Gravity is the most important cause of sagging on our face. Our skin becomes loose over time due to genetic factors or excessive weight gain and loss. These loosening of the skin result in downward displacement of the lines in the forehead and mid-face area. In the lower face and neck area, excess skin causes distortion of the face shape, we call this 'distortion of the facial oval'. The angle between the bottom of the chin and the neck flattens, causing the person to look older, especially in profile. Fat deposits under the chin, which we call 'jowl', may also accompany this.
In cases where the fat deposits on the neck are tense and the patient is young, liposuction (fat removal by vacuum) It can be resolved by . Patient selection and the surgeon's experience are very important in this regard, because the neck skin is thinner than the facial skin and is very prone to sagging when the fat inside is drained. According to my personal experience, men are luckier in this regard because their skin is thicker and they tolerate liposuction better than female patients. Even if they are young, patients with a large amount of fat tissue under the chin are candidates for neck lift surgery in the same session to eliminate the excess skin that occurs after liposuction. It should be evaluated as.
Neck lift surgery is generally performed as a continuation of face lift surgery. Sometimes, the problem on the face only belongs to the lower face, in which case a neck lift is planned.
Neck lift surgery is one of the plastic surgeries in which the scars can be best hidden, provided that good planning is made. In my personal technique, I do not prefer incisions that pass in front of the ear. I start the incisions on the inward side of the external ear canal and move from around the earlobe to just behind the ear, so that it is possible to hide the scars even in the first days. In order to ensure that the neck lift surgery is effective and the results are durable, I shape the loosened muscles and fascia of the neck under the skin with thin suspension stitches towards the back of the ear, in a sense, a corset is applied to the neck. Afterwards, the excess skin is removed and the skin is closed with absorbable stitches, so no stitches are required. A drain is placed behind the ear to be removed the next day.
There is a saddle on the neck. If the bands starting from the bottom of the chin and going downwards are evident, then these bands are loosened with a 2-3 cm incision made just below the tip of the chin. The superficial muscles that have moved away from each other are brought back together to the midline (platysmaplasty), leaving the neck taut and perfectly contoured. It is provided.
It is necessary to restrict smoking, aspirin and vitamin E use for about 10 days before the surgery. The surgery is performed under hospital conditions with general anesthesia or local anesthesia accompanied by sedation. Postoperative pain is minimal, some patients feel slight tension. The special brace-corset worn after the surgery should be used until the next check-up 4-5 days later. Since drains will be removed the next day, it would be appropriate to stay in the hospital for 1 night.
It is possible to return to work and social life 1 week after neck lift surgery.
The outcome of the surgery and the durability of the result depend on the technique applied. Generally, the results of surgeries in which only the skin is stretched are far from natural. It is possible to claim that the 'corset platysmaplasty' technique I apply is aesthetically superior and has a permanent effect for at least 10 years, and sometimes for life, depending on the skin quality of the patient.
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