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    Dr.Reza HessamiDr.Reza Hessami
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    My name is Reza Hesami and I’m an advanced plastic and aesthetic surgeon and this is an article about skin rejuvenation.

     

    I will answer your questions about rejuvenation in this topic.

     

    Skin rejuvenation
    When you age, the changes that are caused by aging the skin, muscles and bones are occurred not only on the face but also on the neck.

    In some patients these changes are more intense in some areas or it happens in younger ages and makes the patient need skin rejuvenation earlier. Although the rejuvenation of forehead, face and neck is done at a time.

    There are different methods for skin rejuvenation, such as laser, filler injection, HIFU and surgery and the method is chosen based on the patient’s condition and expectations and surgeon’s opinion.

     

    Beautiful neck
    There are different parameters for a beautiful neck:

    The angle between neck and chin: 105-120 degrees

    Jawline

    If the thyroid cartilage is shown a little bit

    If the sternocleidomastoid muscle area is seen a little bit

    When you age, not only the quality of neck skin decreases, horizontal and vertical wrinkles show up, the skin loosen up, the fat collects under the skin and under platysma muscle and double chin shows up, but also the angle between the neck and chin decreases.

     

    Neck lifting surgery
    Neck rejuvenation surgery or neck lift is mostly done at the same time as face lifting but face lifting is sometimes done independent.

    The methods that are used in face rejuvenation:

    Removing the fat under the skin and under the platysma with different methods

    Correcting the platysma muscle placement

    Correcting under jaw salivary gland drooping under the jaw

    Correcting the chin or implant or genoplasty

     

    Neck rejuvenation surgery methods:
    Removing under skin fat with open method or by using suction, laser lipolysis, lipomatic or…

    Removing the fat under the platysma mascle

    Reconstructing and correcting platysma muscle by cutting under the chin or ear

    Removing neck’s extra skin (note: there mostly isn’t extra skin on the neck and by correcting the platysma muscle placement there’s probably no need to remove extra skin in neck)

    It isn’t necessary to do all of the actions above on the candidates for neck lifting and the surgeon should use their experience to decide which of the above actions they can take.

     

    The cutting areas in neck lifting:
    If we should only remove the under skin fat, it can be done without cutting and by some small holes and using suction, lipomatic, laser lipolysis and etc., otherwise the surgeon will need to cut behind the ear and mostly under the chin. Without these cuts, neck lifting wouldn’t be done.

     

    Yarn neck lifting:
    It’s not recommended in our references. There was also this article, published a month ago, in which was said that this kind of lifting is only recommended in two articles and both of them were written by yarn factories. There’s no article that proves this method is useful.

    Neck rejuvenation cost:
    In each patient the cost of neck rejuvenation is different based on the actions that are needed.

     

    Neck rejuvenation surgery side effects:
    Liquid, blood or saliva accumulation under the skin. If you find out about hematoma in the right moment and evacuate it, nothing would happen.

    Facial nerve injuries mostly don’t need any actions and time heals them.

    Under skin irregularities mostly gets better by the next surgeries.

     

    After the neck rejuvenation surgery:
    You should avoid picking up heavy stuff. Bending neck will cause intravenous dysfunction and you should avoid putting your head on a pillow.

    You should only use the pain killers that the surgeon says because some of the pain killers will cause bloodshed after the surgery.

    You should also stop using anticonvulsant pills for a week.

     

    What neck lifting won’t do?
    Neck lifting wouldn’t change the shape of your neck. Doing this surgery (like every other plastic surgery) doesn’t stop aging.

    Neck lifting is only possible by doing surgery and non-surgery rejuvenation methods can only delay the neck lifting and aren’t the same as the surgery.

     

    After the neck rejuvenation:
    After the surgery you should use soft elastic bandage. In the first day after surgery you’ll have a drain to evaluate the collected liquids under skin and it usually will be removed after 2 days after surgery. While resting, your head should be up. Do not bend your neck and don’t use a pillow.

    You should avoid using ice because it might harm the lifted skin.

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