Neck Rejuvenation

Some neck lines are from the overactivity of the platysma muscle. This muscle inserts on the skin and causes skin wrinkling. Horses have a developed platysma muscle over much of their body that they use to twitch the skin to prevent a fly from landing on them. In humans, the platysma muscle is present in the neck as a holdover from evolutionary times long since gone.

Over time, the platysmal bands become more visible.
Platysmal bands are the vertical bands or cords that can form in the neck, often as a result of aging or muscle tension. Dysport (Botox) is injected into the platysmal bands. It works by relaxing the muscles, reducing the appearance of the bands, and resulting in a smoother neck contour. This treatment helps improve the overall appearance of the neck and jawline, providing a more youthful and rejuvenated look.

Candidate: appearance of mild bands in the neck area
Side effects: minimal
Duration: the procedure takes about 20-30 min., the effect lasts 3-4 months
Downtime: 24 hours no exercising & heavy lifting
Cost: $650-900

During the aging process, we frequently observe loss of volume in areas of the neck and face. Hyaluronic Acid based dermal fillers, like Restylane, can help to restore facial volume and enhance neck contour. Chin and jawline filler augmentation involves the placement of dermal fillers to redefine and sculpt the chin and jawline. By strategically injecting fillers along these areas, Dr. Domanski addresses concerns such as sagging skin, volume loss, and lack of definition.

Fillers procedure is highly customizable and can be tailored to complement other neck rejuvenation solutions, such as laser skin tightening or microneedling for enhanced, non-surgical treatment.

Candidate: mild to moderate skin sagging in the chin or jaw area
Side effects: temporary bruising, swelling, and redness typically resolves within a few days
Duration: the procedure including numbing takes about 30-45 min., the effect lasts 9-12 months
Downtime: 24 hours no exercising & heavy lifting, and no facials for a week.
Cost: $850-1800

Kybella is a medication that is injected under the skin for extra neck fat. Kybella requires multiple treatments and can cause swelling before final results are seen. For these reasons, Dr. Domanski often prefers in-office liposuction as a way to slim the neck.

Neck Liposuction targets excess just fat deposits in the neck and under the chin, improving definition with minimal downtime.

During the procedure, a small access point is made, and a thin tube called a cannula is inserted to suction out the excess fat. Chin liposuction can improve the appearance of a double chin, refine the jawline, and create a more defined profile.

Candidate: double chin, or excess fat deposits under the chin that are not responding for a diet, non-smoker or willing to quit smoking
Side effects: some bruising and discomfort that resolves within a few days
Duration: the procedure takes about 30 min–1 hour., the effect is long lasting
Downtime: A chin strap is worn for several days. Patients are able to return to normal activities in a few days.
Cost: $2000-5000

That is surgeon-speak! Platysmaplasty or lower rhytidectomy means neck lift! Neck lift is a surgical option to treat extra skin on the neck. A neck lift is aimed at tightening and lifting the skin around the neck to achieve a more youthful appearance.

During the neck lift, incisions are typically made behind the ears and sometimes under the chin. Through these incisions, Dr. Domanski can remove excess fat via liposuction, tighten muscles banding in the neck and trim loose skin. Some jowls can be treated during a neck lift but many jowls require a facelift. Regardless, a necklift is a powerful procedure to improve the contour of the neck.

• Traditional Neck Lift (Cervicoplasty): This involves making incisions behind the ears and sometimes under the chin to tighten muscles, remove excess fat, and trim sagging skin.

• Mini Neck Lift: A less invasive option that targets mild to moderate neck laxity. It typically involves smaller incisions and focuses on tightening the skin and underlying tissues. Some mini neck lifts can be performed in the office under local anesthesia.

• Neck Lift with Platysmaplasty: Platysmaplasty is a technique used to tighten the platysma muscle, which can help address vertical banding or “turkey neck” appearance.

• Submentoplasty: Similar to a traditional neck lift but with smaller incisions limited to under the chin, often used for patients with minimal excess skin and fat.

• Neck Lift with Neck Contouring: Combines surgical techniques with non-surgical treatments like radiofrequency or laser therapy to enhance neck contour and skin texture.

Candidates: moderate to severe skin sagging in the chin or jaw area with a prominent neck band, non-smoker or willing to quit smoking
Side effects: Swelling, bruising, for about a week. It will feel tight, but look natural.
Duration: the procedure takes about 2-4 hours, the effect lasts 10 years or more
Downtime: 1-2 weeks
Cost: $9,000-$25,000

This is the most important question to ask. We find that downtime, budget, and goal are the primary considerations patients use when deciding their treatment. In general, the more subtle the result, the less downtime and the lower the cost. The more dramatic results require more time off and are often worth their premium. Ultimately this is an individual decision and we help patients decide for themselves.