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Darrick E. Antell, M.D., F.A.C.S.850 Park Avenue, New York, New York 10075

Neck Lift (Lower Rhytidectomy)

Top New York plastic surgeon Dr. Darrick Antell is board certified in plastic surgery, emphasizing aesthetic / cosmetic surgery. One of the procedures he performs is neck lift surgery, also known as lower rhytidectomy. There are a variety of procedures, including microliposuction alone, which has the fastest recovery (several days), direct excision of the excess skin (7-10 days), or a classic neck lift with incisions hidden behind the ears (7-12 days).

A neck lift can help reduce the sagging and wrinkling of excess loose neck skin that is the result of weight loss or aging. Dr. Antell is able to remove this excess skin and fat in order to recontour the neck for a more youthful-looking face and facial profile. If you are considering a neck lift, this section will give you a basic understanding of the procedure.

Considering Neck Lift Surgery

With age, the neck begins to sag, and loose folds or bands of skin and fat may become more apparent. This excess skin can often cause a wattle, turkey neck, or pelican neck to form, which is why a neck lift may sometimes be referred to as a wattlectomy. Patients seeking facial and neck rejuvenation may consider a neck lift if they are looking to lift the loose skin of the neck.

In some cases, neck lift surgery may be performed alongside neck liposuction or other forms of neck fat removal. This is typically done in patients who experience a large degree of excess skin as a result of weight gain or localized fat deposits. If patients experience predominately loose neck skin, then skin excision and repositioning may be sufficient to achieve a younger-looking facial appearance.

The best candidates for Neck Lift Surgery

An ideal candidate for any plastic surgery procedure is a healthy man or woman who has realistic expectations as to what cosmetic surgery can help them achieve. For neck lift surgery, an ideal candidate typically still has some elasticity in the skin of the neck. Patients choosing to undergo neck lift surgery in NYC with Dr. Antell must be in overall good physical health. Unfortunately, some patients with severe medical conditions may not be an appropriate candidate for neck lift surgery. Dr. Antell can help you decide if neck lift surgery is right for you.

All Neck Lift Surgeries carry some uncertainty and risk

As with any surgical procedure, a neck lift does carry some potential uncertainty and risk. It is important to note that Dr. Antell is one of the best plastic surgeons in New York City and is fully prepared to treat any side effect or unforeseen circumstance you may experience during or after surgery. When Dr. Antell performs neck lift surgery, he takes precautions to ensure his patient’s comfort, wellbeing, and a rapid recovery.

When lower rhytidectomy is performed by an expert plastic surgeon like Dr. Antell, surgical risks and side effects are uncommon and typically mild. Dr. Antell will discuss possible risks prior to surgery as well as how he would effectively treat them if they were to occur. Dr. Antell is able to minimize scarring and conceal incisions behind the ears or in the natural creases of your neck.

Planning your Neck Lift

During an initial consultation, patients will meet with Dr. Antell to discuss their concerns and what cosmetic procedures they are interested in. For neck lift surgery, Dr. Antell will perform a quick examination of the neck, jowls, and face. During this evaluation, Dr. Antell will take note of your particular condition and if you require neck lift surgery or lower rhytidectomy with liposuction.

Dr. Antell may also ask additional questions about your overall health in order to ensure that you are a proper candidate to undergo neck lift surgery. Certain conditions that Dr. Antell may check for include uncontrolled high blood pressure, blood clotting conditions, and more. It is important to mention to Dr. Antell if you smoke or take any medication regularly.

Preparing for your Neck Lift

In order to prepare for lower rhytidectomy, certain blood thinners or medications containing aspirin may need to be stopped for a period of time prior and after neck lift surgery. Dr. Antell may also suggest that some patients temporarily quit smoking before and after a neck lift procedure. Tobacco use can negatively impact your body’s ability to heal and regenerate. Prior to your neck lift surgery, Dr. Antell will provide you with instructions to follow leading up to your neck lift surgery. It is vital that you follow all of Dr. Antell’s instructions prior to surgery and after surgery in order to have the safest procedure and quickest recovery possible.

Following a neck lift, patients must arrange for a friend or family member to drive them home after surgery. Some patients may also benefit from a friend or family member staying with them for the first few days following surgery. Resting is extremely important for a proper recuperation, and patients should avoid any strenuous activity that may put excess stress or pressure on the incisions.

Where your Neck Lift Surgery will be performed

Dr. Antell may perform neck lift surgery in a private office-based facility, hospital, or outpatient surgical center. Typically, a neck lift is performed on an outpatient basis, meaning that the majority of patients are able to return home the same day.

Types of anesthesia for Neck Lift Surgery

Some neck lifts are performed under local anesthesia with a sedative to induce drowsiness in the patient. With local anesthesia, the patient will be awake but will not be able to feel the surgical operation or discomfort. In some cases, twilight anesthesia may be preferable to the patient, which will make the patient feel like they are falling asleep naturally. Dr. Antell can help you decide which anesthesia option is best for your neck lift surgery.

The Neck Lift Surgery

Each neck lift procedure may vary from patient to patient as Dr. Antell can adjust the specifics of the surgery in order to best meet a patient’s individual goals. For instance, some patients can experience sufficient neck rejuvenation with just a liposuction procedure. Other patients may require liposuction with repositioning of the excess neck skin and underlying muscles. In some cases, patients may only need skin excision and repositioning of the neck skin to achieve a more contoured neck.

With advancements in the field of plastic surgery, a neck lift can now be performed with smaller incisions that are more easily camouflaged behind the ears or the natural creases of the neck. Fat can be removed through these incisions using neck liposuction or with a direct excision of the fatty deposits. After Dr. Antell has removed excess skin and fat deposits, restructured any underlying neck muscles, and repositioned the skin of the neck, he will meticulously suture the incisions closed. Following neck lift surgery, the incisions and surgical site will be cleaned, bandaged, and kept sanitary to promote a proper healing environment.

After your Neck Lift Surgery

The majority of patients recovering from neck lift surgery take 1-2 weeks off of work to properly recover. Following lower rhytidectomy, patients should rest as much as possible for the first few days and avoid any movements or actions that cause stress or discomfort in the neck. It is generally recommended that patients wear loose and comfortable clothing while recovering from surgery and avoid any accessories or clothing that may irritate the neck. Button up shirts are ideal as patients may have difficulty pulling a shirt over their head for a few days after a neck lift.

While patients typically feel much better and can return to work in a short period of time, it is highly recommended that patients do not overexert themselves too quickly. Even if a patient is feeling better, they should avoid labor intensive activities and carrying heavy objects for a few weeks until the neck is healed. The recovery time for neck rejuvenation surgery will vary from patient to patient and depend on the specifics of each neck lift surgery. Rapid recovery techniques are used to speed the healing process.

Your new look after a Neck Lift

Patients will notice an overall improvement in their neck after a neck lift. Those patients who adopt a healthy lifestyle typically see the best results following a neck lift. After neck lift surgery, a patient’s neck will be tighter, firmer, and more contoured for a beautiful, youthful-looking facial appearance and profile.

Neck Lift Surgery results

A neck lift is a long-lasting plastic surgery procedure that can help restore the youthful contours of a patient’s neck. The length of time neck lift results will last varies from patient to patient. While you will continue to age, if you have an identical twin who does not undergo neck surgery, your neck and lower facial profile will age more gracefully than your twin who did not undergo the surgery. Dr. Antell has extensively studied the effects of facial plastic surgery on many twins and triplets. His ground-breaking studies have been featured in the Smithsonian National Museum of Natural History. Learn more about his twin studies here.

Genetics and overall health do play an important role in how long neck lift results will be visible. Patients who maintain a proper diet, exercise, and do not smoke are more likely to experience longer-lasting neck lift surgery results. Patients who foster unhealthy habits, such as smoking or a poor diet, may not maintain neck lift results as long. Neck lift results may last upwards of 10 years in some patients.

How to get started with Neck Lift Surgery?

Dr. Darrick E. Antell and his staff will be happy to discuss Neck Lift Surgery (Lower Rhytidectomy) with you. Please call for a private consultation or schedule an appointment online at our office.


Related Patient Testimonials*
* Patients individual results may vary.
  • This is a glowing recommendation. I asked Dr. Antell for something difficult, to remove all sagging skin from my neck, smooth my jaw line, if possible, and improve my eyes, all without it being noticeable to anyone that anything had been done. He accomplished exactly what I asked in subtle, artful, and, what I consider, remarkable ways. He is very skilled. I came to him with my ideas, and he persuaded me to change them a bit to a solution he thought would be better. He was right. There is much art to this profession. Dr. Antell knows what to do and does it well. He has an artist's touch. I am wonderfully pleased with the results. I told him that I feel liberated. I no longer have to wear eye make-up to feel presentable, and I wear scoopnecks happily. It's a big decision to let someone change our appearance and vital to find the right person to do it. I understand why Dr. Antell has operated on many TV anchors. He is also kind, full of good humor, and concerned for his patients' welfare. He is very positive. He is a pleasure. Wonderful people work with him. His anesthesiologist and nurses are highly skilled and caring. The office director and staff are helpful, accommodating, and caring. He and they make the process easy. I feel very fortunate to have found Dr. Antell.
  • I went to Dr. Antell, and he transformed my face and my life. Not only does my face look amazing (20 years younger), but immediately after my surgery, I walked into a restaurant in the Village and met my soon-to-be husband. I am now moving to SoHo and beginning a life that I could never have dreamed of.
  • One of the best doctors I have ever been too. Bedside manner is great. My procedure went as described. Can hardly see a scar. Dr. Antell and his staff are unbelievable. Highly recommend. You will not be disappointed!
  • Him [Dr. Antell] and his staff are very friendly, very professional, and all of them are treating their patients like members of their family. Highly, highly recommended! Thank you Dr. Antell for your amazing work!
  • Simply Amazing! Dr. Antell is not just a doctor but truly an artist and is extremely detail oriented. He takes the time to listen to you, explains all the risks of each procedure, as well as the most realistic outcome, and always follows up on each and every procedure done. His office staff is also very caring and helpful.
  • I had a procedure with Dr. Antell, and he did a really amazing job. I would totally recommend him and use his services again.
*Disclaimer: The information contained on this website is intended to be purely educational in nature and does not create a physician-patient relationship with Darrick E. Antell, MD, FACS or any agent, servant or employee thereof. By no means should the information contained in this website be considered as a substitute for consultation with a qualified physician and it does not constitute a second opinion. This website and its contents do not represent or claim to provide the information needed for a patient to give his or her informed consent to any surgical procedure or are a reflection of individual patient results, as they may vary patient to patient. Individual results will vary and no guaranteed result is stated or implied by any photo use or any statement, testimonial, or video on this website. The results depicted in “before” and “after” pictures and stated by any “patient testimonial” illustrate results you may or may not achieve if you choose to have a cosmetic surgery procedure. Individual results may vary by patient. Please see our Notice of Privacy Practices.
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