Surgeons, Top Doctors in Los Angeles, America’s Top Surgeons, and by Vogue Magazine as one of the Top 10 Plastic Surgeons in America.
During your confidential consultation, Dr. Moelleken will examine the structure of your face, skin texture, color, and elasticity. He will then conduct a thorough medical history to determine if you are a good candidate for a Necklift surgery. Expectations and recovery time-frame will be discussed and Dr. Moelleken will answer any questions or concerns you have regarding the procedure. We all know the value of an attractive face however, most of the time it is not the actual beauty of a person’s face that is attractive but the confidence that person carries. With something as valuable as your face, facial cosmetic surgery is one of the most important decisions you will ever make. Dr. Moelleken understands that everyone’s perception of beauty is different and that is why he devotes so much time and energy to every one of his patients. In doing so, he can truly understand your desires and develop a unique and customized treatment plan just for you. When you cross through the doors at Neo Surgery Center, you should know that by placing yourself in the hands of a dedicated professional like Dr. Moelleken will ensure that you once again regain the confidence you need to feel beautiful. He will do whatever it takes for you to leave feeling grateful you trusted him and made the decision you did.
Over the years, most people become unhappy with the laxity of neck structures or the fullness in their neck area. Your face is the most prominent part of the image you display to the world. It is both your most visible and most valuable personal asset and the focal point for all interactions, especially first impressions. Like most cosmetic surgeons, Dr. Moelleken takes tremendous pride in his work and is committed to delivering exceptional results. His advanced techniques are unique because they dramatically improve the safety and comfort of anyone who chooses him for their plastic surgery. Besides his impeccable results, what makes Dr. Moelleken truly special is his hands-on personal approach to your treatment. There are a number of treatments available to enhance the appearance of your neck. They range from very minimal, in-office procedures with no down time, to more invasive surgery requiring anesthesia and time off for recovery.
The Neck-Lace® procedure helps increase the firmness of your neck and involves a small incision just under your chin area. A technique similar to liposuction is used to take out deposits under your jaw that cause the sagging of your skin and when removed, this helps improve the tightness of your skin. Liposculpture is performed on the submental and jowl region as well and the incision is usually about one inch or less. The Neck-Lace® Procedure involves extensive tightening of the muscle with no volume reduction and no cutting of the platysma, which Dr. Moelleken believes to be a part of premature aging. Recovery is typically one to two weeks depending on your specific treatment method and your body’s capacity to heal. If you do not have loose skin but you still have bands in your neck, you will still look tired and worn out. For women who do not yet need a facelift, Dr. Moelleken will perform a Neck-Lace using the same incision underneath your chin but instead of just tying the muscles together in the center, he actually ties them more widely almost like tying your shoe in an inner lacing stitch. This results in better correction of the muscles below your neck.
Neck lifts are often performed in conjunction with other procedures although they can be performed alone. Techniques are typically combined to address all of your specific issues and during your consultation, Dr. Moelleken will explain what would be most appropriate for you.
Some of the combination procedures include:
Neck-Lace Procedure with Face and Neck Lifting:
With the more extensive tightening of the platysma muscle and the tissues above the glands, this procedure is exceptionally powerful at rejuvenating your neck without removing any volume from the platysma muscle. Liposculpture of the submental and jowl region and the upper neck is performed before the Neck-Lace Procedure. Dr. Moelleken believes this will be new “platinum standard” with superiority of corset platysmaplasty and Face/Neck lifting alone.
The 360-Facelift® Neck-Lace Procedure with Bidirectional Face and Necklift, LiveFill® and Ancillary procedures:
This procedure is for patients who want complete rejuvenation of their face. It combines Dr. Moelleken’s signature LiveFill® graft insertion into your lips, nasolabial folds, marionette lines (and other customized areas); his signature Neck-Lace procedure for additional neck tightening; his signature USIC (Ultrashort Incision Superficial Cheeklift) procedure for under your eyes and cheeks (using fat preservation or redistribution of lower eyelid fat, or LiveFill® grafts in patients with lower eyelid hollowness); a complete bidirectional face and neck-lift procedure with 100% volume retention (NO SMAS removed); cheek augmentation with superior vector SMAS transfer; an upper lip lift (gull wing); subcutaneous minimally invasive Brow lift, central minimally invasive nerve-sparing brow muscle reduction, upper blepharoplasty, and conservative laser resurfacing when required.
The skin of your cheek and anterior (front) neck is comprised of three interconnected layers.
The three layers of the facial skin are:
The SMAS has multiple fibrous extensions that attach through the subcutaneous fat to the superficial epidermal-dermal layer of the skin, and these connections cause the three layers to move together as a unit. The SMAS attachment to the epidermal-dermal layer is particularly notable at the lines on each side of the upper lip and mouth or the nasolabial creases.
Additionally, there are other options available to rejuvenate your face and neck including:
Radiofrequency Techniques: Minimally invasive devices such as radiofrequency (RF) and (Thermage, Polaris, Re-Firme) can be used to heat you skin, produce new collagen, and tighten your skin.
Submental Liposculpture: When fat reduction is needed, liposuction or liposculpture of the area beneath your chin (submental region) or the jowls can be performed. This procedure can often be performed under local anesthesia. The incision is a small, under the chin, and the size of the cut is approximately ¼ inch or less. Healing time is usually three days and includes wearing a dressing.
Wide Submental Liposculpture: Fat reduction and sculpting is performed through a small ¼ inch or less incision below your chin in the submental area and in the jowl and neck region. Recovery usually takes five days before you can resume your normal activities.
Corset Platysmaplasty with Liposculpture: This technique often combined with liposuction or liposculpture involves suturing together the plastysmal muscles. This smoothes your neck and this technique is stronger than liposuction or liposculpture alone. However, it works best in patients who do not have a significant amount of skin laxity. The incision is usually one inch or less long under your chin. Recovery is typically five to seven days before you can resume your normal activities.
Corset Platysmaplasty with Liposculpture Plus Face and Neck Lifting: This is a more powerful treatment, achieving the smoothing of your neck and jawline. Incisions are behind the tragus (bump in front of your ear), below your earlobe, and behind your ear itself, and then into your hairline. Recovery is typically 7-10 days before you can return to your normal routine. This is currently the gold standard for rejuvenation of the face and neck.