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Introduction

Most patients’ concerns with the appearance of the neck can be simplified by categorizing them into anatomical components:

  1. excess fat (e.g. ‘double chin’)
  2. muscle banding due to lax muscles (vertical cords commonly seen in the necks of older patients)
  3. excess skin or stretched skin (e.g. ‘turkey neck’)

The goal in treating your neck is to utilize the least amount of surgery to accomplish your wishes. plastic surgeon Lawrence Tong, MD is committed to this principle, and will always recommend the appropriate procedure for your specific neck concerns.

A patient with only excess fat can be treated with Neck Liposuction. When a patient has skin excess (i.e. loose, sagging, or stretched) or inelastic neck skin, a Neck Lift is needed. A patient with excess fat and muscle banding should undergo a Mini Neck Lift.

A Mini Neck Lift is a much smaller procedure than a regular Neck Lift, and a great option for patients who have concerns about their neck that do not involve loose or stretched skin.

What Does a Mini Neck Lift Accomplish?

A mini neck lift makes the neck slimmer and more youthful looking. The procedure is designed for patients who have excess fat and lax muscles in the neck, but no excess skin.

Specifically, the procedure does the following:

  • Removal of fatty tissue from the neck and ‘double chin’ area
  • Removal of vertical muscle bands
  • Deepening of the angle underneath the chin

Best Mini Neck Lift Candidates

The procedure is best suited for patients who do not have sagging, stretched, or loose neck skin. If this condition exists, a Neck Lift is likely more appropriate.

Best Candidates:

  • Generally younger patients (30-50’s)
  • Good skin tone in the neck
  • Some excess fat in the neck
  • Some muscle laxity in the neck, with a blunted angle under the chin

Other Criteria:

  • Patients should be generally fit and healthy
  • Smokers must quit at least 2 weeks prior to surgery
  • Dr. Tong will evaluate your overall health status to determine if this surgery is appropriate for you

Mini Neck Lift Incisions

Any surgical procedure will leave some type of scar. A plastic surgeon specializes in obtaining the least visible scars and putting them in the least visible places. The incision for a Mini Neck Lift is 3 cm long, located in the ‘double chin’ fold. It is difficult to see, due to its location underneath the chin— even when the scar is new. Once the scar has matured, the vast majority of patients and their close friends/family will rarely, if ever, notice it.

Details of the Mini Neck Lift Procedure

Dr. Tong performs the procedure under general anesthesia or IV sedation. He conducts your surgery in the private CAAASF accredited surgery centre, on the 3rd floor of 199 Avenue Road where our offices are also located.

Dr. Tong begins the Mini Neck Lift by first making the 3 cm incision under the chin, then exposing the underlying muscle and fat layer. The muscle layer is plicated (tightened) to eliminate banding caused by muscle laxity. This maneuver is key to achieving a deeper angle under the chin. Dr. Tong removes the excess fat in the neck either directly or by Liposuction to achieve a natural, non-operated look. He stitches the incision back together meticulously. After the last stitches are placed, a dressing is applied and you are gently awakened from anesthesia.

Recovery after Mini Neck Lift

Our registered nursing staff will monitor you in the post-anesthesia recovery area after your surgery. Dr. Tong will allow you to go home after the effects of anesthesia have worn off, accompanied by your friend or family member.

At home, you may do non-strenuous activities such as watching television, listening to music, reading, and making meals. Otherwise, you should try to rest and relax as much as possible. Sleep in a reclining chair, or use multiple pillows to keep your head elevated when you sleep. This helps decrease swelling and speeds up healing. Pain is typically mild and narcotic pain medication will be prescribed. It is generally used for less than 5 days. There will be some bruising typically lasting from a few days to 2 weeks. A removable compression dressing is provided; we encourage you to wear it as much as possible during the first week.

At one week after surgery, you will have an appointment to see Dr. Tong to have your stitches removed. The majority of patients return to non-strenuous work at 5-7 days. Dr. Tong will likely allow you to start light exercise (e.g. walking) at 1 week after surgery. Avoid strenuous activities until 4 weeks after surgery. After the initial post-op visit, you will follow up with Dr. Tong at 6 weeks, 6 months, and one year after surgery. Post-operative photos will also be taken at these visits.

As with any surgery, there are risks involved with the Mini Neck Lift. Although the procedure has a low risk profile, Dr. Tong will make sure to go over the pertinent potential problems associated with a Mini Neck Lift at the time of your consultation.

Get Educated About Mini Neck Lift in Toronto

Patients should obtain all the information about their surgery options before making a decision. Our first goal is to educate you. We feel strongly that an educated patient will make better choices about their surgery and their surgeon. The initial consultation may take over 45 minutes to complete. Dr. Tong will make sure that you understand all aspects of the surgical process. You will never be rushed or pressured to make a decision.

To learn more about how Mini Neck Lift surgeon Dr. Lawrence Tong can help you with improving your neck, set up a Mini Neck Lift consultation by giving us a call at (416) 972-0999. If you wish, let us give you a call; just fill out our contact form and we will call you on the same or the next business day. No physician’s referral is necessary.

Mini Neck Lift at a Glance

What the procedure does
Makes the neck slimmer and smoother by removing fat and tightening the neck muscles
Duration of the result
Usually permanent; neck may sag with weight gain, aging, smoking, sun exposure
Length of time to perform the procedure
1.5 hours
Type of anesthetic most commonly used
IV sedation or general anesthesia
Length of time off of work
3-5 days
Time to get back to exercise
2 weeks light exercise, 4 weeks heavy exercise
Pitfalls your Plastic Surgeon should avoid
  • Overly defatted neck (skeletonized appearance)
  • Using a Mini Neck Lift when a regular Neck Lift is needed
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