A necklift elevates and tightens the skin and the underlying platysma muscle to display the youthful angle of your neck and sharpen the jawline.
Necklift surgery can help young and mature patients achieve a sharper neck and jawline. All necks age with time. Some seem to do so too quickly, and this can seem out of proportion with the person’s character and vitality. Some people are born with full or blunt necks that fail to form the feminine sharp angle between their jawline and throat. Many of these unattractive genetic or ageing features can be improved with a necklift. A necklift is often performed together with a facelift to maximise the patient’s improvement in their appearance and because the procedures both use similar surgical incisions.
People seeking a necklift are often concerned by
- sagging neck skin
- looking old
- appearing fat
- heavy jowls
- an unattractive profile in photos
Dr Amira Sanki, our specialist plastic surgeon, will meet you in a 45 minute consultation. She will address your concerns about the appearance of your neck and your goals for treatment. The consultation will be performed with sensitivity to your opinions and thoughtfulness to your concerns.
Dr Sanki will help you identify the parts of your face and neck that you like and don’t like in order to determine what operation best suits you. Your skin, facial muscles and bone structure will be analysed. Clinical photographs will be taken, and analysed with you.
A necklift is an operation of moderate duration and risk and so requires a thorough medical workup beforehand. It is important to determine if you have any medical conditions that could interfere with safe facial surgery.
Written information will be provided to you, so that you can consider your options. If a necklift is appropriate the benefits and risks of surgery will be discussed in detail. You should consider neck surgery carefully, and you will have the opportunity to see your surgeon in another consultation should new questions arise after your first visit.
Face and necklift surgery are often complemented by blepharoplasty, brow lift, fat grafting and injectables. A consultation with our skin care specialist regarding your skin care regimen and non-surgical rejuvenation is recommended. It can help to deal with the superficial signs of skin ageing such as dryness, pigmentation, fine lines and rosacea.
Dr Sanki will perform your necklift surgery in a fully licensed private hospital. The procedure requires a general anaesthetic and takes between 2 to 4 hours. Local anaesthetic is also used during the surgery to minimise bruising and assist in your post-operative pain control.
There are different types of face and necklift, with the most natural result being achieved by tightening the SMAS (muscle layer of the face and neck) as well as the overlying skin. Skin only face and necklifts yield artificial, “pulled” results.
There is currently a vogue to offer simple thread inlay lifts as it is a shorter and less invasive procedure. Thread lifts can be useful, but in general the duration of effect following facelift is proportional to the extent of the original surgery.
There are three different parts of the face and neck that can be addressed, and different camouflaged incisions are used for each:
- A facelift improves the contour of your face and the wrinkles around the jawline and cheeks. It involves an incision that starts in front of the ear, curving around the earlobe and into the hair behind your ear. This allows the scars to be concealed by natural crease lines and your hair.
- For patients requiring significant contouring of their neck (necklift), the same incision is employed in addition to an incision just under the chin. This allows the neck muscle (platysma) to be tightened to restore a sharper contour between your chin and neck.
- In patients requiring the wrinkles of the eye to be addressed, the facelift incision is carried up into the hair next to your temples.
Dr Sanki is experienced in all three variations of the face and neck lift operations and will recommend which procedure you would benefit from the most.
The skin and the underlying tissues (SMAS) are elevated separately. When the SMAS is tightened it recontours and elevates the underlying fat of the face. This sunken fat is what causes jowls and the deepening of the crease extending from the nose to around your mouth (nasolabial fold). The muscle at the neck (Platysma) is tightened to help lift fallen neck fat and restore the youthful angle between the chin and neck.
All of the incisions are repaired with fine, precise suturing.
At the completion of surgery, a padded dressing is applied to your face and neck. This helps control bruising and pain and allows the recontoured tissues to adhere to their new position.
Staying in hospital for a night can make you more comfortable. Most patients are able to leave hospital within one day of surgery. Your dressing will be simplified to a compressive facial garment. Following surgery your skin will be bruised and swollen. This improves over two weeks, and can be camouflaged with makeup a few days after surgery.
Surprisingly, most Sydney necklift patients describe the surgery as uncomfortable but not painful. Your skin can feel tight, with patches of numbness and even slight facial weakness. This will improve with time. It is recommended that you rest at home for at least one week after the surgery to prevent bleeding and bruising caused by movement, and to allow your wounds to settle. The fine stitches will be removed one week after surgery, leaving thin, pink scars. With time, these scars become paler.
Our Sydney patients are able to drive approximately one week after a necklift. Usually, at one week following surgery, Dr Sanki’s necklift patients will be off sedating pain relief and will be able to comfortably turn their head to check their blind spots.
Most people having a necklift in Sydney can return to work after 3 weeks and can gently exercise after one week. You can perform stronger exercises eg heavy lifting, pilates after 6 weeks.
Dr Sanki is a Kogarah and Shire necklift specialist, and performs surgery at major hospital facilities including St George, Hurstville, Bondi Junction and St Luke’s private hospitals. She selects her hospitals based on their high standards of peri-operative care and their outstanding surgical equipment.
Dr Sanki has an all female surgical team available weekly. Surgery can be a vulnerable time for women, and having the security of an all female plastic surgery team can be comforting and reassuring. Dr Sanki’s team are not picked upon their gender, but are picked for their experience, dedication and skill.
Facial aesthetic surgery in Australia is considered cosmetic (elective) surgery and is not covered by Medicare or Private health insurance.
A necklift may sound simple but it is real surgery, and should be performed with sophisticated surgical technique for the safest and best results. It carries real risks, and as such should be considered carefully. Fortunately, necklift surgery in Sydney is safely performed by our highly experienced surgeons.
We recommend that you carefully consider your choice of surgeon. Unfortunately doctors without surgical qualifications beyond their medical degree are allowed to perform surgery. Your plastic surgeon should be appropriately qualified with at least a Fellowship of the Royal Australasian College of Surgeons in Plastic surgery (FRACS plast), which means that they have specialist plastic surgical training. FRACS is the standard qualification required in Australia to perform surgery in private and public hospitals.
Members of the Australian Society of Plastic Surgeons have a FRACS and specialised training in Plastic and Reconstructive Surgery, including facelifts.
Our Sydney facial plastic surgeon, Dr Amira Sanki is a fully qualified Specialist Plastic Surgeon. She is Australian University trained, and received honours from her medical school. She is a member of the Australian Society of Plastic Surgeons and holds the Chair for Education for the Australasian Society of Aesthetic Plastic Surgeons. She has extensive experience and training in facelift surgery, including the most advanced and up to date techniques. She is committed to giving their patients the safest and best treatment available.
The ideal candidate for a necklift alone is someone who has skin excess of the neck in isolation. Usually, the signs of ageing are apparent in both the neck and face simultaneously. A post-operative result can look more natural and cohesive if the neck and face undergo the same surgical tightening process. Your surgeon will discuss with you what will achieve the better, more aesthetic result. A neck lift alone and a face and neck lift differ only the placement of an incision under the chin to access the neck fat and muscles.
A consultation with a qualified Plastic Surgeon is the best place to get the right advice. More information on necklift is available online at the Australian Society of Plastic Surgeons and Australasian Society of Aesthetic Plastic Surgeons websites. You can view a video of the procedure there.
Plastic surgery, like any other surgical procedure, carries certain risks and potential complications. It is important for individuals considering plastic surgery to be aware of these risks before making a decision. Your plastic surgeon will explain the specific risks of your procedure and your risk profile in the context of your general health and the complexity of your procedure. Here are some of the common risks associated with plastic surgery:
1. Infection: Any surgical procedure has the risk of infection. Surgeons take precautions to minimise this risk, such as sterile operating environments and proper wound care, but infections can still occur.
2. Scarring: Scarring is an inherent risk of plastic surgery. While surgeons strive to minimise visible scarring, some procedures may result in more noticeable or keloid scars.
3. Pain and discomfort: Plastic surgery involves incisions and tissue manipulation, which can lead to post-operative pain and discomfort. The level of pain varies depending on the procedure and the individual’s pain tolerance.
4. Hematoma and seroma: Hematomas are collections of blood that can form under the skin after surgery, while seromas are collections of fluid. These fluid collections may require drainage.
5. Nerve damage: Nerves can be damaged during surgery, leading to temporary or permanent numbness, tingling, or loss of sensation in the affected area. Nerve damage can also cause muscle weakness or paralysis.
6. Blood clots: Surgical procedures carry a risk of blood clot formation, particularly in the legs. Blood clots can be serious if they travel to other parts of the body, causing complications like pulmonary embolism.
7. Anesthesia risks: Plastic surgery usually requires the use of anesthesia, which carries its own set of risks. These include adverse reactions to anesthesia, breathing difficulties, and, in rare cases, life-threatening complications.
8. Unsatisfactory results: Plastic surgery outcomes may not meet the patient’s expectations or desires. It’s important for individuals to have realistic expectations and to communicate clearly with their surgeon about their goals and desired outcomes.
9. Revision surgery: In some cases, additional surgery may be required to achieve the desired results or to correct any complications or unsatisfactory outcomes. This can increase the financial and emotional burden on the patient.
10. Psychological and emotional effects: Plastic surgery can have psychological and emotional impacts, both positive and negative. While many people experience improved self-esteem and body image after surgery, others may struggle with unrealistic expectations, body dysmorphia, or dissatisfaction with the results.
11. Facial nerve palsy: There are rare reports of damage to the facial nerve that lies deep to the layer tightened by a plastic surgeon that might be inadvertently bruised or cut during surgery.
It’s crucial for individuals considering plastic surgery to consult with a qualified and experienced plastic surgeon who can thoroughly explain the risks and benefits specific to their desired procedure. Understanding and carefully weighing these risks against the potential benefits can help individuals make informed decisions about whether to proceed with plastic surgery.