With an extensive selection of both surgical and minimally-invasive neck rejuvenation procedures, Dr. James Boynton can dramatically enhance the appearance of the neck and create a more youthful, contoured appearance. Dr. Boynton has been trained by some of the leading plastic surgeons and innovators in cosmetic enhancement of the face and neck, which has given him the skills necessary to successfully perform a wide variety of neck rejuvenation techniques. The skin of the neck is often one of the first areas of the body to exhibit noticeable signs of age, which can cause many individuals to feel self-conscious about their appearance. Dr. Boynton can meet with you to evaluate your concerns and talk about treatments that can provide the best option for your unique needs and goals. With a customized treatment plan, our board-certified plastic surgeon can help you achieve effective neck rejuvenation with results that look natural. Plus, many of these treatments can be performed as convenient in-office procedures.
Below, you will find descriptions of the many types of neck rejuvenation options available at our practice, from the least invasive treatments that can address concerns of a more moderate nature to more invasive procedures that can be helpful for patients affected by severe skin laxity. If you have any questions, or if you would like to schedule a consultation with Dr. Boynton, please contact our office today.
Suture Suspension Neck Lift
This is another less invasive neck lift option that is similar to the “Giampapa” Suture Suspension Neck Lift. This is a one-hour procedure done in the office (or in some cases under general anesthesia depending on the preferences of the patient) and involves a small incision under the chin and two small incisions behind the ears. The Suture Suspension Neck Lift is similar to the ICLED® neck lift in terms of the local anesthesia and lipocontouring aspect, but it involves a stronger suture that is anchored into the muscles under the chin and it is then directed back behind the ear in the mastoid area where the tissues are quite strong for suture-holding. This pull can elevate the hyoid bone and sharpen the cervicomental angle at the neck without actually removing any skin. In essence, the skin redistributes. This suture can be added to a cheek lift procedure. It can involve direct excision of fat and even subplatysmal fat (fat under the muscle) and is often done in conjunction with a platysmaplasty (neck muscle tightening).
Neck Lift – T-Z Plasty
A full neck lift (also known as a direct neck lift, a central neck lift, or a “T-Z Plasty”), can be the best option for patients who have an extensive amount of sagging, inelastic skin affecting the neck. This type of concern is sometimes referred to a “turkey gobbler” because the looseness of the skin has such a prominent effect on the neck’s contour. While a full facelift often includes a neck lifting component, a full neck lift can benefit many patients, both women and men, who may wish to significantly improve neck aesthetics but do not need or desire a facelift to accomplish their overall enhancement goals. For this advanced neck lift technique, Dr. Boynton trained under Dr. Thomas M. Biggs, who has written extensively on T-Z Plasty and is known as an expert on this technique.
A T-Z Plasty involves direct excision of excess fat and skin in the neck that is causing the concern. The excision is combined with what is known as platysmaplasty, which is a technique designed to tighten the underlying neck muscles. An incision will be made in the central part of the neck, allowing Dr. Boynton to remove the excess skin and fat and then tighten the muscles. The remaining skin is then redraped to provide a much smoother and firmer look. While there will be a scar from this treatment, Dr. Boynton uses meticulous suturing techniques to maximize the potential that the scar will be as light as possible.
Another major benefit of a T-Z plasty neck lift is that it can often be performed right here at our office with a local anesthetic rather than general anesthesia. This treatment can be a wonderful alternative for ideal candidates who do not need a full facelift with neck lift to successfully address their concerns.
Full Facelift/Neck Lift
Severe neck tissue laxity can also be addressed by a facelift/neck lift procedure. This state-of-the-art procedure addresses signs of age and inelastic skin in the midface and jawline in addition to concerns affecting the neck. With a facelift/neck lift, Dr. Boynton can provide the face with a more youthful appearance and the neck with dramatically enhanced contours and a firmer, smoother look and feel.
MyEllevate® is an advanced new and simpler version of the ICLED® neck rejuvenation technique (described in the section below). Developed by the same plastic surgeon who created the ICLED® neck lift, MyEllevate® utilizes the ICLED® light-guided suture system to establish a foundation of suture support that enhances neck contours without the need for large incisions. This technique can ultimately provide patients with a tighter neck and a smoother jawline, rejuvenating both the upper neck and the lower face. MyEllevate® can be particularly beneficial for individuals who want better definition in the back region of the jawline.
MyEllevate® often takes about one hour or less to perform, and side effects such as swelling and bruising are typically minimal. Since MyEllevate® is minimally-invasive, this treatment often yields a relatively fast recovery. In fact, many patients are back to normal routines within a few days. The procedure can be performed on its own, or in combination with neck liposuction or laser procedures.
ICLED® Neck Lift
(Percutaneous Trampoline Platysmaplasty)
This is an innovative treatment that can often be performed in the office (or in surgery) with numbing solution, and typically patients do great. It takes about an hour or less, and many patients can return to work the next day. The ICLED® neck lift involves some liposuction as well as a suture that is placed “percutaneously” under the skin with a special lighted fiber optic device that tightens the neck skin. The procedure can provide a full neck lift without any significant incisions—just a 3-mm incision for liposuction.
The ICLED® neck lift, previously known as the ImplicitGuide® Surgical Suture System (iGuide®), can provide patients with a firmer, more youthful neck line without the need for a comprehensive surgical procedure. This minimally invasive neck lift from our board-certified plastic surgeon, James F. Boynton, MD, requires a single, minor puncture, and provides patients with immediate results and virtually no scarring.
The ICLED® procedure requires very little recovery time and creates a lasting, natural-looking neck contour without the need for general anesthesia. The entire procedure takes roughly an hour to complete, and combines minimal liposuction with a suture that is placed “percutaneously” under the skin with a fiber optic device that tightens the neck skin.
ICLED® is FDA-approved for soft tissue approximation and elevation, which is specifically designed to improve the contour of a patient’s neck and jawline. The procedure actually mimics the results of a full neck lift with only a 3 mm incision.
Patients can expect to notice results immediately, and many return to work the next day. Depending on each patient’s cosmetic enhancement goals, ICLED® neck lift also works well with the short-scar facelift and can be combined with other rejuvenation procedures, such as BOTOX® Cosmetic, JUVEDERM®, or Radiesse®.