Q: When should a facelift and necklift be combined?

What our experts say:

The quick answer is when its needed.

A necklift is performed to tighten the neck contours and the underlying platysma muscle and a facelift lifts the jowls which sharpens the jawline.

In my practice, I perform a neck lift with a facelift about 80% of the time. The reason for that is that the neck results are wonderful and the combined procedure produces fantastic long term results.

I have had the opportunity to wrok on alot of secondary facelifts, so these are patients who had facelifts about 8-10 years ago and come in for a touchup. Their biggest complaint is that their neck has fallen. They usually don't specifically remember if they had a neck lift but on examination, the neck was not done at the initial surgery. So I am usually performing a revision face and neck lift. 

For those patients who had a face and neck lift done- they usually don't need a revision neck lift and I end up just revising the facelift. Usually a smaller overall procedure than the first time. 

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Dr. Dilip D. Madnani

Facial Plastic Surgeon

New York, New York

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