The vast majority of male patients seeking rejuvenation focus on the neck rather than the face as the primary issue of concern. Rejuvenating the neck in many patients over 45 typically also involves a facelift since the extra skin of the neck must be distributed and removed in an aesthetically pleasing and natural manner. However, newer procedures such as Facetite or Necktite may be used as alternative procedures to a male necklift.
The ideal male jawline is devoid of fat with a strong jawline. Dr. Shah looks at each patient’s anatomy differently and will discuss which male necklift approaches are best for the patient’s goals and downtime, whether it is a surgical or a nonsurgical approach.
What to Consider Before Getting a Male Necklift
Critical considerations for male patients who are looking for rejuvenation are the following:
• Creation of strong jawline and chin line to create masculine appearance.
•Improvement in neck tissues so that the ability to button top and wear a tie without redundancy in neck tissue.
•Concealment of scars so that the tell-tale signs of a lift are less obvious
• Proper vector in lifting neck tissues to appear natural
Options for a Male Necklift
There are quite a few options to go with when coming in for a male necklift. Dr. Shah will examine the problem and come up with the best approach to go with.
Muscular Suspension of the Neck
This represents the gold standard in neck rejuvenation and Dr. Shah is one of a few select surgeons who performs a true muscle lift. He suspends the muscle of the neck to help create contour. This procedure may involve an incision around the ears, although Dr. Shah hides the incision inside the tragus (post tragal incision) so that the incision is very difficult to see.
Facetite and Necktite
Facetite and Necktite are newer procedures where a radiofrequency probe is placed underneath the skin to contract both fat and dermal elements. This procedure can be done under local anesthesia in the office and can be done without an incision for select patients. This is a procedure which bridges the gap between nonsurgical and surgical approaches. It allows fat to be removed in some older necks since the fat and dermal elements are contracted, avoiding the fear of loose skin after liposuction.
Kybella is method of fat reduction where fat is destroyed using a chemical injection. For patients with loose skin, Kybella is not a first line option.
With this approach, Botox is placed in the muscle of the neck to allow either bands to relax or to create a lifted appearance. The result is subtle and most patients opt for other choices.
With this approach, the muscles of the neck are imbricated in the midline of the neck to create a tighter sling around the neck of the patient. Fat can be removed at the same time.
The crepey appearance of the skin of the neck can be contracted with devices like Fractora.
Fractionated C02 of the Neck
The crepey appearance of skin of the neck can be improved with fractionated C02 laser resurfacing.
The chin is allowed to project more forward so that the excess skin is brought in a better position. This is ideal for male patients as they often have loss of bone volume with age. For more information about chin implantation, click here.
Liposuction by itself may not be a great option for male patients over age 40 for fear of loose skin.
So which approach is best for a tighter neck in a male patient? It really depends on your goals. Patients often combine some of the above approaches to create improved contour of the neck and allow men to follow less conscious of their necks. Dr. Shah goes over each consideration with the patient and discusses the advantages of each technique. Each face and neck requires specific planning which Dr. Shah can do during the consultation process.
FREQUENTLY ASKED QUESTIONS
Do I require anesthesia for a male necklift?
Yes, patients have a choice, along with Dr. Shah’s recommendation, about which type of anesthesia to utilize. Anesthetic options for a male facelift include local anesthesia, minimal sedation and general anesthesia depending on the choice selected.
When can I return to work and normal activities?
Most patients can return to work in 7-10 days depending on the individual anatomic characteristics. Less invasive options will have either no downtime or 1-2 days of downtime.
When can I start exercising again?
Many of our patients resume light weights and light cardio 7-10 days after the procedure.
When can I start shaving again?
Male patients can shave immediately after the procedure, but must not shave around the suture sites.
I am a bald male, what are options for me?
Most bald patients who have no hair are challenges for the surgeon. Dr. Shah can recommend improvements based on minimizing incision placement or using a no incision approach.
Will I lose hair?
Hair is preserved by incision location, type and bevel of incision, and gentle tissue handling.
Where is Dr. Shah’s office located?
Dr. Shah practices on Michigan Avenue on the 9th floor inside Water Tower Place in Chicago, IL.
How long do I need to stay in town if I live outside the Chicago and Chicagoland area?
Most patients stay for approximately one week.
What are some of the risks in male necklift surgery as compared to women?
Men are more susceptible to formation of blood collections in the face called a hematoma, in part to increased blood supply to the face from facial hair. Dr. Shah minimizes this possibility by having patients avoid blood thinners, control hypertension during the procedure and after, and limit activities for first week in the recovery process.
Does Dr. Shah like treatments such as Thermage or Ultherapy?
No, for our practice he does not find these treatments offer enough change to patients. There are better options in our opinion and this includes the use of Facetite and Necktite as well as other noninvasive treatments.
Why should a male patient care about his neck?
Most successful male patients will either wear a collar or collar and tie. A hanging neck can not only irritate the skin of the neck, it can prematurely age the patient. Improvement in the jawline can give patients more confidence in work, personal life, etc.
Why should I choose Dr. Shah for my neck?
Dr. Shah is an expert at facial rejuvenation. He offers procedures which are either unique to his practice or one of the few surgeons in the United States offering it. He teaches anatomy as part of his responsibility as a clinical instructor at the University of Chicago.