DR WILLIAM PORTUESE | 1101 MADISON ST #1280 SEATTLE, WASHINGTON 98104 | (206) 624-6200
Dr William Portuese - Board Certified Facial Plastic Surgeon in Seattle WA

Neck Lift Surgery Bellevue

NECK LIFT: A neck lift is performed on someone in their 30s, 40s, or early 50s, when there is no excess neck skin. The goal is to remove fat and tighten muscles of the neck without removing any skin in the neck. If there is a laxity of skin in the neck, the neck lift is not the correct operation to perform. In the neck there is fat above and below the platysma muscle, and both need to be addressed. A 1-inch incision is placed underneath the chin area hidden in the submental crease, and there are two 1/2-inch incisions placed behind the ear in the retroauricular sulcus. Indirect liposuction is performed from the postauricular area to define the posterior jawline. Direct liposuction and manual sculpting and removal of fat in the entire submental area are performed after lifting up the submental skin area. Once the fat is removed above the platysmal muscle, the area is manually sculpted and additional fat is removed from underneath the muscle. This creates a better definition of the jaw line both from the side and front profile. A sharp delineation of the jawline is then created by sewing the anterior platysma muscles together. This is all achieved using the submental approach. The incisions are closed meticulously with fine sutures. In addition, Jackson-Pratt drains are placed underneath the skin in the neck to remove blood and fluid in the near-term postoperative recovery. These drains help to alleviate blood accumulating underneath the skin and are removed in a few days after the surgery. The neck lift is the correct operation for someone who has excess fat in the neck and desires a better neckline definition, however, has good skin tone and does not need any skin removal. This is usually done under a general anesthesia but can be performed under intravenous sedation or twilight anesthesia. The necklift is a much better alternative than traditional submental liposuction, which does not address subplatysmal fat or neck muscle tightening. The necklift surgery is performed at the Seattle Facial Plastic Surgery Center, which is a Medicare-certified surgery center, under the direction of Dr. William Portuese. Board-certified physicians/anesthesiologists from Swedish Medical Center perform the anesthesia. Out-of-town patients can stay at one of the area’s three hotels within one block of the office.

Washington Ambulatory Surgery Center Association Washington State Medical Association American Academy of Facial Plastic and Reconstructive Surgery Real Self