Facial Plastic Surgery: Edward Szachowicz, MD
4999 France Ave. S., Suite #210
Minneapolis, MN 55410
Phone: (952) 835-5665
Monday – Friday: 9:00 a.m.–5:00 p.m.

Understanding the Deep Neck Lift: A Transformative Procedure

Facial Plastic Surgeon, Dr. Szachowicz, shares insights into the specialized procedure known as the deep neck lift. This advanced technique is not only about aesthetic enhancement but also about understanding the unique structural elements of the neck that contribute to its fullness. In this Q&A article, we explore what a deep neck lift entails, how it differs from traditional methods, the procedural steps involved, and the recovery process.

What is a Deep Neck Lift?

The deep neck lift is a tailored surgical approach designed to enhance the jawline and neck contour, particularly useful for individuals with a naturally full or heavy neck. This condition often begins as early as puberty and is characterized by several anatomical factors:

  • Small Jaw or Weak Chin: Sometimes caused by earlier orthodontic treatments that limit jaw growth.
  • Subplatysmal Fat: This is fat located deep under the neck muscles, which cannot be addressed by simple liposuction.
  • Enlarged or Descended Submandibular Glands: These glands can protrude into the neck, creating visible fullness.
  • Prominent Digastric Muscles: These muscles can overdevelop and contribute to a bulky appearance under the chin.
  • Lower Positioned Voicebox: Adds to the fullness of the neck.

Dr. Szachowicz points out that a full neck is not necessarily a result of aging, as many young individuals with good skin elasticity face this issue, lacking definition in their neck contour.

Traditional Neck Lift vs. Deep Neck Lift

While both procedures aim to rejuvenate the neck area, they cater to different needs and involve distinct techniques:

  • Traditional Neck Lift: Typically addresses sagging neck tissues and may involve limited liposuction. This method is often combined with a facelift and involves tightening the platysma neck muscles through an under-chin incision.
  • Deep Neck Lift: This more comprehensive approach is essential for those with a heavy neck. It focuses on reducing volume and refining the contour of the neck rather than just tightening. The deep neck lift is crucial for sculpting the neck when there are multiple factors contributing to its fullness.

Procedural Steps in a Deep Neck Lift

The deep neck lift involves several intricate steps to achieve the desired aesthetic outcome:

  1. Liposuction: Targets the fat just below the skin for initial contouring.
  2. Skin and Muscle Work: An incision is made to lift the skin and access the platysma muscles, which are then adjusted to remove excess fat that liposuction cannot reach.
  3. Gland and Muscle Modification: Enlarged or descended parts of the submandibular glands are trimmed. The digastric muscles under the chin, often responsible for bulging, are reduced and repositioned.
  4. Muscle Re-draping: The reconfiguration of the neck’s muscular structure allows for a re-draping effect, where the muscles are tightened, particularly along the ears, to sharpen the neck contour.
  5. Drain Placement: To manage postoperative swelling and drainage, drains are inserted and later removed a few days after the procedure.

Recovery Insights

Recovery from a deep neck lift is a gradual process, with immediate visible improvements and some typical post-surgical experiences:

  • Initial Discomfort: It is common to feel sore as the deeper structures of the neck have been adjusted.
  • Swelling and Bruising: These effects are particularly noticeable following liposuction but will diminish over several weeks.
  • Sensory Changes: Temporary numbness in the neck skin can occur due to the elevation during surgery.
  • Facial Movements: There might be a temporary weakness in the lower lip, which generally recovers within 4-6 weeks.

Patients can see a notable difference in the contour of their neck shortly after the surgery, with the full aesthetic benefits becoming more apparent as the healing progresses.

The deep neck lift offers a significant enhancement for individuals with inherent fullness in their neck, going beyond the capabilities of traditional neck lifting techniques. Dr. Szachowicz’s expertise in this specialized area ensures that each procedure is tailored to meet the unique structural and aesthetic needs of his patients, promising a more defined and youthful neck contour.


Schedule a consultation with Dr. Szachowicz today!

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