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Why the Neck Shows Age First

As we age, the skin on the neck naturally begins to sag and droop. With the loss of volume and elasticity, many men and women may begin to notice that their neck has significant fatty deposits and that the muscle banding may feature irregular contours.

Unfortunately, all the topical products in the world cannot combat these critical issues. Instead, a small surgical procedure called a neck lift can efficiently address the problem.

What Is a Neck Lift?

Also called a lower rhytidectomy, a neck lift can address creasing, wrinkling, and sagging in and around the neck area. These features are often due to the aging process. As a result, creams and serums unfortunately cannot do the job of restoring tightness and smoothness.

After your procedure, patients will have a smoother, slimmer neckline with skin that sits tighter against the throat and does not sag. This procedure can deliver more confidence and self-assurance to anyone who is frustrated with the appearance of their neck.

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Who Is a Good Candidate?

The best candidates are in good overall physical and mental health. You should not be struggling with serious medical conditions or undergoing intensive treatments such as chemotherapy or radiation. Candidates should be nonsmokers and have a realistic and positive outlook when it comes to cosmetic surgery.

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Neck Lift vs. Facelift

Often, individuals who are interested in getting a neck lift think that that means getting a facelift at the same time. In fact, this isn’t necessarily true. While many patients opt to get facelifts at the same time, you don’t have to get the former if you simply want to fix sagging and loose skin on your neck.

If a facelift is something you are interested in, however, be sure to bring this up with Dr. Mohan at your consultation appointment. Often, the incisions made with a neck lift are the same as those made with a facelift (near the ear and hairline, for instance), and doing the two procedures at the same time can reduce your overall recovery time and save on procedural costs as well.

The In-Office "Awake" Neck Lift

Not every patient needs—or wants—a full facelift-style procedure under general anesthesia to address neck concerns. For patients whose primary concern is isolated to fullness and looseness beneath the chin, Dr. Mohan also offers a more limited, in-office neck lift performed under local anesthesia with light sedation.

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What Makes This Approach Different

This isolated neck lift focuses specifically on the area beneath the chin and jawline, rather than the broader lifting and repositioning involved in a traditional neck lift or facelift. Because it doesn't require general anesthesia, the procedure can often be performed comfortably in Dr. Mohan's accredited in-office surgical suite in about an hour, with most patients returning to light activity the same day.

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About the Technique

Submental Liposuction

Remove excess fat beneath the chin, using a small cannula to gently remove fat cells that contribute to fullness and a "double chin" appearance.

Platysmaplasty

Often called a "corset" technique, tightens the platysma muscle—the band of muscle beneath the chin that weakens and separates with age—through a small incision and a series of internal stitches that draw the muscle back together, restoring a firmer, more defined jawline.

Who Is a Good Candidate?

This isolated approach tends to work best for patients with good skin elasticity whose main concern is submental fullness and muscle banding, rather than significant excess or sagging skin throughout the neck. Dr. Mohan increasingly sees this concern in patients in their 20s through 40s—both men and women—who notice it most in photos, video calls, and social media, rather than through the traditional signs of facial aging. During your consultation, Dr. Mohan will evaluate your skin quality and neck anatomy to determine whether this more limited, awake procedure or a traditional neck lift will better achieve your goals.

What to Expect

Because the procedure is performed under local anesthesia and light sedation rather than general anesthesia, many patients are able to return home shortly after surgery and resume light work or daily activities the same day. 

As with any neck procedure, some swelling and bruising are normal in the days that follow, and Dr. Mohan will typically recommend wearing a compression garment around the neck and chin for about two weeks to support healing.

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Why Choose Dr. Raja Mohan?

Patients choose Dallas breast augmentation cosmetic surgeon Dr. Raj for a variety of reasons. He trains and studies with the best in the industry as a peer and leader, and this commitment means that his patients are always able to benefit from advancements at the cutting edge of science and surgery. He is knowledgeable and personable and is known for both candor and compassion. He really cares about his patients, and it shows, both in how he interacts with them as well as in the quality of patient care he provides. Ultimately, all roads end with outcomes, and the reason most people choose Dr. Raj as their Dallas breast augmentation doctor is that he delivers results that speak for themselves.

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What to Expect Before Your Neck Lift

Before undergoing a neck lift, it is important to meet with Dr. Mohan to discuss your options for surgery. At this consultation appointment, you will discuss your goals for the procedure and outline your medical history, including recent surgeries, medical treatments, medications, and supplements. Dr. Mohan will perform a short examination of your neck area and then offer you the best surgical options for your aesthetic goals.

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What to Expect During Surgery

On the day of your surgery, our staff will greet you warmly at the accredited surgical facility. After meeting with Dr. Mohan for a final time before your procedure (where he can answer any remaining questions you may have), anesthesia will then be delivered by an anesthesiologist in the operating room. Next, Dr. Mohan will begin making the necessary incisions. Most incisions made are similar to those made with a facelift.

Usually, these are around the ear and often into the hairline. Sometimes, a small incision is also made beneath the chin within the “shadow of the neck” in order to perform a small amount of liposuction and tighten up the neck’s center. The muscle beneath the skin will then be tightened, and any excess skin will be trimmed away. From there, the incisions will be closed, and you will be taken to a recovery room.

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What to Expect After Surgery

Neck lift procedures are usually outpatient, which means that patients can generally return home relatively soon after they get out of surgery (on the same day). Of course, it’s important to have a trustworthy friend or family member to take you home, as you will not be able to drive after the anesthesia. After your surgery, once you are home, you can expect to have some bruising and swelling on the neck as well as around the ears and jaw line.

A certain amount of pain and discomfort is to be expected as well. These symptoms can be improved with prescribed pain medications and the use of elevation (elevating the head above the heart, even when lying down). However, it is important not to use ice on the neck during your recovery! This can be extremely dangerous as the ice may restrict the flow of blood in and around the neck. Dr. Mohan will give you detailed instructions about caring for yourself during recovery.

Be sure to follow these instructions closely and attend all post-operative appointments. For the most part, patients will need to take at least one week off from work after their surgery. Dr. Mohan will let you know when you can return to work, a light exercise routine, and regular daily activities. Depending on what type of surgery you had and whether or not you had any additional procedures performed (for example, a facelift), recovery times will vary.

Book Your Consultation

Dr. Raja Mohan performs deep neck lifts for patients in the Dallas-Fort Worth metroplex area. If you have been considering surgery because of sagging, loose skin beneath or around the jawline, Dr. Mohan can help you address these issues and bring back your self-assurance. It all starts with booking your Dallas area plastic surgery consultation appointment. Contact our office today to begin your journey toward a brighter, more confident you!

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Dr Raja is amazing! He doesn't seem like one of those surgeons just out to make money. I went in for a consult and he kept it real with me and gave me recommendations based on his extensive knowledge and love for what he does. He patiently answered all my questions and you can tell he genuinely cares about his patients.

Jeena Mathew 5 out of 5 stars

Dr. Mohan is the best! I already had idea of the cost. He was incredible and detailed, and went through all of my options to achieve my goals. Unlike other experiences, he wanted me to understand and be happy with my decision. His staff was so kind and the process of booking was so easy! I highly recommend him for anyone looking for a ...

Dr. Mohan is the best! I already had idea of the cost. He was incredible and detailed, and went through all of my options to achieve my goals. Unlike other experiences, he wanted me to understand and be happy with my decision. His staff was so kind and the process of booking was so easy! I highly recommend him for anyone looking for a great surgeon.

Stephanie 5 out of 5 stars

I had a wonderful experience with Dr. Raj’s nurse injector. It was my first time getting filler and she was very confident and comforting. My lips turned out great! I’ve had Botox several times, but this was by far my best experience. My friends have had surgery by Dr. Raj and he did a fantastic job.

The office staff was informa...

I had a wonderful experience with Dr. Raj’s nurse injector. It was my first time getting filler and she was very confident and comforting. My lips turned out great! I’ve had Botox several times, but this was by far my best experience. My friends have had surgery by Dr. Raj and he did a fantastic job.

The office staff was informative and helpful as well. Everyone was friendly and helpful. I definitely recommend scheduling a consult and seeing what Dr. Raj can do and will do for you!

Kate Knutson 5 out of 5 stars
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