People of all ages often see the first signs of aging in the face, neck and jowls. Whether it is loose skin (nicknamed the “turkey gobbler neck”), muscular bands and jowls, excess fat or a lack of definition in the jawline and neck angle, all of these conditions can be treated with a lower facelift/neck lift.
The lower facelift/neck lift with suspension sling was developed by Dr. Graivier in 1994 because of his dissatisfaction with the “tired old techniques.” Instead of pulling on skin and muscle alone (which relax quickly), his technique involves internal suspension sutures from bone to bone which recontour the neck and lower face support. The skin is gently redraped in a vertical direction (the direction of aging), and three to six inches of skin are removed without pulling. The Graivier technique has shown long-lasting and natural results, even ten to 15 years post-surgery for some patients! As a world-renowned surgeon, Dr. Graivier has taught his exclusive procedure to other plastic surgeons worldwide and has presented his ten-year results at national and international plastic surgery conferences.
When to Consider a Lower Facelift/Neck Lift
- If you feel that your face does not reflect your youthful spirit and energy level
- If you determine that your facial sagging and excess skin is a social or career obstacle
- If you show signs of facial aging but still have some skin elasticity
- If time, gravity, sun exposure and heredity have resulted in you not looking like yourself any more
- If you have a turkey wattle that makes you look much older than your age
- If you feel your neck is too thick or heavy
- If you have lost the distinct jawline of your youth and want to restore it
- If you have excess skin and wrinkles on your neck
Lower Facelift/Neck Lift Consultation
At The Graivier Center, we value our personal relationships with our patients. Each patient is treated as an individual, and as such, is given a personal consultation prior to any treatment. Dr. Graivier and his staff will meet with you to help you make decisions regarding which procedure(s) or treatment(s) will result in achieving your aesthetic goals. The consultation will conclude with a discussion about the desired treatment, your expectations, the benefits and risks associated with the treatment and post-treatment recovery.
Lower Facelift/Neck Lift Complementary Procedures
It is a common practice for patients undergoing a lower facelift/neck lift surgery can elect to combine several procedures at once that will offer complementary or enhanced results. At The Graivier Center, we will take the time to walk potential patients through all of the risks and benefits of each surgery, whether you choose a single treatment or multiple treatments.
Patients undergoing a lower facelift/neck lift surgery can elect to combine the following procedures for enhanced results:
- Nose surgery
- Brow lift
- Facelift surgery
- Eyelid surgery
- Cheek enhancement
- Cheek lift
- Facial fillers
- Chin augmentation surgery
- Neck lift
- Facial skin resurfacing
Lower Facelift/Neck Lift Procedure
The areas addressed with the lower facelift/neck lift are the neck, jowls and lower face. The marionette lines running from the corner of the mouth to the chin are also significantly improved by this procedure. Fat is always placed to enhance the lines and volume deficient areas of the face.
Dr. Graivier believes that to have a long-lasting and natural result, the deeper structures of the face and neck need to be re-supported. The incision for the neck lift procedure is a small, one-inch incision placed just below the chin. Incisions for the facelift are discreetly placed in the natural folds in front of the ear, down to the base of the ear, extending behind the ear and into the lower hairline. Incisions in men and women are designed to leave the sideburn and hairline alone.
Liposuction is performed, and then the skin is elevated gently off the neck muscles. The muscular bands are removed, and the muscle is repaired to give an improved angle to the neck. Long-lasting sutures are then placed against the bone behind the ear and woven into the muscle from one side to the other. Several rows of sutures are placed, forming a new support structure for the neck. Essentially a sling has been made and this gives good, long-term support and contour to the neck.
The skin is then re-draped in a vertical direction, as the skin droops down, not back. As much as three to six inches of skin is removed without tension on the skin, resulting in a very fine scar.
The effects of Dr. Graivier’s lower facelift/neck lift are natural, do not look over-pulled and are long-lasting. Our early lower facelift/neck lift patients still look amazing, even many years after their surgery.
Lower Facelift/Neck Lift Recovery
Recovery from this outpatient procedure is approximately five to seven days. The time at which you can apply makeup will be discussed at your post-operative visit with Dr. Graivier or our medical aestheticians. Some swelling will be present, but this will resolve completely after three months.
You should be able to resume your regular social activities after 10 days.
You will be given specific instructions from The Graivier Center that may include:
- How to care for the surgical site and drains, if applicable
- Medications to apply or take orally to aid in healing and the progression of your recovery
- Specific concerns to look for at the surgical site or in your general health
- Post-op follow-up appointment information