Guide To Neck Lift©
Neck Lift Fees
At the time of the necklift surgery consultation and physical examination, Dr. Portuese will examine the neck and determine which surgical technique will best achieve the goals of both the patient and the surgeon. This can only be performed after a thorough review of the patient’s physical exam, past medical history and the patient’s needs/wants/ concerns regarding their facial and neck features. At the end of the consultation with Dr. Portuese, the patient care coordinator, Janet Silver, will then discuss the costs. The cost for a neck lift is $5,950 and includes the surgical fee, operating room and anesthesia. All pre and post operative care for a year and any touch ups that may need to be performed in the first year are also included. There is an additional fee of $200 for anesthesia in the event of a touch up under general anesthesia – usually considered a minor adjustment and taking less than ½ hour. Payment options for a neck lift at The Seattle Facelift Center and Dr. Portuese’s office include checks, cash, Visa and MasterCard.
Pre Operative Preparation for Neck Lift
It is important that patients are in good physical and mental health prior to undergoing elective cosmetic surgery. Depending upon the medical history and age of the patient, there are certain medical and laboratory tests that may be needed prior to the neck lift procedure. The physical examination will be done by Dr. Portuese; however, some patients may also elect to have a complete thorough exam done by their local internist or family physician. An EKG or heart tracing needs to be performed on men 45 years of age and older and on women 55 years of age and older. This is routine screening that is part of the preoperative requirements for anesthesia. Potassium levels should be done on patients who are taking a diuretic and women of childbearing age should undergo a pregnancy test a week prior to the elective cosmetic surgery and make sure that they are not pregnant. It is extremely important to avoid taking any aspirin, ibuprofen, vitamin E and herbal supplements two weeks prior to neck lift surgery and two weeks after. It is also strongly advised to quite smoking cigarettes 2 – 3 weeks before and after surgery. A caretaker for the first 48 hours after surgery should be present and assisting with drains. Patients are not allowed to take public transportation home following surgery because of the effects of anesthesia and should not be driving a car for the first week post op. The recovery period for bruising and swelling takes approximately two weeks. It is important to avoid any exercise during this two-week period of time and it is also suggested that patients sleep on several pillows to keep their head above their heart and to keep the swelling down in the first few days during the recovery period.
Additional Preoperative Considerations
- Cigarette Smoking: It is important to stop all cigarette smoking at least two weeks before the neck lift surgery. It is also important to refrain from smoking two weeks after the surgery since tobacco smoke, which contains nicotine, slows down the healing process.
- Medications: Do not take any aspirin, ibuprofen, vitamin E and herbal supplements prior to elective cosmetic surgery. Many medications prolong bleeding time and can create a hematoma or blood clot beneath the skin of the neck. If this should occur and the drainage cannot keep up with the flow, it will need to be evacuated. Aspirin can significantly raise the incidence of this occurring. It is important to relate to Dr. Portuese any and all medications that are taken prior to surgery.
- Sun Exposure: Avoid tanning beds and direct sun exposure for at least a couple of months after your surgery. It is important to not get sunburn on the neck after this procedure.
- Do not drink or eat anything after midnight the night before surgery. This prevents any nausea and vomiting the day of the surgery.
- All makeup should be off the face and neck the morning of surgery. Patients should wash their hair and face and shower the night before or morning of surgery.
- The day of surgery comfortable clothing; sweats or pajamas, should be worn. It is best to have front closure so that nothing pulls over the face after surgery.
- Leave all jewelry at home; rings, earrings, watches and any piercings.
- Contact lens should not be worn the day of surgery.
The Surgery Day and Anesthesia at the Seattle Facelift Center
On the morning of surgery, Dr. Portuese and his medical staff will greet the patient and go over the surgical procedure in detail again so that both the staff and patient understand one another clearly. Dr. Portuese and the patient will discuss the surgical plan and any last minute modifications to ensure a realistic expectation. The patient will also meet with the board certified anesthesiologist, from Swedish Medical Center, during this visit before surgery. The anesthesiologist will verify that the patient has had nothing to eat or drink since midnight the night before and will ask about allergies to latex, medications and anesthesia. The patient is then brought into the operative suite where an intravenous line is started. A sedative is given through the IV, which relaxes the patient, and then an anesthetic is started, usually propofol, to put the patient to sleep. After the patient is asleep, a small breathing tube is inserted between the vocal cords and is left in place for the duration of the surgery. Patients usually breathe on their own under general anesthesia however, there is no conscious recollection of the actual surgery or neck lift procedure itself. Anesthesia today is extremely safe with electronic monitoring under the direct supervision of the physician anesthesiologist; heart rate, blood pressure, oxygen, breathing and circulation levels are all monitored. Additionally, an EKG is used to monitor the heart, a blood pressure cuff monitors the blood pressure, a pulse oximetry is used to measure the oxygen concentration in the bloodstream, a carbon dioxide monitor measures the carbon dioxide a patient exhales and a ventilation monitor is monitoring the patient’s own breathing and respirations. Temperature monitors are also used during surgery for patient safety. The board certified physician anesthesiologist monitors a patient’s vitals during the entire surgery at The Seattle Facelift Center, including into the recovery room.
The neck lift procedure takes approximately two hours to perform. The operation involves fat removal and the tightening of the muscles, which is a sculpting and reshaping of the neck and jawline to return the neck to its youthful state. The goal of the neck lift operation is to remove the excess fat in the neck only (not the face) and to tighten the muscles in the neck. Although there is no skin removed in the neck, the goal for the neck lift is to clean up the neck and jawline. The incisions for the neck lift are a 1-inch incision in the submental portion of the chin and two 0.5-inch incisions behind the ears where the drains come out. The sutures are a combination of both removable and dissolvable. There are two Jackson-Pratt drains that stay in place two days for women and are left in place for four days for men. Men have more serous fluid excretion from the neck after the procedure, which is why the drains stay in longer. There are no facial wraps or wrap around dressings used in the neck lift operation post operatively – only drains. After the surgery, patients wake up in the recovery room and the neck will be numb from the local anesthetic given during surgery. Most patients experience some form of mild headache and dull pain for the first few hours in the post operative recovery phase however, this resolves with some mild pain relievers. Recovery time usually takes two hours and then the patient is discharged with their caregiver to home with instructions.
Combination of Procedures with a Neck Lift
It is very common to perform other procedures, such as a Blepharoplasty or Rhinoplasty, at the same time as a neck lift without any complications. These surgeries usually compliment one another for a facial rejuvenation.
copywrited William Portuese MD, 2007/8
I am so thankful to Dr. Portuese and his staff!! I had a face and neck lift in June, and I couldn’t be more thrilled with the result. I spent many years being extremely self-consicous about a VERY saggy neck, inherited from my mother’s side of the family. Now, even though I’m just a few weeks post-op, I can’t get over how beautiful I look and feel! Technically, Dr. Portuese is extremely skilled, and communicates reasonable expectations to his patients before surgery. My results FAR surpassed my expectations. Also, his staff is amazing: Janet met with me for a long time before I scheduled my surgery and was able to describe in detail what the experience would be like, what the discomfort would be like, what the post-op activities and healing experience would be. She was spot-on with everything she told me. Pam did a thorough medical history and review prior to the surgery, and my nurses Noel and (crap, can’t remember the other nurse’s name – sorry honey, I was a little …