The procedure is ideal for patients who may not want a face or neck lift and is dissatisfied with the physical findings of mandibular jowls, “double chins”, turkey gobblers, loose muscle bands, and an overall weathered appearance. They should be aware that all medical conditions, including smoking should be well controlled as active smokers are at higher risk for skin loss or slough. Any medications, which can interfere with clotting, such as Aspirin, nonsteroidal anti-inflammatory drugs, Plavix & Coumadin should be suspended to avoid bleeding (hematoma), which mandates reoperation.

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Procedure

Skin is excised from the neck directly, and the wound is closed with a Z-shaped scar which usually heals quite nicely. This is especially effective in men.

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Recovery

Detailed instructions are given on wound care, activity schedule, medications to take and avoid. Bruising is generally limited but swelling can persist and be reduced with lymphatic drainage. Patients are pleasantly surprised that there is relatively little pain.

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Bathing, including shampooing can be resumed 2 days post-op but men should wait at least 4-5 days before shaving. Male patients are advised that their beard may display “ingrown hairs”, during the immediate 2-3 month post op course; thereafter, the hair follicles are able to grow straighter through the scars.

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We urge caution during the first month, in order to avoid complications and ensure a speedy recover. Heavy exercise, including bending or ranging their necks, should be postponed for at least 4 weeks.