Question: I would like liposuction of my neck and then a necklift. Where do you perform this type of surgery? How long does the surgery last and will I have to stay overnight?
Answer: Depending on your particular anatomy and degree of aging, this type of procedure may be able to be performed in an office setting, using strictly local anesthetic and in fact I perform these commonly in this environment. The liposuction is performed first, followed by the mini-lift, which is performed through small incisions in and around the ear and the deeper layer of the face is then elevated and placed into a more esthetic position. Excess skin is removed and closed with some fine sutures, which are removed in 1 week. I do place a light pressure dressing that you can remove the following day and depending on how much bruising occurs you may have very little downtime at all. For more significant signs of aging or for those that want a much longer lasting result, I would recommend an extended SMAS deep plant facelift with a platysmaplasty, which would be performed under general anesthesia in an operating room. The mini-lift with liposuction will always allow you to look better than you would have had you never had the procedure done and at a minimum should last for several years, but the extended SMAS deep plane facelift with platysmaplasty typically lasts 10 years or more. If you have the deep plane facelift I do recommend that patients stay locally overnight since I leave a drain in.