The neck is an area that is frequently neglected but one of the first spots to show the signs of aging. This occurs for several reasons. First, the skin begins to lose its elasticity. This allows the skin in the area to start hanging higher up and becoming more crepey lower down. As the muscle in the neck, known as the platysma, begins to weaken the front edges of the muscle show through. This is what causes the neck bands to show through. Taken together these can both lead to advanced signs of aging in the neck, even when the face maintains a youthful appearance.
The gold standard to address the neck is a true neck lift. This typically involves an incision below the chin to allow access to the neck area. This allows the muscle bands to be addressed as well as any fat in the area. Once this area has been tightened, the skin is then redraped by making incisions along the hairline and behind the ear for camouflage. However, this approach is not for everyone. For those patients with very short hair, those with hair loss, and those who don’t want the downtime of a traditional lift, there is another option.
The direct neck lift involves removing skin directly from the mid portion of the neck. The technique used by Dr. Guy is frequently referred to as the Grecian urn as that is the shape of the removed portion. It involves an incision below the chin and another one connected to it down the middle of the neck. This allows for the direct removal of the extra skin and fat of the neck and tightening of the platysma muscle. As it does involve an incision in the middle of the neck, this technique is frequently reserved for older males as the quality of the skin and the hair bearing skin tend to cause the scar to be almost imperceptible. The nice part about this technique is it is performed under local anesthesia in the office and only takes about an hour to an hour and a half. It also has minimal downtime compared to a traditional neck lift with much fewer limitations. Find out if this is right for you with a consultation today!