Necklift – Direct Excision
This 65-year-old female presented in clinic with interest in improving her neck contour. She had a history of a total parotidectomy (surgical excision of the largest salivary glands) on the left side of her cheek. This procedure exposes the facial nerve (the one that makes your face move) to increased risk during facelift. Therefore the patient elected to have her neck excised directly for improvement. This is performed in conjunction with a platysmaplasty and closed using an irregular incision referred to as a geometric broken-line closure.
The patient’s pre-surgical photos demonstrate a sagging neck skin on lateral view and the significant platysmal bands on frontal view. The post-surgical photos demonstrate the significant improvement in neck contour. Unfortunately she still has jowling as a facelift for this was too risky, but the neck result is quite good. The incision is barely visible and continues to improve if one looks closely.
