Frank Agullo, MDBoard Certified Plastic Surgeon

What Is Involved in Neck Lift Surgery?

Category: Neck Lift

What Is Involved in Neck Lift Surgery?

Dr. Agullo Necklift Patient before and after photosAre you unhappy with the look of your lower face and neck? Are you embarrassed by the sagging skin below your chin? Does it make you self-conscious about your profile? As people age, skin loses elasticity, and it is highly visible on your neck. While this is typical, it can also cause you to look older than you are. It can also cause a lack of confidence in your appearance. However, neck lift surgery, or platysmaplasty, is an effective way for you to eliminate this sagging and regain a more youthful look.

There are three standard types of neck lift techniques. A consultation with Dr. Agullo will help determine which type of neck lift procedure is most appropriate for your situation. Regardless of the procedure, most patients choose general anesthesia, as they choose to combine with other procedures as well. The options available to you will depend on your individual situation and your ultimate treatment goals.

Skin-Only Procedure

This procedure is best for patients who have a lot of excess skin but do not require any removal of fatty tissue. This is typical of patients who have recently lost a major amount of weight. For this procedure, Dr. Agullo makes an incision just behind or underneath each ear. He repositions the skin and then removes the excess. If necessary, he will remove any fatty tissues and tighten the underlying muscle. The site will be closed with sutures that will usually be removed seven days after surgery.

Neck Liposuction

Neck liposuction can be performed alone for patients without significant sagging and whose skin still has the elasticity to form to the neck after fat removal. This procedure involves the use of a cannula (a small suction device) to remove fat from your lower face, neck, and chin. Dr. Agullo will insert it through small incisions along your neck in order to specifically target areas to remove excess fatty tissue.

Combination Procedure

A combination procedure is most effective for patients who need excess fat removed, and it will require the surgical removal of extra skin. Dr. Agullo uses both liposuction and removal of excess skin to smooth and define your facial contours.


After your procedure, you will have a garment covering your neck for at least three days to one week depending on the degree of swelling. You will experience some soreness and discomfort in your neck and chin, which can be relieved with pain medications if desired. You may experience some degree of bruising as well, this varies from patient to patient. Some swelling will be present, but this should disappear after a couple of weeks. Take it easy for the first few weeks to allow your body to heal.

A neck lift will give your face a more defined contour. By tightening and smoothing the skin under your neck, your jawline is more defined and provides a stronger balance between your facial features. Your results will be permanent as long as you live a healthy lifestyle. Any significant weight gain could cause reversal of the effects of the procedure.

Are you interested in learning more about which neck lift procedure is right for you? Schedule your consultation with Dr. Agullo to discuss your options. Contact our office at (915) 590-7900.

The Jawline: Essentials of a Beautiful Face

A very small percentage—about 5 percent—of American women have a naturally prominent, chiseled jaw. You may see this trait in some of the top most beautiful women in Hollywood, like Jennifer Aniston, Sandra Bullock, and Keira Knightley. While attractiveness is subjective, a strong jawline in women is definitely a coveted feature in our present culture. It evokes a look of power, strength, and confidence in women, which is what many of the best supermodels express. This feature may be so desired because it is such a rarity, but it also has to do with the golden ratio of facial proportions and what many consider to be the basic standard of beauty for centuries.

Chin Implant Before and After Photos


What Is The Golden Ratio?

No matter what type of beauty you are personally attracted to, there are certain symmetrical “lines” in the face that always capture attention and please the eye. The golden ratio is a standard mathematical way to measure the proportions of the face, where the distance between certain features of the face compared to other distances of the face equals the ratio of approximately 1.618. The closer the measurements come to the golden ratio, the more balanced the facial features are and the more attractive the person seems to be. When a strong jawline is complemented by strong cheekbones, it forms facial symmetry that falls in line with the golden ratio and defines the main areas of the face and neck.

How Can I Get Strong Jawline Definition?

Dr. Agullo can create stunning facial definition in one procedure with a simple chin implant. Although it is a small implant and a less invasive cosmetic surgery, a chin implant makes a major difference in the appearance of the face and jawline. It creates a sleek, chiseled profile and a stronger appearance to the front of the face. To further define the face, some patients require removal of the buccal fat pad, which creates a hollowness below the cheekbone and above the jawline. BOTOX® Cosmetic injections to the masseters can also help to create a more feminine figure in patients with squared faces. Finally, fat injections to the face can help reinforce the cheekbones.

A similar result can be accomplished when sagging jowls are removed with a facelift or when wrinkles, sagging skin, and a “double chin” are improved with a neck lift. Both procedures create more definition between the face and neck, which is essential to a youthful and healthy appearance.

If you would like to achieve youthful jawline definition with chin implants or the removal of stubborn fat beneath the chin to create a stronger facial appearance, please schedule a consultation with Dr. Agullo. Call (915) 590-7900 or fill out our online contact form for additional information.

The Benefits of Blepharoplasty

If time and circumstances have given you crow’s feet, sagging upper eyelids, and permanent bags under your eyes, you may look older than you feel. Blepharoplasty (eyelid surgery) can erase the effects of time, gravity, and stress to bring out a more youthful and attractive appearance.

No More Sagging Skin or Droopy Eyelids

Sagging skin is a common sign of aging in the upper eyelids. When it causes eyelid hooding, sagging skin may lead to vision impairment. Droopy lids can make you look like you are always tired, and excess skin may also make it more difficult to apply eye makeup. During eyelid surgery, Dr. Agullo can remove excess upper eyelid skin. This creates a more youthful and refreshed appearance and eliminates eyelid hooding for improved sight lines.

Fewer Wrinkles and Creases

Before and After BlepharoplastyWrinkles and creases are commonly found around the eyes of individuals of all ages. However, excess wrinkles portray a more noticeably aged appearance. Blepharoplasty tightens the delicate tissues around the eyes to minimize wrinkles such as brow furrows and crow’s feet so that the eyes appear more naturally youthful.

No More Bags or Dark Circles Under Your Eyes

Another common sign of aging is when bags or dark circles appear permanently etched beneath the eyes. By trimming away excess fat storage from under the eye, Dr. Agullo can eliminate these dark circles or puffy bags to soften your appearance. This will help you to look more awake and refreshed.

Easily Combined With Other Procedures

Many individuals who desire blepharoplasty would also benefit from additional facial rejuvenation procedures. Blepharoplasty can easily be combined with other procedures to rejuvenate more than just the eyes. Often, patients will combine blepharoplasty with facelift surgery, fat injections, lip augmentation, rhinoplasty, a brow lift, a neck lift, or protein-rich plasma (PRP) injections. Combining eyelid surgery with one or more of these procedures can maximize your time and budget and will also give you a whole new look all at once.

Look and Feel Many Years Younger

As the eyes are one of the most prominent facial features, aging eyes will age your whole appearance. Simply undergoing eyelid surgery can make you look and feel many years younger. In fact, many of Dr. Agullo’s patients have indicated that blepharoplasty has led them to receive many compliments about their age. Blepharoplasty can improve your appearance, enhance your confidence and self-esteem, and help you to look and feel younger.

To revitalize your eyes and refresh your appearance, schedule your personal consultation with board-certified plastic surgeon Dr. Frank Agullo in El Paso. Call our office at (915) 590-7900 or complete our online contact form to schedule your appointment today.

Don’t Neglect Your Neck

Neck Lift As many people get older, the tissues in their face and neck begin to give in to the forces of gravity. When combined with the accumulation of fat deposits and wrinkles, the neck eventually begins to develop a saggy appearance. This also causes the jawline to be less apparent and blend in with the rest of the neck. Excess sagging skin leads many to develop the dreaded double chin. By removing excess fat deposits and diminishing the signs of aging in the neck, a youthful look is restored.

A neck lift improves the appearance of the neck by:

  • Removing fat deposits and excess skin
  • Recontouring the jawline
  • Eliminating the jowls

How is a youthful neck restored?

Dr. Agullo performs neck lift surgery with the patient under general anesthesia, local anesthesia, or sedation, depending on your individual circumstances and preferences. During your consultation, Dr. Agullo will discuss your choice of anesthesia as well as the specific neck lift technique that will be best for your individual needs and desires.

Dr. Agullo performs traditional neck lift surgery by combining liposuction with specialized incision methods. To remove the fatty tissue from the chin and neck area, Dr. Agullo makes a two small incisions behind the ears and sometimes an additional incision below the chin. He then inserts a cannula (thin hollow tube) underneath the skin through the incisions and uses a vacuum device to permanently suction out excess fat deposits. After the desired amount of fat is removed, Dr. Agullo excises excess skin and tissue and tightens the remaining skin to reveal a more youthful neck.

In some cases, Dr. Agullo performs skin-only or liposuction-only techniques to rejuvenate the neck appearance. For more complete rejuvenation, some patients also choose to undergo additional facial plastic surgery procedures during neck lift surgery, such as a facelift, brow lift, or eyelid lift.

To find out which neck or facial revitalizing treatment is right for you, we encourage you to contact Southwest Plastic Surgery to schedule your consultation with Dr. Frank Agullo. Dr. Agullo is ABPS Board Certified in Plastic Surgery and has years of experience performing facial plastic surgery. Call our El Paso office at (915) 590-7900 or our Las Cruces office at (575) 520-5041 today to schedule your consultation. You may also fill out our online contact form for more information. Dr. Agullo looks forward to helping you achieve an appearance about which you can feel confident.

How to Get Rid of Your Turkey Neck

A photo of a turkey's head from the side profile on a out of focus brown background

A wattle is a fleshy outgrowth that hangs from the throat of a turkey, which appears very similar to wrinkled, sagging skin in the neck of a person, hence the term so many despise: “turkey neck.” Loose, hanging neck skin is a common problem among both men and women. As we age, our skin loses elasticity, causing it to become stretched out, wrinkled, and droopy, and this is especially apparent in the thin skin of the neck. Aging can also cause fat deposits to accumulate in the neck area, and the neck muscle (platysma) may become stretched and appear as vertical “bands.” Those who have gained and then lost a significant amount of weight are even more likely to have excess skin from fat accumulating in the neck area and causing the skin to stretch further before their weight was reduced.

If you have sagging skin and fat in the neck area, you’re just in time to get rid of it before the holidays and avoid being compared to the animal you’re cooking for dinner.

Neck Lift Surgery

A close up of a gir's youthful neck, chin, and lips

Dr. Agullo can correct a “turkey neck” with neck lift surgery (also called “platysmaplasty”). A variety of neck lift techniques are available to correct this condition. Excess skin may be removed, the platysma muscle may be tightened, and/or excess fat may be removed through liposuction, depending on the needs of the patient. If incisions are necessary to remove excess skin or muscle, they will be hidden inconspicuously behind or below the ears, and occasionally a tiny incision is necessary below the chin. Loose skin, hanging fat accumulations, and sagging jowls can be eliminated to produce a youthful, more attractive neck.

Dr. Agullo offers a variety of anesthesia modalities for his patients when doing a neck lift. The neck lift procedure can be done “AWAKE” with mild sedation and local anesthesia, with “twilight anesthesia” which consists of deeper sedation, or with the traditional deep general anesthesia.

If you have a turkey wattle neck or double chin that you would like to exchange for a more youthful, revitalized appearance, Dr. Agullo is double board certified in both plastic surgery and general surgery and can help you gain the confidence you deserve with neck lift surgery. Please contact Southwest Plastic Surgery today for more information or to schedule a consultation by calling (915) 590-7900 or filling out our online contact form.

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