Aesthetic Facial Body Plastic Surgery
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NECK CONTOURING WITH FAT INJECTIONS
By Seattle Bellevue's Neck Lift Expert Dr. Philip Young with over 1400 Face Neck Lifts Performed & over 15 years of Experience in this field


See This Video with Testimonials for Seattle's Neck Lift Specialist Dr. Philip Young:

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


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Dr. Young likes to do his neck lifts using techniques that he developed based on over 1200 neck and facelifts. What we are going to discuss on this page is the role that volumizing has in the neck and creating a better shape. It is our opinion, that the ideal patient that could benefit from fat grafting for the neck is the person without much neck laxity from the platysma muscle. Also, the neck should be thin and not with a lot of fat present. Usually the ideal neck for fat grafting is someone who doesn’t have a lot of laxity, is usually someone who is younger in age 30-50′s, has a thin neck. The goal of fat grafting in the neck for this particular person would be to increase the volume of the layer just under the skin. The potential benefit is a reduction in wrinkles, improvement in the tone and elasticity of the skin. The fat, over time, will allow the skin to rejuvenate. It does so because of the stem cells that are delivered with the fat injections. The skin is allowed to be placed further away from the muscles. Therefore the muscle is able to exert less force on the skin and have less ability to contract and create the dynamic wrinkles in the neck.

We would like to explain further on how neck fat grafting could benefit the appearance of your neck. With the extra layer of fat underneath your skin, the skin is allowed to regenerate. Your skin is always remodeling. You have cells that are constantly breaking down and building back up your skin and the tissue within. When the cells are given a rest from the contraction of the muscle, the cells continue this remodeling and essentially help reduce the wrinkles over time. This is accomplished by the layer of fat that buffers the action of the muscles. Also the stem cells that are transported in the fat injections, help rejuvenate the skin as well. Another way that the fat grafting helps the skin is by volumizing in general. The way to think of this is when you take a balloon and pump up the air into it, it starts looking shiny the more you inflate it. When the air is released the balloon starts to lose the shiny characteristic. This is the same with our skin too. It is due to the light being bounced off in all sorts of directions when the balloon and skin are deflated. When they are inflated the skin surface is flatter and light bounces off better and the result is a shinier and better glow!

The fat is typically harvested from the abdominal / stomach area. We then process the fat and this is then transferred in syringes that we use to inject the fat into the neck through tiny injections. We typically don’t harvest too much fat. The most we harvest is around 200 cc. For comparison, 236 cc or cubic centimeters is in one cup. Five cc’s is in one teaspoon and 15 cc’s is found in one tablespoon. But typically we may only use at most 50-70 cc’s in the neck area. Usually we harvest around twice as much as we would like to inject. This is due to the finding that we usually refine half as much injectible fat as we harvest. The harvesting typically does not change the area that we are harvesting. The cosmetic effect is not great in the donor area. The other common areas of harvesting the fat after the stomach area are the hips, waist, back, and the outside of legs. Less common areas are the back of the arms, inner legs and around the knees.

Below is a discussion on some of the other ways to evaluate your neck for the other options:

Below is a picture of the face and neck with its underlying anatomy. The platysma muscle is what we use to tight wrap the neck and contour it when we do a neck lift. This suture wrapping of this muscle is mainly done in the middle part of the neck just under the chin and it is continued to the lower base of the neck and then back toward the chin area. This approach is often referred to as the corset platysmaplasty or neck lift. We use absorbable sutures (long term) to carry out the corset. These sutures absorb over a long period. During this time, your tissues heal and the connective tissue that is produced (controlled scarring inside) creates a more permanent shape to your neck. As this occurs, your sutures start to become absorbed and in a few months they will be completely dissolved by your body. When we do fat grafting, the fat is placed just superficial to the platysma muscle. This is the muscle that exerts the contraction forces that create wrinkles. We typically do not tighten the neck as we do with the corset platysmaplasty when we do fat grafting of the neck.

Neck Anatomy Aesthetic Facial Plastic Surgery

Below is a picture showing the incisions that we use for our neck and face lifts. These incisions are not what we use for fat grafting which can be a positive when you do fat grafting. We wanted to discuss the incisions for the face and neck lift and then show you where we do the fat injections for the neck. We do this to show you how less invasive fat injections in the neck can be when compared to more traditional / formal neck and face lifting. The below picture is a picture after the procedures to show how well the incision heal. This is without any diagrams showing where they are. The picture that follows demonstrates where the incision was made to allow you to understand how to interpret the healing of these incisions. As you can tell, the incisions are very hard to appreciate and notice.

Below is the picture which shows where we made the incision in this particular patient. This patient had a face and neck lift. Although we don’t use these incisions for fat grafting of the neck, we wanted to show where these incisions are in face and neck lifts for comparison. The dotted line shows where the incision is located behind the ear, hence the broken line pattern. This part of the incision cannot be seen because it is behind the ear. It will now be helpful to refer to the picture above where the incisions are not colored coded to reveal where we placed the incisions. This will allow you to appreciate how the incision healed in this particular patient. As you can tell the incision in front of the ear and in the temple part of the hairline is imperceptible. When we show people this picture, they usually can’t tell where the incision is in the front of the ear. Behind the ear it is a little more noticeable. One thing to note is that this result is strictly from the one procedure with no additional scar improvement type techniques which many surgeons incorporate into their procedures at a later date.

The picture below shows where we would normally make the incision for a Neck lift only procedure. After this we are going to show you where we inject the fat during a fat contouring of the neck. So the picture below shows that we normally start the incision right in front of the earlobe and then take this incision behind the ear and then along the posterior hairline. Sometimes we can avoid the incision right in front of the earlobe based on the particular situation and particular patient needs.

Below is a picture which shows where we would typically place the injection sites when we graft fat in the neck. We use from 2-8 entry sites and these typically heal imperceptibly. These small injections sites can be much more favorable then the much longer incisions for neck and face lifting.

Fat Grafting Neck Contouring Injection Sites

We typically prefer to do these procedures under intravenous sedation. You can read about the options here regarding anesthesia. Intravenous sedation is safer than general anesthesia and many time you are less nauseous. General anesthesia usually places more stress on your heart and it carries with it greater risk for developing life threatening blood clots. Also, you typically need to have a breathing tube placed in your airway with general anesthesia. This can add risk to general anesthesia as well. Those are some of the reasons we prefer intravenous sedation.

The following link will take you to some Pre Procedure Care Packages. that should be very useful for preparing for your future Neck lift.

If you are interested at anytime about scheduling an appointment you can email, call 425-990-3223 and even text message us at anytime. Click here if you would like to find out more about our consultation process. We can set up a phone consultation for you and show you how to take the 5 basic photos that you will need.

We want the best for you. Dr Young always maintains, as much as possible, an open door policy to help people. Even if you were to decide to go to another doctor for the same procedure, Dr Young would always welcome you to email or call our office anytime for help.