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Neck Lift
Facelift: Achieving a Youthful Silhouette with Vertical Vector Facelift and Neck Lift Procedures

Necklift surgery is performed by Raffy Karamanoukian, MD FACS, a double board certified plastic surgeon practicing in Beverly Hills and Santa Monica.  Dr. Karamanoukian is a graduate of the UCLA School of Medicine and is currently on faculty at the University of California Irvine Department of Plastic Surgery. 


The neck area is vulnerable to aging.  With time, the neck skin and underlying muscle support begins to sag, leaving the neck more flacid and loose.  The degree of neck laxity defines whether a neck lift, facelift, or laser neck rejuvenation is preferred.  Factors that determine the necessity for a neck lift include the quality of the skin, firmness of the neck muscles, presence of vertical neck bands, fine wrinkles on the neck, appearance of neck bands, and the overall tightness of the neck.  A neck lift procedure can be performed with a facelift or alone, depending on the tightness of the face and neck region.  During your neck lift consultation with Santa Monica plastic surgeon Dr. Raffy Karamanoukian, your neck and lower face will be examined to determine the exact procedure that would rejuvenate the neck line.  With a neck lift, the neck and jawline will be more toned with a more youthful contour.


Not everyone is a candidate for a surgical neck lift.  Some patients may not be surgical candidates for the procedure whereas others may opt to undergo a non-surgical neck tightening procedure as an alternative to a necklift.  In our Los Angeles plastic surgery office, we offer both surgical necklift procedures as well as laser skin tightening of the neck. do you decide whether you are a candidate for a laser neck lift? 

Well...nothing beats a comprehensive plastic surgery consultation with board certified plastic surgeon Dr. Raffy Karamanoukian.  He is an expert in neck lift surgery, facelift surgery, and facial cosmetic surgery.  During your consultation, he will examine your neck and lower face to determine the amount of skin laxity, the presence of jowls, neck bands, muscle laxity, and the amount of excess fat in the chin and neck areas.  Examination will further detail the presence of an enlarged thyroid, salivary glands, tonsils, and the position of the base of the tongue.  All of these factors can influence the final results in neck lift surgery.

Dr. Karamanoukian utilizes two different types of lasers for neck lift rejuvenation.  The first is a non-ablative laser that targets and stimulates neck collagen synthesis in the dermis.  This laser acts to tighten the neck and jowl areas and requires three separate treatments spaced one month apart.  The major benefits of the laser are the absence of downtime and the stimulation of your natural collagen and elastin.  

The second type of laser is an ablative laser that targets the mid to deep dermis, stimulating collagen and elastin, as well as skin tightening.  The laser is ideal for patients who have minimal neck bands and good muscle tone along the platysma and neck muscles. Ablative lasers do require downtime, typically 3 to 5 days in most patients, but the amount of downtime will depend on the quality of your skin and the presence of sun damage and actinic keratosis. 


Liposculpture of the chin and neck areas is an important option in neck rejuvenation surgery.  Some patients who request neck lift surgery may also be candidates for a less invasive technique that removes excess fat from the submental, chin, and neck areas.  The technique utilizes tiny incisions that are well hidden underneath the chin and behind the ears. Excess fat is then sculpted and contoured with liposculpture techniques. The benefits of chin and neck liposculpture include the fact that healing times are considerably less, there is minimal downtime, and incisions are tiny and heal quickly.  




  1. What is a platysmaplasty? A platysmaplasty is an important part of a true surgical necklift.  During platysmaplasty, Dr. Karamanoukian will restore the tightness of the midline neck by tightening the muscular corset composed of the two platysma muscles on the neck.  With age, these muscles begin to sag, leading to vertical neck bands.  During a platysmaplasty, the neck muscles are tightened, thus firming the neck line.
  2. How long will results last after a neck lift? Current techniques for neck lifts, including the use of platysmaplasty and preauricular skin advancement allow for a definitive surgical procedure to enhance the jawline and neckline after surgery.   Typically, a neck lift will 'reset' the clock in terms of making your neck line look more youthful, and results will last for many years thereafter.  Patients will continue to age, depending on genetic factors, and may wish to undergo another neck lift to retighten those areas in 10 to 15 years. 
  3. Is a neck lift performed under general anesthesia? A neck lift and a facelift are both performed under general anesthesia in order to safely resuspend the platysma muscles and SMAS layer.  There are certainly ways to perform a minor neck lift under local anesthesia, but these specific cases are tailored on a patient by patient basis.  If you are concerned about anesthesia choices during your neck lift surgery, discuss these concerns with board certified plastic surgeon Dr. Raffy Karamanoukian. He will be able to provide you with specific options during your consultation and preoperative visit. 
  4. Will I have an incision behind my ears during a neck lift? There are many variations of a neck lift procedure.  Minor neck lifts may necessitate a single incision underneath the chin, whereas other neck lifts may require counter-incisions placed behind the ears. These incisions are placed in hidden incisions that are well-concealed afterwards. 
  5. How does platysmaplasty play a role in neck lift surgery? The platysma muscle is a very thin muscle that covers the entire neck area from the jawline to the clavicle or collarbone.  These very thin muscles can begin to age and show signs of aging as they slowly spread apart from the midline neck with time.  The platysma muscles are responsible for the vertical neck lines and vertical wrinkles on the neck that are a common complaint among women who desire a neck lift surgery.  In the majority of cases, initial examination can reveal the extent of platysmal laxity and the degree of platysmal resuspension that is desired during a neck lift surgery.  As the platysmal muscle spread apart the neck becomes more and more lose, leading to the characteristic sagging neck of aging.  During surgery, Dr. Raffy Karamanoukian will isolate the platysma muscles from the neck area and skin in the midline to tighten the muscle below the entire neck.  What a platysmaplasty does during surgery is to resuspend the neck and tighten the entire neck fold and also improve the jowls.  The jowls may a major role in neck aging and by tightening the midline platysma muscle a marked tightening of the jowls is performed as well.


A neck lift procedure can be combined with a facelift procedure if there is significant jowling and skin laxity in the face.  The two procedures, neck lift and facelift, complement one another and can provide you with significant cosmetic improvement in the face and neck areas.

If you are interested in neck rejuvenation, including Neck Liposuction, facelift surgery, or necklift surgery, please call our Santa Monica plastic surgery office for a consultation. For information about Los Angeles necklift surgery, Contact Us by calling our office to schedule an appointment at (310) 998-5533. 

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