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The neck is often one of the first areas of the body to show signs of aging. A neck lift surgery, also known as lower rhytidectomy , cervicoplasty or platysmaplasty, can assist those looking to slow down the signs of facial aging in the jaw or neck region. The soft tissue and the muscles and soft will be re-positioned and all of the excess skin is taken away. Plastic surgeon Dr. Sheffield at SB Aesthetics plastic surgery offers patients several neck lift cosmetic surgery procedures that can resolve these aesthetic concerns . The most common areas for the lower facelift and neck lift surgery under localized anesthesia procedure are:

Loose Skin: A common aspect of aging that is adversely affected by gravitational pull.

• Muscle Sagging: The aging process can impact the sheet of muscle that extends across the one’s neck. The edges of the muscle on start to sag downward during the aging process. When sagging skin and muscle combine, this creates what is often described as the “turkey gobbler” effect which can detract from body contouring.

Excess Fat: Patients with additional fat in the neck area look for removals that allow them to avoid the appearance of having a double chin.

Neck Lift Before and After


There are a number of ways to perform the lower face lift and neck lift procedure, depending on the objectives of each person. Liposuction, platysmaplasty and cervicoplasty are available. A lower facelift and neck lift surgery typically includes liposuction for fat removal while the latter procedures focus on excess skin removal and the tightening of neck muscles.

The lower rhytidectomy plastic surgery is also performed in tandem with other facial surgeries, such as an eyelid surgery, brow lift or facelift surgery. Dr. Sheffield is well experienced with plastic surgery procedures and he will examine your facial anatomy. The consultation will also focus on your aesthetic objectives. This allows for a fully customized treatment plan to take place.


Contour issues of the neck are frequently age related but not always. Contributing to blunting of the neck line is usually extra subcutaneous fat, skin laxity and muscle (platysmal) bands.

Blunting of the jawline laterally can also be caused by a lower position of of a salivary gland. Traditionally general anesthesia is used in cosmetic surgery with many neck procedures. Removal of fat suction can be selectively used especially for the younger person, however, when skin laxity is an issue skin tightening is necessary. This can be accomplished by the traditional neck lift where incisions are placed just in back of the ear and along the hairline. If bands are present a direct approach can be done. Alternatively, there are thermal skin tightening procedures for wrinkles such as the plasma neck lift Santa Barbara which offer limited incisions.

Over the years Dr. Sheffield has found localalized anesthesia for facial plastic surgery to be more accepting to many patients. Choosing the right cosmetic procedure for each person is the key to the best outcome.


The top candidates are in good physical and psychological health. They also want to be rid of loose neck tissue on their neck and are looking to tighten the lines along the jaw.


During the consultation, Dr. Sheffield will discuss one’s goals and expectations for the cosmetic surgery procedure. This is how the person is aligned with the treatment that they need.

Medical history (including any past surgical procedures), allergies, present medical conditions, and medications must be discussed. Patients need to be completely honest with this information because of the medical conditions that can increase their risk factors.

If the person is determined to be a viable candidate for lower rhytidectomy, Dr. Sheffield explains the side effects and costs associated with your procedure. Selecting Dr. Sheffield is the best choice for patients in search of a board certified surgeon who is held in the highest esteem by his colleagues.


Lower rhytidectomy utilizes a number of different procedures and techniques, including:

• Platysmaplasty (muscle sheet realignment): this procedure addresses the looser skin that has accumulated at the front of the person’s neck. Dr. Sheffield makes the necessary incisions under the chin or behind the ears. From there, the neck muscle bands are re-aligned to create a better neck angulation.

Patients who combine the procedure with removal of fat suction should expect a procedure that lasts anywhere between 60 to 90 minutes.

Platysmaplasty relies on the two following techniques:

• Corset Platysmaplasty: Patients who suffer from neck banding or hanging skin rely on this technique.

• Purse String/Hammock Platysmaplasty: this is a technique that male patients tend to rely upon due to the deeper structure of a man’s neck.

Mesh (Alloderm) is used as a “hammock” to keep the neck muscles tight and capture loose skin. When platysma banding occurs, neck muscles are tightened when the surgeon makes hidden incisions below the’s person’s chin. From there, the edges of each side of the muscle are quilted together to formulate a new and improved neckline.

Other techniques include:

• Cervicoplasty: Excess, sagging neck skin is removed from the neck area so that the neck tissue can be re-positioned of the neck tissue to create a more youthful appearance within the contours of the neck.

• Neck Liposuction: By removing fat, a dramatic effect is had. The neck is re-contoured and this procedure also allows for tissue tightening and volume reduction. The procedure is performed under local or general anesthesia. Tiny incisions are made underneath the chin and a vacuum device is attached to the surgeon‘s cannula (thin surgical instrument) as a means of suctioning off excess fat.

Smaller fat suction instruments are used in a micro-liposuction to handle the more detailed contouring concerns that take place in certain neck areas.

• Laser Assisted Liposuction: Neck fat is removed with lasers and patients are left with a far more defined jawline silhouette. Patients are injected with a tumescent solution during this procedure. This mixture of epinephrine and local ized anesthesia reduces bleeding and minimizes pain.

The fat becomes swollen and firm, making for a much easier removal. A CO2 laser is utilized to treat the back surface or interior of the neck musculature and skin and musculature. Fat cells are permanently destroyed by the laser’s thermal heat.

• Cervical Lipectomy: A small opening is made underneath the neck and patients looking to remove fatty tissue from the central neck region are assisted. This technique tends to be performed in tandem with platysmaplasty or neck liposuction.

• Submentoplasty: Patients who do not possess the desired amount of laxity for neck skin rely on this procedure. Cervical lipectomy, neck liposuction and platysmaplasty are combined. The T-shaped incision that takes place underneath the chin is well concealed.


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Neck Lift Before and After


The lower facelift and neck lift surgery under localized anesthesia procedure is usually performed on an outpatient basis. The person is given general anesthesia or localized anesthesia with intravenous sedation. The decision depends on the other operations patients are receiving at this time.

Lower rhytidectomy patients often undergo multiple procedures during the surgery. The number of procedures will correlate directly with the amount of time spent in surgery. The procedure does not tend to involve any sort of overnight stay at the aftercare facility. Patients who are receiving a facelift might require additional assistance.

During the lower facelift procedure and neck lift, the person receives one-inch incisions behind the ears and/or under the chin so that neck muscles can be tightened. Once this step is complete, the excess is ttissueaken away with incisions being made to the ear area.

Swelling or bruising around the jaw, ears and neck may take place but should start to recede within a few days. Oral pain medications and antibiotics are administered as a means of preventing infection and reducing pain. The stitches are taken out within 3-7 days of the procedure.

To find out if lower facelift and neck lift surgery or neck liposuction in Santa Barbara is right for you, contact Dr. Sheffield at (805) 318-3280 to discuss a customized treatment plan.

Any scarring that takes place is easily concealed beneath the chin. In occasional instances, they can be long and visible. The neck lift technique that is utilized when the surgery takes place affects the scarring.

Dr. Sheffield will work tirelessly to ensure that the scarring is as inconspicuous and minimal as possible. The results of the lower facelift and neck lift surgery are immediately visible and will improve in the months to follow.

Patients who are in search of additional information about neck lift surgery are urged to contact SB Aesthetics immediately. Our experts will be more than happy to answer any of questions you may have. You can also schedule a complimentary consultation with Dr. Sheffield at this time. Be sure to check the link below for a more in depth description of the procedure.


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Bruising, stiffness and swelling are to expected after the procedure takes place. The symptoms typically subside within a two to four week period. Potential lower facelift and neck lift complications tend to be rare. However, they can include bruising, burning or tingling sensation, tightness of the skin, swelling, numbness, bleeding, infection, seroma, adverse anesthesia reactions, hematoma, issues with wound healing, facial asymmetry, and permanent scars.

A complete set of detailed instructions is provided to each person to ensure that the recovery process goes according to plan. Patients are typically advised to sleep with their head elevated (slightly) at a 30-degree angle.

This is recommended as a means of reducing swelling. The neck’s rotation must be minimized as well. Prescription medication is provided to assist with the pain. Bandage dressing changes are also provided.

Bruising and swelling may remain noticeable after surgery for up to ten days. Patients could experience tightness in the weeks to follow. This sensation slowly fades away once the neck gains a greater level of familiarity with its new position and contouring. The average patient is able to resume work within 10-14 days but strenuous physical activities are not recommended for at least one to two months.

Necklift Before and After


Dr. Sheffield’s patients are given the chance to enjoy the neckline that they have always wanted. “Turkey wattle” is removed, facial contours are more defined and saggy skin becomes much tighter. Generally speaking, results can last ten to fifteen years depending on the level of vigilance that the patient has when it comes to maintaining their new look. Smoking, drinking and excessive exposure to sun will counteract the positive effects of the lower facelift and neck lift. Maintaining a healthy lifestyle and limiting sun exposure are primary factors in prolonging the results of neck lift surgery.


A mini neck lift is a minimally invasive surgical procedure that is utilized to achieve the desired aesthetic result of having a more defined jawline and neck. This treatment is intended to refresh the patient’s appearance and provide the impression that they are younger than they actually are. Traditional neck lifts need deeper incisions, carry a higher risk of complications, and require a lengthier amount of recovery time. Mini neck lift surgery requires substantially less dissection of the neck to be performed as compared to a traditional neck lift surgery. This is the most important distinction that can be made between the two approaches. Because different surgeons may have different conceptions of what constitutes a “small” surgery, it is imperative that patients communicate their objectives during the initial consultation. When performing a mini-neck lift, some doctors also make incisions under the chin and tighten two strips of neck muscle known as the platysma in order to eliminate the vertical bands that are caused by laxity in the platysma muscles. This is done in order to create a more youthful appearance.


The price of mini neck lifts can range widely based on the specific procedures that are performed on the patient as well as the region of the country in which the procedure is carried out. The cost of a mini neck lift is determined by a number of criteria, including the extent and difficulty of the procedure, the location of the procedure, and the level of experience of the surgeon who will be carrying it out. The price of a mini neck lift can range anywhere from $6,400 to $13,900 depending on the complexity of the treatment that is being performed. Because so many people get many cosmetic procedures done at the same time, the prices will inevitably fluctuate depending on how many procedures are combined. Additionally, because it is considered to be an elective operation, a mini neck lift is not something that may be covered by health insurance. If you are concerned about the cost of the surgery, you should be sure to ask the office of your cosmetic surgeon about the many financing alternatives that are available. As is customary, during the first appointment with your surgeon, he or she will present you with a more precise cost estimate for a mini-neck lift.


The neck lift performed by Dr. Sheffield is different from most others because it targets the deeper tissues beneath the platysma muscle, allowing it to return to its youthful position. An extremely tight neck can be generated by just pulling on the skin. This prevents this.

A platysmaplasty, which removes the cording in the neck’s center, tightens the muscle on the neck’s sides as well as in the middle. A modest 1-centimeter incision beneath the chin and one behind each ear are required for this procedure. Since the incisions are hidden behind the ear, no scars are visible.

As a trained plastic surgeon, Dr. Sheffield does facial and neck surgery. Both his patients and his colleagues see him as one of the best surgeons in the field of neck lift surgery.


Please refer to our patient gallery for before and after photos.


These days, there are a number of non-surgical procedures that claim to improve neck contour, including Botox and other injectables; liposuction; laser treatments; ultrasound; radiofrequency; thread or suture lifts; and so forth. A well-planned and executed surgical neck lift cannot be replicated by any of these options, even if they have some validity and can generate some improvement in neck contour.


Neck lift procedures are commonly used to resolve muscle banding, sagging skin, and excessive fat deposits. Dr. Robert Sheffield will also remove a double chin if needed, which is characterized by drooping skin and jowls below the patient’s chin.
Are you not satisfied with how your neck looks? Are you desiring a youthful, firmer appearance? Having a neck lift procedure done by Dr. Sheffield can help you tremendously in that case. Our team of accomplished professionals will take both your health and aesthetic goals into consideration. Candidates must have a healthy immune system and should not have any bleeding disorders or skin conditions. Dr. Sheffield takes the medical history and unique goals of his patients into consideration and answers all questions with care to determine the best course of treatment for his patients.
This treatment is generally carried out to reverse aging signs before they become too visible. Most patients who come to Dr. Sheffield are aged between 30-70. However, younger or older individuals may also be eligible, depending on their circumstances.
A liposuction procedure with minimally invasive effects can be used to remove fat deposits under the skin. However, it cannot eliminate muscle banding or sagging skin issues. If you desire better results, it’s best to go for a neck lift procedure.
Our state-of-the-art surgery center located in Santa Barbara comes fully equipped with cutting-edge technology. Our staff members are trained as per the latest safety protocols as well, ensuring our patients never have to compromise with the quality of care they receive.
During the procedure, two incisions will be created behind the ears, through which drooping muscles can be tightened, excess fat deposits can be removed, and sagging skin can be trimmed away. A minor incision may be made underneath the chin to address potential muscle banding issues. Liposuction may be combined with other conventional neck lift methods for the best possible results. The incisions will be closed at the end of the procedure.
Most patients are on the operating table for a couple of hours. The procedure’s exact length is dependent on your personal goals, the techniques used, and the overall extent of the surgery.
After the neck lift procedure, be prepared for some discomfort and swelling for the next few days. Wearing a custom compression bandage and ample rest will help you heal faster. Discomfort or swelling issues can be addressed with the appropriate medication. You can go back to work within 1-2 weeks and resume your exercise regimen a few weeks after the procedure. Contact sports must be avoided for 6 weeks at the very least. Dr. Sheffield will issue guidelines that will help you return to normal life without straining your body too much. This will accelerate the healing process and minimize any discomfort.
Dr. Sheffield generally removes the stitches 7-10 days after the procedure.
The operated area will remain swollen for a week or so due to inflammation after the procedure. However, once this goes, you should start seeing visible results. The full effect of the procedure will be clear in 6 months.

Click below to learn more about other Cosmetic procedures and Facial Rejuvenation.



Upper Eyelid Surgery

Lower Eyelid Surgery

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Learn More About Neck Lift Surgery, Check Out: How much does a micro neck lift cost?


Interested to know about your neck lift options?  Whether you are thinking about having cosmetic surgery, a non-surgical procedure or have had prior surgery and are seeking additional touch-ups, it is critical to work with a skilled plastic surgeon that specializes in facial procedures. Dr. Robert Sheffield is a board-certified facial plastic surgeon at SB Aesthetics offering services to those in Santa Barbara, Santa Maria, San Luis Obispo, Oxnard and Ventura, CA, and the surrounding communities.  Dr. Sheffield offers patients a customized treatment plan and is available to answer your questions. To schedule a consultation, call 805.318.3280 today.

Robert W. Sheffield, MD FACS – Plastic Surgery Santa Barbara

601 E Arrellaga St #101

Santa Barbara, CA 93103

(805) 318-3280


If you are considering plastic surgery in Santa Barbara, CA, or anywhere around Santa Barbara County, contact us to schedule a one-on-one consultation with top plastic surgeon Dr. Sheffield

601 E Arrellaga St #101, Santa Barbara, CA 93103

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