Plastic Surgery For The Aging Neck

As one looks in the mirror (or pictures) and sees loose skin and loss of a once-sharp neck angle, this is a sure sign that we are beginning to age. I have observed that these neck observations are very disturbing for many middle-aged and older patients.

Progessive fullness of the neck, loose sagging skin, the development of vertical banding, the numerous horizontal wrinkles that appear low in the neck and the loss of a good sharp neck angle all capture the eye of the patient and others as well. These neck changes rank right up there with aging around the eyes as the most concerning facial aging concerns to most patients.

Like the rest of medicine, it is important to determine what the anatomic problems are in the neck to match up the best operation to improve it. Younger patients often just have some beginning neck fullness and a little bit of jowling. Simple liposuction and a little jowl tuck-up may be all that is needed in these younger patients. In some of these cases, I have used LipoDissolve injections alone and have gotten a good result if the patient can tolerate the temporary swelling that comes after eacj injection session and the 3 to 4 months to get the final result. A more complete facelift (neck-jowl lift) is more appropriate in the older patient with more loose saggy skin. This is where sitting down with your plastic surgeon and going over your concerns with the aid of a mirror is so important. The selection of which operation is best for you will depend on a good understanding on your part of what do you want to see changed and what are you willing to go through to get it.

There are some different considerations in the male aging neck. Due to the male beard pattern and a greater tendency towards more skin excess, the typical facelift incision used in females may need to be altered. Also, the thicker and heavier skin of the male predisposes them towards some skin relaxation in the neck after surgery. Men also have a much greater aversion to major facelift surgery and may opt for an alternative procedure known as a direct neck lift. This procedure dramatically reshapes the neck and can produce a very sharp neck angle...but at the cost of a midline neck scar from below the chin down to the adam's apple. For some older men this may be a good trade-off and this scar usually turns out fairly well due to how better hair-bearing skin heals scars.

In the aging neck, a young patient may be able to get by with some limited procedures such as lipodissolve, liposuction, skin tightening device treatments, or some limited neck manipulation. In the older aging neck (> 50 years old), the amount of loose skin will require more invasive facelift approachs for significant improvement.

Article Source: http://www.articlegoldmine.com

Plastic surgeon, Dr Barry Eppley, operates his private practice at Clarian North and West Medical Centers in suburban Indianapolis. He writes daily about plastic surgery topics on his blog, www.exploreplasticsurgery.com

Please Rate this Article

5 out of 54 out of 53 out of 52 out of 51 out of 5 

Not yet Rated