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Brow Lifts and Necklifts Can Fix Droopy or Sagging Skin

The effects of gravity and time can cause sagging, drooping, or wrinkles to develop on your forehead and your neck. However, there are several procedures available to help tighten the skin on your face and neck and provide greater elasticity to your skin.

Brow Lift

You may be a candidate for a brow lift (forehead lift) if you have deep lines or creases along your forehead or if your brow sags making you look tired, sad or angry. Forehead lifts are often performed at the same time as facelifts but not always. Brow lifts or forehead lifts can be performed endoscopically or as an open procedure.

Endoscopic procedures are done using smaller incisions in the hairline and recovery is quicker with much less scarring and potential for hair loss. An open browlift is performed in some cases making the incision across the top of the scalp from the top of one ear to the other. Sometimes the incision will be made at the front of the hairline so as not to disturb the position of the hair.

The exact procedure that is right for you will be determined during your consultation. Once healed the incisions are well hidden and frequently difficult to detect at all.

Many surgeons perform brow lifts under local anesthesia with mild sedation or general anesthesia if you prefer. You may go home the same day. Most patients return to work about 1 week after the procedure and can resume normal activity within 3-4 weeks.

Neck Lift

Having a fleshy neck, otherwise known as a "turkey neck," can make some individuals feel self-conscious about their appearance. This unattractive neck appearance can be the result of such factors as aging, genetics, and being overweight, just to name a few.

Having a turkey neck has caused many individuals to seek out a plastic surgeon for a procedure that will help them enhance their appearance. A neck lift is such a surgical procedure that offers a solution.

There are two types of neck lift procedures to improve the appearance of your neck.

* Cervicoplasty: this procedure is used to remove excess skin.
* Platysmaplasty: this procedure removes or alters neck muscles.

During the neck lift procedure, excess fat and skin are removed from the neck and the neck muscles are either removed or altered. This results in a more defined neck and jawline appearance. This can be performed alone, or in conjunction with other procedures such as a facelift, liposuction or a chin implant in order to further enhance the appearance of the neck. One procedure alone like liposuction or a chin implant can bring about a better neck appearance. To find out what technique(s) can help you enhance the appearance of your neck, consult with your plastic surgeon.

Pre-surgery planning:

* The surgery usually takes two or three hours. The time will vary according to whether or not the surgeon is removing skin or fat or both and whether or not the neck lift is being done in conjunction with another procedure.
* In order to undergo a neck lift, you must be in a good general health, both physically and mentally.
* Be frank with your surgeon about what you hope the surgery will do for you. There are limitations to every surgery and a good surgeon will explain all of the risks involved to you.
* During your consultation, your surgeon will instruct you on what medications to avoid prior to your surgery.
* If you are a smoker, you must quit at least two weeks before the surgery and for at least two weeks after to ensure proper healing.
* Make sure you wear loose, comfortable clothing on the day of the surgery.

"Turkey wattle" or loose neck muscles

If you have weakened or loose muscle, this may cause the "turkey wattle" or appearance of neck bands.
Your surgeon may recommend platysmaplasty surgery to correct this. The surgeon makes incisions under your chin and/or in front of your ears to access the platysma and manipulate it accordingly. The surgeon may also use permanent sutures to hold the tissue in place.
Your surgeon may be able to use either local or general anesthesia depending on your age.

Excess fat:

Removing excess fat in the neck area is usually done with liposuction where the surgeon will make a small incision below the chin through which he or she will remove the excess fat. This procedure takes approximately an hour. Your incisions will be stitched and bandaged.

Too much skin:

When excess skin is the main reason for wanting to undergo a neck lift the surgeon will usually make incisions behind the bottom part of the ear and extend them into the hairline, trimming excess skin and lifting it into place.
It will be secured with tissue glue or stitches. This procedure is often completed in about two or four hours, depending on the complexity of your procedure. Again, the anesthesia used will be determined by you and your surgeon.

Recovery:

Patients may go home the same day of surgery. Most people return to work within a week. You need to wait for at least three weeks before you become physically active.

Complications:

* In the first 70-10 days after the surgery you will have swelling and bruising.
* You may feel tightness or tingling and different sensations including burning or pulling.
* You may also experience temporary numbness in the neck area.

Your surgeon will go over all of the risks of this procedure with you during your pre-operative appointment.

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