Midface Lift, Necklift
What is a Midface Lift?
A mid-face lift restores youthful vitality to the mid-face, lifting the cheeks and smoothing smile lines to achieve a natural rejuvenated look without the need to undergo a full facelift. Mid-face lifts are ideal for reducing puffiness under the eyes, improving the contour of the upper cheeks, and correcting nasolabial folds. Incisions are small and hidden in the eyelids or in the mouth. Mid-face lifts are often performed in conjunction with lower-lid blepharoplasty to rejuvenate the area around the eyes or with implants to accentuate the cheeks.
What is a Necklift?
A necklift is a surgical procedure that smooths and tightens the neck's skin, which can sag from aging or weight loss. There are usually two components to a necklift: cervicoplasty, which removes excess skin, and platysmaplasty, which removes or tightens muscles in the neck. A necklift can be performed alone or as part of a facelift. A necklift candidate is in good physical and emotional health, and has realistic expectations about the outcome of surgery. The results of a necklift can last up to 10 years.*
A necklift begins with a small, inconspicuous incision directly below the chin (platysmaplasty) and/or in front of the ear lobes, looping behind the ears and ending in the scalp near the back of the neck (cervicoplasty). Sagging skin is trimmed away and lifted during cervicoplasty; loose muscles that cause the "bands" around the neck to be prominent are tightened during platysmaplasty. In some cases, it is necessary to perform only one of the two procedures. Liposuction is sometimes used to remove excess fat; if so, it is performed before the necklift. Incisions are glued and/or sutured closed.
A necklift usually takes 2 to 4 hours to perform, and the patient is given either general anesthesia or local anesthesia with sedation. Most necklifts are performed on an outpatient basis. Bandages covering incisions are removed after a few days; sutures are typically removed after 7 to 10 days.
Recovery from a Necklift
Swelling and bruising from a necklift can last up to 10 days.* Applying cold compresses and keeping the head elevated for the first 48 hours following surgery minimizes swelling. Keeping the head still, and avoiding turning or twisting it for the first few days post-surgery, is recommended. Medication is prescribed to help alleviate discomfort.
When can I Return to Work after a Necklift?
Most people return to work and other normal daily activities within 2 weeks, after which bruising and swelling have subsided.* More strenuous activities should be avoided for 4 to 6 weeks.
Risks and Complications of a Necklift
Although rare, possible risks and complications of a necklift include the following:
- Excessive bleeding
- Tissue death
- Blood clots
- Intense itching
- Skin discoloration
- Persistent swelling
A more serious complication, also rare, is facial nerve damage that can lead to muscle paralysis.
*Individual results may vary.