Question: What sort of conditions does the necklift address?

Answer: A neck lift addresses jowls and laxity under the chin by lifting up the deeper layer of the face called the SMAS.  Excess skin is lifted with this and then removed and incisions in and around the ear are closed with sutures that are removed in a week.  It essentially does what most women do in the mirror when they look at themselves and they are showing signs of aging, and that is they grab the sides of their face and they lift a little bit and this lifts the jowls and laxity under the chin and they like what they see.  A neck lift will accomplish this same goal and can be performed in the office setting without the need for any sort of general anesthesia.

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Question: I recently heard of something called a post-auricular neck lift, can you explain what this is? How is it different from a regular neck lift?

Answer: A post-auricular neck lift is a neck lift that is performed through small incisions behind the ear exclusively.  In other words, there is absolutely no incisions placed in front of the ear.  I personally see very few patients that would benefit from a post-auricular neck lift as the far majority of patients want a more vertical elevation of their soft tissue, which would by definition involve an incision in front of their ear as well.  For most of these patients I can limit the incisions so that they are relatively short, and they certainly will end behind the ear.  These incisions are otherwise placed in creases, folds, and shadows in and around the ear, and they become extremely inconspicuous.  In fact, I have really never had a patient complain about the actual scar from a mini-lift or facelift procedure.

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