For some people there is an increase in vertical banding or horizontal creases in the skin of the neck as they get older. This often causes the development of a “turkey neck,” “turkey wattle” or a double chin. Most people assign blame to drooping skin, but the problem is actually coming from a drooping muscle called the platysma which runs along the front of the neck under the skin. This muscle is what we use when we grimace or strain.

Sagging of the neck may be due to age but may also be a result of significant weight loss or extended exposure to the sun, or simple heredity. Dr. Farias addresses sagging necks through a surgical procedure designed to tighten the platysma muscle. Using a small incision underneath the chin, he removes excess fat and uses permanent sutures to bring the platysma muscle back together.

Platysmaplasty is often performed in conjunction with a facelift, although it may also be a stand-alone procedure.

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Most neck lifts are performed on an out-patient basis. The procedure takes about two to three hours, under general anesthesia. After surgery, your surgeon will place a pressure dressing that will wrap around your head and underneath your chin.

Your neck will feel tight and sore as the anesthesia wears off. Dressings may be removed after just a few days, but your sutures will remain in place for 7 to 10 days.

Most patients can return to non-strenuous work after 5 to 10 days. You will also have to sleep with your head elevated for one or two weeks.

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