Q: Dear Dr. Adams, I am 52 years old and have my mother's neck. Is there anything that can be done just for the neck. I hope so. Thanks. Margaret, Newton.
A: Dear Margaret, Your problem is a common one. We all become our parents! The neck ages at several levels. The muscle, called the platysma muscle, becomes more lax with age and forms the bands under the chin. The fat distribution changes and, particularly with weight gain, the fat protrudes under the chin. The salivary glands, the sub-mandibular glands, can become more evident as well, Finally, the skin changes with loss of elasticity and support.
We frequently combine the neck lift with a face lift to redistribute the structures of the face at the same time. But we now have new techniques called Lux IR and Aluma to tighten the skin with out surgery. Four treatments over four months lead to improvement over a six month time frame. Botox treats the muscle bands to relax them and you should repeat the treatments every 3 months for best results.
Depending on the extent of the problem, we can correct the platysma banding with an incision under the chin, as well as remove fat and raise the sub-mandibular glands. If there is a significant amount of excess skin, an incision around the ear may be necessary to redistribute the skin.
I hope this is helpful, and please remember all of the good traits you got from your mother.
Contact me by e-mail, or by calling me at The Adams Center in my Peabody office at 978-531-0550, or 617-262-2208 in my Boston office for more information on this post, or any other information in my Blog.
Dr. Bill Adams is a greater Boston area board certified plastic surgeon with over 25 years of experience in the field.