Necklift [ Platysmaplasty ]

What Is A Necklift
Depending on your individual concerns, there are a different types of necklift procedures to choose from that can help improve the appearance of your neck:

It is common to combine a necklift procedure with other cosmetic surgery such as a facelift, chin lift or any procedure that improves the jawline, jowls and cheek area, which might involve liposuction.
During a necklift, one-inch incisions are strategically placed under the chin and/or behind the ears to tighten up neck muscles that have become loose over the years. Patients with greater laxity may require a longer incision behind the ears.
The procedure, usually performed under local anesthesia with IV sedation, first releases the muscle from the skin before the neck muscles are pulled tight. After the skin is tightened, excess skin is eliminated through additional incisions around the ear. This can provide a very dramatic improvement to the neck, and it’s frequently performed as part of a facelift.
A cheek lift and necklift—in which lax muscles are tightened and elevated to a more youthful position—combined with liposuction along the jawline can permanently restore definition to the lower face.
Excess neck skin removal (called cervicoplasty) is performed by making an incision under your chin and behind the ears. The surgeon will then cut back and lift the skin, which will be secured with permanent sutures or a special type of permanent adhesive glue.
Another necklift procedure, platysmaplasty, is performed to reduce the banded appearance of the neck. During the procedure, incisions will be made under the chin or behind the ears, or both. The surgeon will then insert a tiny instrument to either remove a portion of specific neck muscles or realign them, which will tighten the middle area of the neck. As with a cervicoplasty, your doctor will suture areas of the muscles in order to clasp them in the best position.

This Information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX.

What to Expect From a Neck Lift

A Neck Lift is a set of procedures to enhance the appearance of your neck. Procedures can include:

  • Removing excess skin
  • Removing or altering neck muscles
  • Liposuction to remove excess fat
  • Botox injections to address problems with fullness or “bands”

doctor checking patient
Know Your Goals
You must be in good health to get a neck lift. You’ll consult with your surgeon in advance. For that meeting, have your goals in mind for what you want to change.
Here are some of the most common concerns that are addressed with a neck lift:

  • Turkey wattle neck
  • Excess fat
  • Too much skin

Your Consultation
During your consultation, you should go over your goals and learn about the options:

  • Turkey Wattle: Your surgeon may recommend surgery, which involves making cuts under your chin or behind your ears or both to access a neck muscle called the platysma. Sometimes, that may even mean removing some muscle. Instead of surgery or in addition to it, Botox injections can relax parts of the platysma that are responsible for the “band” appearance or look of fullness.
  • Liposuction:  During liposuction, your surgeon will make a small cut below your chin and remove excess fat. If you are also getting other procedures, it is very common for cosmetic surgeons to begin with liposuction. You will be able to determine this with your doctor during your consultation.
  • Too Much Skin on Your Neck: Your surgeon will trim parts of the skin and lift it into place, securing it with tissue glue or stitches.


This Information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa

A recent article in Bloomberg Business discusses how people who suffer from an unsightly double chin may not need to contort their head, neck and face into funny positions to try to work off the extra roll if U.S. regulators sign off on a new drug.
Kythera Biopharmaceuticals Inc.’s experimental drug is injected into fat under the chin. The drug is a version of deoxycholic acid, a molecule that occurs naturally in the body to help destroy fat.

Kythera Biopharmaceuticals Inc. aims to bring true, rigorous clinical science to cosmetic dermatology with prescription drugs that modulate novel biological pathways in aesthetic and restorative indications.

The injection is still not approved by the U.S. Food and Drug Administration. A panel of outside advisors and academics will discuss whether the FDA should approve the first-of-its-kind treatment on March 9. The agency doesn’t have to follow the panel’s recommendation.
Kythera, based in Westlake Village, California, says the drug, ATX-101, contours the chin without affecting surrounding tissue. Injectable drugs like Allergan Inc.’s Botox and dermal fillers aren’t approved to fix fat and loose skin under the chin, making ATX-101 potentially the first injection for the area to hit the market if approved.

ATX-101, is an adipolytic agent discovered at the Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center (LA Biomed) and identified by Munshi. Adipolytic therapy, dissolving fat by injection, has been used for several decades, primarily outside of the US, but the products used are unregulated; thus there has been no real understanding of their mechanism of action.

Chin augmentations were the fastest-growing category of plastic surgery in the U.S. in 2011, according to an analysis by the American Society of Plastic Surgeons. There were 20,680 chin procedures in 2011, and they grew more than breast augmentation, Botox and liposuction treatments combined, according to the society.
The FDA is scheduled to rule on the drug by May 13. It would be Kythera’s first product for sale, and could generate $505 million in sales in 2020, according to data compiled by Bloomberg.
The drug has been tested on 1,600 patients in clinical trials, more than 90 percent of whom maintained a meaningful reduction of fat after two years, Kythera said on its website.