News Archives

February 2013

February 27th, 2013

Questions & Answers with Dr. Burns ~Isolated Neck Lifts~


Q: Best Procedure for Firming Neck and Chin?

I’m about to turn 50. The skin on my face is relatively firm and in great condition for my age so I don’t need a Facelift.

However, my neck and chin area doesn’t look nearly as good as my face. What are my options for firming up the neck and chin area?

A: Isolated Neck lifts

I do not believe most patients understand that the bands and looseness in the neck are connected to the face, In fact the SMAS (sub muscular aponeurotic system) is a fascia (like grissel on steak) runs from the cheekbone to the clavicle.  It is like a curtain.

It is hard to push a curtain up from below and make it look optimal. It is best to pull a curtain up from the top of the curtain, which is the face. This may not be what you want to hear, but the best way to treat the neck is a facelift in my opinion.

I see many surgeons perform an isolated neck lift because that is what patients want. However I see many patients who have such a procedure that are disappointed. In fact, I see patients who have their neck tightened toward the middle without doing a facelift. This approach can oftentimes actually bring the SMAS layer toward the middle and create a worsening of the jowl area.

I know many patients are afraid of facelifts because of a few bad results they have seen. However a well done face lift usually produces a result that is natural and youthful. A well done facelift actually should be very hard to detect. The ones that are detected are usually only the bad ones.

I would encourage you to go to an experienced Board Certified Plastic Surgeon and discover his or her approach. Thoroughly review their work in before and after photos to achieve a comfort level. Most facelift patients in my practice are extremely satisfied and have a much improved contour in the neck and face.