The best way to rejuvenate the neck is with a face lift. In some people only the neck may need rejuvenation. However, to achieve the best result and improve the jaw line, frequently the cheek needs to be addressed as well. As one ages there are many changes that the face undergoes. The skin loses its elasticity and begins to sag. Areas of fullness such as the cheek begin to fall which causes jowls, deep creases near the mouth, and loose skin. In addition, the structures deep to the skin also fall including the muscles and fatty tissues.
A true lift involves resuspending these tissues back into their more youthful position. The keyword there is resuspension. Unfortunately, everyone has seen the "wind blown" or "operated" look which is created by "pulling" the face. Gravity did not pull the face and neck forward, it pulled them downwards. Dr. Guy creates a natural, rejuvenated look by resuspending the tissues into their more youthful position.
There is a muscle that encircles the front of the neck called the platysma muscle. With youth, the leading or front edges of the muscle are held together by a nice tight membrane. As time goes on and gravity kicks in, this muscle begins to weaken, as does the membrane holding them together. This manifests itself as the neck bands that extend from the chin to the breast bone/clavicle. When these bands first appear they can be corrected with a neuromodulator like Botox or Dysport. As time goes on, the best treatment becomes surgery. Any neck lift operation will address these bands in some manner. For widely spaced bands, these are sometimes trimmed called a platysmal myectomy. As the bands get closer together, these can either be trimmed or the leading edges can be sewn together called a platysmaplasty. The only drawback to the platysmaplasty is that it tends to lead to a little fullness in the middle of the neck, on occasion can lead to a little ripple, and it pulls the neck forward when the rest of the neck lift is pulling backwards. The other part of the neck lift operation is suturing the back end of the platysma muscle to another muscle farther back in the neck. This is what really lifts the neck and involves incisions behind the ear into the hairline.
As a double board certified, fellowship trained facial plastic surgeon, Dr. Guy has been trained extensively in the various surgical approaches for rejuvenating the neck to give you the best aesthetic outcome which can be discussed in consultation.