Facial Procedures

Facelift/Neck Lift Boston MA

What Is A Facelift?

A Facelift (Rhytidectomy), from Lin Plastic Surgery in Boston, is a surgical procedure designed to counteract the effects of aging, exposure to the sun or gravity providing a fresh, youthful appearance. This procedure involves tightening of the facial and neck skin as well as removal of excess fat deposits. This procedure may be performed in conjunction with other facial cosmetic procedures to optimize the aesthetic outcome.

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What Concerns Can A Facelift Fix?

  • Sagging skin, muscles, and fat in the face and neck
  • Excessive skin and fat in the neck
  • Sagging jaw line
  • Crease lines along the nose, mouth, and chin

Facelift Boston MA

How are Facelifts Performed?

Small incisions are made just inside the hairline, along the contour in front of the ear, and extending under the earlobe to the backside of the ear and lower scalp. The skin is then stretched and tightened, and any excess is removed. If additional attention is required for the neck line, an incision is made under the chin. Tiny stitches are used to close the incisions and to reduce any chance of scarring. Metal clips or staples may also be utilized at the hairline. This procedure may take several hours. Various techniques can be employed which can be discussed during your initial consultation.

What is the Recovery from Facelift Surgery?

Immediately following your facelift surgery from Dr. Lin in Boston, MA, bandages are applied to the face to reduce the recovery time and minimize swelling. Rest and limited mobility are recommended to accelerate the healing process and reduce recovery time. Patients may report pain following surgery which can be treated with oral medication. Although the occurrence of complications is rare, patients can reduce the risk of developing potential problems by carefully following the post-operative instructions.

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“Based upon my own experience, Dr. Lin is a very talented and skilled surgeon. He was also very easy and pleasant to work with. He has a calm and reassuring manner about him and encouraged input from me which I appreciated. I would have no hesitation to return to Dr. Lin for future procedures” -Tracey J.

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Combining Neck Lift with a Facelift

It’s interesting how many patients focus so much of their attention on the signs of aging they are seeing in their faces. While the sunken cheeks, smile and laugh lines, and other signs of aging on the face are prevalent, they don’t exist in isolation.

People often overlook what’s going on just below the chin — aging on the neck. Unfortunately, the neck can be one of the first areas to show extensive aging through banding on the neck and looseness under the chin. While a facelift with Dr. Lin will address the jowls to a degree, a neck lift is often a good addition to a facelift.

Neck Lift Before & After Photos

Neck Lift in Boston, MA


Facelift/Neck Lift FAQs

What is the Neck Lift Procedure?

Dr. Lin utilizes two methods for his neck lift procedures, depending on the degree of change you want to see in your neck and chin area. These can be added to any facelift procedure, making for a single recovery.

  • Traditional neck lift – A traditional neck lift incision originates below the sideburn area and continues down below the ear, terminating in the hair at the back of the scalp. The skin is pulled away and the fat is usually re-sculpted or redistributed, particularly from the jowls. Usually the platysma muscle (which runs from the upper parts of the pectoral and deltoid muscles all the way up onto the jaw) is tightened. The skin is then pulled up and re-draped, and the excess skin is trimmed away. If there is a good deal of fat under the chin, Dr. Lin usually will opt for a second incision there. He can tighten the muscles and use liposuction to remove fat pockets.
  • Limited Incision Neck Lift – As the name implies, rather than a single relatively lengthy incision on each side of the face, here small incisions are made only around the ears. As you would expect, more extensive tightening and skin removal cannot be accomplished with the limited neck lift.

Who are the Ideal Candidates for Neck Lift Surgery?

For many people, the neck is one of the first areas to show signs of aging with excess wrinkling, neck banding, jowls, even the dreaded “turkey wattle.”These are the signs of aging that a neck lift addresses:

  • Fat pockets and relaxed skin in the lower face
  • Loose neck skin
  • Fatty deposits under the chin
  • Muscle banding on the neck
  • Jowl lines
  • Double chin

With our cold Boston winters, it can be easy to forget about the neck and upper shoulders, but come summer you’ll see firsthand why a neck lift is a good addition to a facelift.

What is recovery like from a facelift combined with a neck lift?

Recovery times and conditions vary with different types of facelifts. If Dr. Lin includes a neck lift, this won’t change the duration of your recovery, but it will add a couple different aspects. During your consultation, Dr. Lin will discuss your recovery with you. But these are some general aspects of your recovery. Because the skin is lifted away from the underlying tissue, there is a fair amount of tissue trauma with a facelift. After the procedure, your face will be wrapped in bandages and you’ll likely have drainage tubes. This can be mitigated by the use of tissue glue, but in some cases this isn’t an option. There will be extensive bruising and swelling that will last from two to three weeks. The first few days are the hardest, but then you will feel better quickly. Your skin will probably feel tight in the face and neck. You will likely have numbness in areas, as well. This is normal and can last up to a couple months, as the facial nerves adjust to the re-draped skin. With more involved facelift procedures, most patients can return to work by the third week.

For the neck lift portion of your surgery, you will have elastic bandages around your lower face and neck. This will help minimize swelling and bruising. You won’t be able to twist your neck or bend it forward. Unlike most surgeries, with the neck area you do not apply ice, as this can restrict blood flow and damage the recovery of your skin. There isn’t instant gratification with the neck lift portion of this procedure (or with a facelift for that matter). This is due to swelling, which can come and go for a couple months. Sports and strenuous exercise, particularly those that involve any twisting of the neck, will need to wait at least six weeks.

What are the risks with these procedures?

Facelifts/neck lifts are major surgical procedures, and they involve those same risks: excessive bleeding, poor incision healing, infection, and reaction to anesthesia. As for facelifts combined with neck lifts, these are the specific risks:

  • Injury to the nerves that control facial muscles (usually temporary)
  • Numbness or tingling around the incision areas (temporary)
  • Hair loss at the incision sites
  • Skin discoloration (rare but can continue for several months)
  • Skin healing issues (more common with smokers)

When will I be able to return to work and normal activities after a facelift and neck lift?

Because there are various methods that Dr. Lin may use for your facelift, your return to work and normal activities can vary. Most patients can return to work in one or two weeks, but this varies by the individual. It may be as long as three weeks.

Vigorous exercise, any lifting where you elevate the blood pressure to your face and neck, and sexual activity will need to wait for at least two weeks, but probably more like four. Strenuous exercise and twisting can return in a month and a half.

When will I fully see my results from my facelift and neck lift?

You need to be patient in this regard. There is some extensive tissue trauma involved in these procedures, and this leads to bruising and swelling. This swelling, especially on the face, can return for months, often at the end of the day. You’ll have an initial idea of the improvements from Dr. Lin’s surgery immediately, but the swelling won’t give you the final picture for up to several months. Still, once all the swelling resolves, there is usually the younger appearance of your face and neck that appears.


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Face & Neck Lift Patient Questions & Testimonials

Dr. Lin’s Research on Neck & Face Lift Procedures

Dr. Lin’s Authored Work on Neck & Face Lift Surgery

Aesthetic Head and Neck Surgery

Aesthetic Head and Neck Surgery (McGraw-Hill
Plastic Surgery Atlas)
1st Edition

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Samuel Lin, MD, FACS
98 Binney Street Shapiro Building (Ground Level)
Boston, MA 02215

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Phone: 617.632.7827

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