neck-lift-san-francisco neck-lift-san-francisco-2

Have you had a previous neck lift or chin and neck liposuction, but you were disappointed by the long-term results?  The thought of undergoing yet another surgery is overwhelming for many of the San Francisco neck lift patients who come to see me after their expectations weren’t met the first time.

However, there is a good news. A  newer technique and procedure called iGuide is available for patients who have had previous facelift and neck lift surgery, as well as for patients who only had liposuction in those areas.

What is a traditional neck lift?
Why were my neck lift results disappointing?
What if I only had chin and neck liposuction?
How long should I wait before undergoing neck lift revision?
What is iGuide and how can it help improve my results?

What is a traditional neck lift?
In a traditional neck lift, there are several options available that may or may not have been done during your earlier procedure.  The most common ones are tightening of loose skin and tightening of your loose muscles to eliminate neck bands.

The muscle is called the “platysma” muscle, and generally is very visible when you smile. In some patients, the platysma bands are very separated, and in other patients, they aren’t.  One of the main goals during neck lift surgery is to eliminate this separation for a more aesthetic result.

The neck lift incisions are typically at the bottom of the ear lobe, and go behind the ears.  The skin is lifted, allowing access to the neck muscles underneath, and to allow skin trimming and then tightening.  If the neck muscles in the middle of the neck need to be tightened, then another incision may also be needed near the chin to give the best result. Liposuction to remove excess fat of the neck may also be performed during a neck lift procedure.

Why were my neck lift results disappointing?
Patients who undergo only  a neck lift without another procedure are fairly uncommon.  The reason is because most patients who need a neck lift typically need a facelift to get the best result, but unfortunately, they don’t realize this or weren’t told by their surgeon..

If you’ve only had a neck lift as an isolated procedure, then your disappointment with the final result may be because more neck skin tightening and rejuvenation could have been done if you had chosen a face lift at the same time.

Myself or any other plastic surgeon can only remove a certain amount of loose neck skin from just a neck lift incision. Otherwise, the skin will start to “bunch up” or “gather” at the bottom of the ear lobe.  This is not a cute look. If the skin starts to gather, then you need a facelift. The amount of neck skin I can actually tighten is compromised, and I have to leave a little loose skin behind so you don’t have skin bunched up at your earlobes.

The other reason that neck lift revision surgery is somewhat common is because there is no underlying structure (bones) in the neck for the newly tightened skin and muscles to hold onto. Unlike the face, neck lift surgery relies on your body’s healing powers to fuse the tightened neck skin to the soft tissue following surgery.  This doesn’t always happen in a predictable manner.

What if I only had neck and chin liposuction?
If you’ve only had previous chin and neck liposuction, then you know that your plastic surgeon is relying on your neck skin to tighten and fuse down to the underlying soft tissue to give you the best result possible.  If your results were disappointing, then your skin simply did not tighten enough, leaving you with residual loose skin.

Some patients who undergo neck and chin liposuction have the unfortunate experience of too much fat being removed, which can make the neck muscles more visible and create too much loose skin, resulting in a disappointing outcome.

How long should I wait before undergoing neck lift revision?
I recommend that patients wait at least six months from the date of their original neck lift surgery before undergoing any revision procedures. Your body needs time to fully heal and for the swelling to go down before final results can be accurately assessed.

What is iGuide and how can it help improve my results?
Finally, it’s time for the good news for patients who are unhappy with their neck lift results.

iGuide is an FDA-approved device and procedure that uses a special suture that is threaded under your neck and chin to tighten your skin.  Think of a very thin shoelace being threaded back and forth to create a sort of trampoline under your skin.

This will rejuvenate your neck and provide that critical underlying structure to give you a tight jaw line long term.  Liposuction can also be done at the same time if needed.

iGuide is safe to use after a previous facelift and neck lift.  In fact, it’s a perfect complement to a previous neck lift, because your neck may only require a moderate amount of skin tightening.

You can have tighter neck skin and a more rejuvenated appearance with two tiny incisions in your previous neck left scars, behind your ears, and a tiny incision under your chin..  (Tiny is defined as 3-4 millimeters long).

iGuide is not always the best option.  If you have A LOT of loose skin, then you may need a revision of your original neck lift. However, most patients who have already HAD a previous neck lift and/or facelift would be good candidates for iGuide because those patients have already had their skin tightened.

If you want a facelift revision, as well, then iGuide can be done at the same time. In fact, iGuide can be done in conjunction with any other cosmetic surgery that you are considering. It offers stellar results with a quick recovery time.

You can read more of my articles about the iGuide procedure by clicking here and here.

How can I get a Neck Lift Revision in San Francisco?

If you want all of your neck lift revision options given to you, then please consider scheduling a consultation with me so that we can discuss the procedures that are best for you.  Please contact Caroline, my Patient Care Coordinator, at or 415 354 1848.


There are not comments on this post.

Leave a comment