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Neck Lift Surgery


The surgery takes place at Marin Cosmetic Surgery Center, Dr. Delgado’s private surgery suite, located in his Marin County office on the Sutter Marin County Community Hospital campus. This allows Dr. Delgado to offer his patients private, concierge medical care, while providing the extra measure of safety and reassurance afforded by the surgery center’s contiguous location to the hospital.

Before anesthesia is given, Dr. Delgado marks your neck for the incisions with a special surgical felt tip marking pen. This creates the customized map that will guide him during your procedure.

A neck lift can be done in one of four ways, depending on the patient’s individual needs.

The first approach is liposuction only. This is a good technique for a young person with a fat deposit under his/her chin, but with good skin elasticity and no platysma banding. Liposuction does not actually lift the neck, though it gives that appearance. By extracting fat content below the chin and with good contractility of the skin, the skin will contract upward, re-drape around the chin area and a classic, youthful jaw line will emerge.

The second technique is liposuction and tightening of the platysma. The platysma is a muscle that runs from the chin to the neck and then down towards the chest. Over time, it becomes loose, appearing as fine cords that visibly protrude from beneath the neck skin. The platysmaplasty technique will reapproximate these muscles to create a smooth contour of the neck and an attractive, defined angle between the jaw and the neck region. This procedure will reduce the fat component of the neck and tighten the superficial neck muscles.

The third type of neck lift encompasses liposuction, platysmaplasty and the placement of a mastoid suture. This stay suture runs from the midline of the neck at the neck crease, to attachment just behind the ear. Its purpose is to increase the jaw definition and create a more permanent neck-jaw contour by giving it additional support.

The fourth type of neck lift includes liposuction, platysmaplasty, stay suture and a skin excision from behind the ear and into the hairline. This is performed with a patient who has redundant skin in the lower neck area and would like additional skin tightening. If the neck laxity is too severe in that it impacts the upper face region, Dr. Delgado will suggest a lower facelift to achieve the most natural appearance.

There are various combinations of techniques that can be employed in a neck lift. Dr. Delgado, with the use of computer imaging, will assist you selecting the best procedure that fits your needs at this stage of your aging process.


The vast majority of neck lift procedures are done under light general anesthesia. At Marin Cosmetic Surgery Center, anesthesia is administered only by a physician who is board-certified in anesthesia. Dr. Delgado and the anesthesiologist will assist you in making the best decision for your neck lift anesthesia. (See credentials for Randy Gaynor, MD on our website.) The anesthesiologist will call you the night before your surgery to review your medical history, confirm last minute instructions and answer any questions you may have relating to your anesthesia.

After Neck Lift Surgery

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