How to define and tighten the neck area

When it comes to facial rejuvenation, the neck is increasingly at the center of attention. Excess skin, wrinkles, and vertical lines that appear in this area over time contribute to giving the whole face a tired and aged look. The skin of the neck is very thin and more prone to sagging, thinning, and wrinkles. Neck imperfections do not depend solely on age but can also be the result of genetic or pathological factors.

The surgical techniques for a neck lift are varied: liposuction for excess fat, lifting for skin laxity, platysmaplasty for unsightly vertical bands. It is important to choose the most appropriate procedure, or combine it within a broader program (face and neck lift), to achieve natural and long-lasting results.

Liposuction: this is the most suitable procedure in cases of fat deposits that often blur the contours of the neck and chin. It can also be useful prior to a neck or facelift to facilitate the lifting of tissues. The surgeon makes a small incision under the chin so that the scar is invisible. As a single procedure, it can be performed in day surgery, under local anesthesia, and takes about 1 hour. It can represent the only procedure needed to reshape the contours when the skin is sufficiently elastic.

Cervicoplasty: this is the ideal procedure in cases of excess skin and tissue sagging to redefine the jawline. The surgeon makes an incision around the ear, and possibly also under the chin, so that it remains as hidden as possible. The skin is then lifted in the direction of the incision and the excess is removed. The treatment may last from 2 to 4 hours, depending on the amount of excess skin, and is often performed during a complete facelift. After surgery, a compression bandage should be worn for about a week.

Platysmaplasty: particularly suitable for correcting vertical bands of the neck caused by the relaxation of the underlying muscle, the platysma. These lines represent the edges of the muscle that have separated, exposing, in men, the Adam’s apple. Incisions are made in front of the ears and under the chin, providing access to the muscle bands. When performed as a standalone operation, it can be done in day surgery under local anesthesia or mild sedation and takes about 1 hour. An innovative technique involves a network of sutures that support the neck tissues against sagging.

Choosing the right type of procedure is crucial to achieving results that are complete, natural, and long-lasting. The effects generally last for many years.

Contraindications and side effects: after the procedure, bruising and swelling may occur and generally persist for 5–7 days.