Facelift Frequently Necessary to Address A Loose Neck, Raleigh, NC*

Many patients come in with a primary concern about of the appearance of their neck: loose skin, extra fat and separating underlying muscles can lead to an unsightly neck which is often termed the "turkey gobbler". However addressing the neck alone without treating the entire face can lead to disharmony of the face. Procedures to address the neck alone are useful for patients without significant jowls or lax facial skin. But a full facelift is frequently necessary to achieve a more comprehensive rejuvenation. This 61-year-old woman complained of the appearance of her neck primarily but also was unhappy with her extra skin on her upper eyelids. She underwent a full facelift which includes a neck lift as well as upper blepharoplasty. Recovery is generally about 2 weeks away from appearance in public followed by several more weeks before feeling more comfortable In social situations. Incisions typically are made in the hairline in front of or into the ear and behind the ear and into the hairline. A small sub-mental incision under the chin is also common and is not noticeable. The patient was very pleased with her improvements. Minor degrees of laxity under the neck and face can be treated in the future with noninvasive procedures such as Sofwave-an advanced ultrasonic energy device to tighten skin, as well as radiofrequency micro needling and even light lasers to maintain the results.