Neck Rejuvenation in Santa Barbara

Is your neck giving away your “true” age? 

The neck area is comprised of delicate skin and as we age it becomes susceptible to wrinkles, pigmentation, and a “hanging” appearance. The reasons for this include sun damage, gravity, fat accumulation and heredity. Neck rejuvenation is a wonderful way to restore youthful contours and make a positive difference in your appearance. As the Cosmetic Surgery Center in Santa Barbara, we offer various surgical neck rejuvenation options (all done without general anesthesia) and a surprising non-invasive option for a younger-looking neck.

Neck Lift. If your neck has sagging skin with excess wrinkling, neck lift surgery is a good option.

  • The skin is tightened and muscles are often tied together in the midline to help create a “sling effect” for better support.
  • Excess fat is removed and a suspension suture is often placed to give more long-lasting support to the neck.
  • The surgery is usually done hiding incisions behind the ears and a small one under the chin.

Submentoplasty. The area under your chin is also known as the submentum and will often develop bands of excess and “stringy” muscles as we age. A submentoplasty is less extensive than a neck lift procedure:

  • The muscle bands are sewn together and extra fat is trimmed.
  • Sagging skin is removed to re-contour the neck.
  • A short zig-zag incision is hidden behind the chin.
  • Especially good for men who are starting to see a “turkey neck”.

Submental Liposuction. Improving your double chin can often be done with liposuction. This procedure will remove excess subcutaneous fat and is best done on patients with good skin tone.

  • Liposuction can address the submentum, anterior neck and even some of the jowls.
  • It can be done through a tiny incision hidden behind the chin.
  • When properly done it will “sculpt” the tissues so the youthful contour of your neck will be restored.

Platysma Plication. The platysma muscle stretches from the clavicle (collar bone) to the lower face. As we age the skin elasticity of the neck decreases and contraction of the platysma starts to cause banding of the overlying skin creating a “turkey neck” appearance.

  • Plication means sewing the right and left platysma muscles together in the midline to allow them to return to their normal position.
  • This is accomplished through a small incision hidden in the crease behind the chin.

Minimally-Invasive Neck Suture Lift. This surgery is designed to lift and support the neck skin with special sutures that encourage scar tissue in-growth to “attach” the skin to the suture.

  • Sometimes referred to as a “thread lift”.
  • Less invasive than a traditional neck lift with a shorter healing time.
  • Ideal for a person who’s aging neck issues are in the earlier stages.

Non-Surgical Neck Rejuvenation. Many people are surprised to find out that Botox and Dysport an be used for non-surgical neck rejuvenation.

  • Botox or Dysport is injected into the platysma muscle causing relaxation of the muscle.
  • When the muscle is relaxed, the appearance of the neck banding or “turkey neck” is reduced.
  • Results last about 3 to 4 months.

Neck rejuvenation can truly turn back the clock on your appearance and there are many options for different stages of the aging neck.

Call our office – 805-563-0000 – to schedule a neck rejuvenation consultation today.

Santa Barbara Cosmetic Surgery Slang

At our Santa Barbara Cosmetic Surgery Center we believe in educating our patients so they are be able to make an informed decision about their surgery options. Occasionally, this education includes teaching them the proper terminology for slang or common terms that refer to cosmetic surgery or problem areas on the body. We take any cosmetic procedure very seriously and when we speak with a patient we want to make sure that everyone is on the same page.

Here is a list of cosmetic surgery procedures and their slang or common terms associated with them:

Rhinoplasty
Slang term: Nose Job
Rhinoplasty is nasal surgery that can be done to help the appearance or breathing function of the nose. It is very often referred to as a “nose job.”

Neck Lift Surgery
Slang terms: Turkey Neck or Waddle
Skin laxity in the neck may be referred to as “turkey neck” or “waddle.” Neck Lift Surgery addresses sagging skin, muscle banding, and fat accumulation in the neck area. The goal of the surgery is to make the neck contour what it once was.

Abdominoplasty
Slang terms: Tummy Tuck, Muffin Top, Roll
Abdominoplasty involves getting rid of extra fat and excess skin in the abdominal area. Extra fat in the abdomen is often referred to as a “muffin top” or “roll” as it protrudes out of the waistband of pants. Abdominoplasty is commonly referred to as a “Tummy Tuck.”

Blepharoplasty
Common term: Eye Lift, Eyelid Lift
Blepharoplasty is done to correct under eye issues (such as bags or sagging skin) and upper eye issues. It is commonly referred to as an “Eye Lift” or “Eyelid Lift.”

Brachioplasty
Slang terms: Bat Wings, Wings, Kimono Arms
A brachioplasty procedure addresses excess skin in the upper arm area that is referred to as a “bat wing”, “wing”, or “kimono arm”. Liposuction and, if necessary, skin removal can re-shape the arm’s appearance.

Leg Liposuction
Slang term: Saddlebags
Leg liposuction re-contours the upper and inner leg area. Excess fat on the hip and outer thigh is often referred to as “saddlebags.”

If you would like to schedule an appointment to talk about any of the cosmetic procedures named above, contact our Santa Barbara cosmetic surgery office at (805) 563-0000.

Santa Barbara Cosmetic Surgery

Dr. Terry J. Perkins has been practicing cosmetic surgery in Santa Barbara for more than three decades. He specializes in facial rejuvenation including facelifts, neck lifts, rhinoplasty nose surgery, and much more. He also does body contouring through liposuction.

Schedule consultation with Dr. Perkins by calling his Santa Barbara Cosmetic Surgery Center office: 805-563-0000.

Santa Barbara Cosmetic Surgery Keeps You Looking Good

Many of my Santa Barbara cosmetic surgery clients who are in their “golden years” have the same goal for the outcome of their surgery. They want to “look good”, which does not necessarily mean that they want to look like they are 25 again. They simply want to look naturally refreshed and well-rested, which is a very realistic goal.

At Cosmetic Surgery Center in Santa Barbara, I have been performing cosmetic surgery, specializing in facial rejuvenation and liposuction body contouring, for more than three decades. My facial rejuvenation surgeries give a nice result with a “non-operated” look. As everyone ages differently, surgery options will vary from person to person. These are examples of surgical choices for facial rejuvenation that will enhance and refresh your appearance: 
Face Lift Surgery
If you feel like your face is “hanging” than a Facelift in Santa Barbara may be a good choice for you. The surgery targets skin laxity in the cheek and neck by repositioning, refining, and supporting deep tissue in the mid facial and jowl area. The skin is also tightened.
Eyelid Lift Surgery
Sagging skin or fat bulges under the eye area may make you look permanently tired or unhappy. Eyelid surgery is available for both the upper and lower lids, depending upon where your “trouble” areas are. People are always amazed at how this surgery “re-opens” their eye area and refreshes their look.
Forehead Surgery
For some people, the relaxation of the forehead tissue can cause a “heaviness” in the upper eyelid. Forehead lift surgery repositions the forehead and brow upward with a result that makes the person look more approachable and happy. The frown muscles are usually partially removed so the ability to frown is still there but the weakness will help to minimize frown lines in the future. 
Neck Surgery
If the neck contour is sagging or has accumulated fat, the neck area can look “old”. Neck Lift surgery in Santa Barbara will re-contour the neck to what it once was. Many patients have felt that their “new” neck actually makes their face look thinner, as if they have lost ten pounds. 
Patient of Dr. Terry J. Perkins: Neck Lift Before-and-After

I am always interested in helping people look their best, whether they are young or in their golden years. For cosmetic surgery with a natural result, contact my Santa Barbara cosmetic surgery office at 805-563-0000 to schedule a consultation. 

Neck Lift Cosmetic Surgery in Santa Barbara

Neck Lift cosmetic surgery in Santa Barbara is most commonly known for getting rid of the double chin or the “wobble” in the neck area but you would be surprised at how much it can truly change an appearance. Before we discuss the results, let’s look at why Neck Lift surgery may be needed in the first place.

Aging Neck 
Neck skin is delicate – more so than facial skin – and is exposed to the same elements as the face but often times it is neglected. I always like to remind people that their skin care routine should not stop at the jawline. I recommend cleansing, moisturizing, and (most importantly) using sun screen on the neck area. Due to the delicate skin (and possibly lack of sunscreen in that area), the neck may age prematurely causing the skin to become loose and crepe-y. The “double chin” may be due to a number of causes including genetics, weight gain, weight loss after weight gain, loss of muscle tone, and, of course, aging.

Neck Lift Surgery
The patients I see at Cosmetic Surgery Center in Santa Barbara are interested in Neck Lift surgery because they feel that their neck looks “old”. We can restore their neckline to what it once was by tying muscles to create a “sling effect” for better support and adding a suspension suture to give more long-lasting support to the neck. Incisions are hidden behind the ears and a small one under the chin.

Results of Neck Lift Surgery
Neck Lift surgery can get rid of the double chin and re-contour the face. With the “heaviness” gone from the neck and jawline, many of my patients report that their updated appearance not only makes them look younger but also makes them look like they have lost weight!

Santa Barbara Neck Lift Surgery Patient of Dr. Terry J. Perkins

I perform cosmetic surgeries that give a natural, rested, “non-operated” look. If you are interested in Neck Lift surgery in Santa Barbara call my office – Cosmetic Surgery Center – at 805-563-0000 to schedule a consultation appointment.

Santa Barbara Cosmetic Surgeon on Sagging Neckline Advice

In our culture, a swan like neck is the symbol of youth. The skin is taut, smooth, and firm. As we approach our 40s and 50s, the well-defined jawline and neck may blur together as the skin becomes thin, crepe-y, and saggy. The area under the chin may become “wobbly” and fine lines and wrinkles may also appear in the neck area. At my Santa Barbara cosmetic surgery practice, we treat all stages of neckline aging. I will share with you tips on slowing down the aging process as well as treatments (non-invasive and surgical) that are effective in turning back the clock.

Taking Care of Your Neck
In speaking with my patients about skin care and reading articles on the subject, I have found that the neck area is often neglected. This is ironic because the neck is usually exposed to the sun’s UV rays and environmental pollutants just as much as the face is (unless you are someone who wears turtlenecks and scarves year round). In fact, the neck skin tends to be more delicate than facial skin and so care of the neck area should be done daily. Treat your neckline as an extension of your face and feather down your cleanser, anti-aging serums, and moisturizer. More aggressive products like Tretinoin (“Retin A”) or products containing retinol may irritate your neck skin so use them sparingly and watch for signs of irritation (such as redness or peeling). The best thing that you can do for the neck area (and chest) is to apply an SPF 30+ sunscreen daily and re-apply if you are outside for a long time, have been swimming, or have been sweating excessively.

Early Aging Neck Product
If you have noticed that your neck skin seems just a bit less taut, one product that I highly recommend is Nectifirm. This neck-specific cream is formulated with special peptides, plant extracts, and anti-oxidants that address the changes in your neck as you age. The skin will look firmer and more lifted and can reduce the appearance of rough, crepe-y skin, fine lines, and wrinkles. Nectifirm is available at Evolutions Medical and Day Spa in Santa Barbara.

Non-Invasive Neck Skin Tightening
A non-invasive skin tightening neck treatment can be ideal on many levels. There is little to no downtime, it can be more cost efficient, and it gives a nice result. I have developed Total Tightening which is a protocol combining two superior non-invasive skin tightening technologies (ReFirme and Titan) that can give the neckline a firmer look. Results are cumulative, so a treatment series is recommended (usually 4 treatments, about 4 to 6 weeks apart). Total Tightening is a great way to address skin laxity without needles or surgery.

Neck Lift Surgery

Before and After Pictures of Neck Lift Surgery
by Dr. Terry J. Perkins

If your neckline has really succumbed to gravity and/or has fat accumulation that is causing a “wobble”, then Neck Lift Surgery may be your best option. This surgery creates a new “support” for your neck by tying the muscles under the skin to help create a “sling effect”. Incisions are hidden behind the ears and a small one under the chin.

My Neck Lift patients express great satisfaction with the outcome of their surgery. An added bonus is that the removal of excess skin and fat can change the shape of their face – no longer looking “bottom” heavy – their face looks thinner and gives the appearance of weight loss.

If you are interested in discussing neck lift surgery or other alternatives, feel free to contact my office for a consultation.

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Schedule an appointment with Santa Barbara cosmetic surgeon Dr. Terry Perkins by calling 805-563-0000. Click here to view more before and after Neck Lift Surgery photos by Dr. Perkins. 

Sagging Neckline: Neck Lift Surgery or Skin Tightening Treatment?

Santa Barbara cosmetic surgeon Dr. Terry Perkins is an expert in facial cosmetic surgery and extremely knowledgeable in skin tightening procedures. He runs a Santa Barbara cosmetic surgery practice and plays an active role in Evolutions Medical & Day Spa, of which he is the founder and Medical Director. So when people come to see him because they are bothered by loose skin in their neck area, he can offer more choices than just plastic surgery. Dr. Perkins answers questions about skin tightening and neck lift surgery in this blog post:

How is Skin Tightening done?
Dr. Perkins: For Evolutions, I developed a protocol called Total Tightening that combines two of the top non-invasive skin tightening procedures, ReFirme and Titan, into one treatment. ReFirme uses Bi-Polar Radio Frequency and infrared light energies to heat the dermal tissue in the target area which reduces wrinkles and lifts sagging skin. Skin also becomes smoother and toned. Titan is a safe infrared light that heats the dermis which is well below the skin’s surface. The heat contracts existing collagen and stimulates new collagen to be produced. The epidermis -the top of the skin’s surface – is protected through a cooling device on the Titan handpiece. Each treatment will work to tighten existing collagen and promote new collagen growth. The result is a firmer, fresher look. 
Does Total Tightening work for the neck area?
Dr. Perkins: Yes! ReFirme is safe and effective and can treat a number of areas including the face, abdomen, upper arms, knees, and neck. With Titan, we have seen exceptionally good results on the jawline, under the chin / neck area, and the abdomen. So using Total Tightening to firm up the neck area is definitely an option. 
How many Total Tightening treatments are needed? 
Dr. Perkins: We typically recommend four treatments and many clients see results after just one treatment. Results are cumulative so we urge people to continue with their series even if they are seeing results after the first session.

Are the Total Tightening treatments painful and is there downtime after the treatment?
Dr. Perkins: Most clients consider it comfortable and a topical numbing cream is usually not needed, but available for someone who is more sensitive. There may be some redness or swelling directly after the treatment that usually subsides within a few hours. Otherwise there is no downtime.

Who is a good candidate for Total Tightening?
Dr. Perkins: Total Tightening is good for those who have minimal looseness in the neck area. The new collagen that is stimulated from this treatment not only lends itself to tightening of the area, but will also create smoother skin. Clients are very happy with this result.

“Before” and “After”
Neck Lift Surgery by Dr. Perkins

How is Neck Lift surgery done?
Dr. Perkins: Incisions are made behind the ears and a small incision is made under the chin. Then I tie the muscles to create a sling effect to better support the neck area and a suspension suture may be used to give more long-lasting support. If necessary, excess skin will be removed. This is a surgical procedure so the patient will have a combination of local anesthesia, oral and intravenous sedation to provide relaxation and lack of awareness throughout the procedure. General anesthesia is not used. There is downtime for this procedure. People usually take 7 to 10 days off work for recuperation.

Who is a good candidate for Neck Lift surgery?
Dr. Perkins: In general, a person who has moderate to severe skin laxity in the neck area is a good candidate for Neck Lift surgery. Neck Lift surgery can really redefine the lower half of a person’s face. More definition in the neck and jawline can take years off a person’s appearance.

Any additional advice?
Dr. Perkins: Whether you have neck lift surgery or a skin tightening or no treatment at all, I always remind people that they can help to stave off wrinkles and sagging skin by treating their neck area as they treat their face. The delicate skin needs to be cared for through proper cleansing, moisturizing, and, of course, daily application of an SPF broad spectrum sunscreen.

If your saggy neckline is in need of help, contact Dr. Perkins. Call Cosmetic Surgery Center in Santa Barbara at 805-563-0000 for a consultation

Look More Youthful with a Necklift by Dr. Perkins in Santa Barbara

Santa Barbara cosmetic surgeon Dr. Terry Perkins is a facial rejuvenation specialist and will be the first to tell you that continuity in your appearance is the key to maintaing a youthful look. Many people pay close attention to their face – from using physician grade products to having facials and using Botox and fillers to combat signs of aging – but forget the neck area entirely. The neck is made up of delicate skin with fewer oil glands than the face so neglecting this area can cause accelerated aging. A taut, wrinkle-free face can quickly be undermined by a sagging and wrinkly neck and thus reveal your real age.

Before and After Photos of Necklift Surgery
by Dr. Perkins.

For those who feel their neck could be in “better” shape, there are options to repair the muscle and skin laxity to make the neck what it once was. Necklift surgery by Dr. Perkins is usually done with incisions behind the ears and a small one under the chin. The muscles are usually tied to create a sling effect for better support and a suspension suture is often used to give more long-lasting support to the neck. The result is enhanced definition and a more toned appearance. Excess skin may be removed.

If your neck is still in good “shape”, what can you do to keep it that way? Give your neck area the same treatment that you give to your face. When cleansing or using products such as moisturizer, serums, or SPF, don’t stop at the jawline. Feather the product down to the neck and chest area. Since the skin is thinner, antioxidant creams can help along with a daily dose of sunscreen.

Proper care of the neck will help delay the signs of aging. A necklift will restore a youthful appearance to your neck and to your whole appearance as well.

Interested in a necklift or facial rejuvenation? Contact Cosmetic Surgery Center in Santa Barbara at 805-563-0000 for a consultation with Dr. Terry Perkins. 

Santa Barbara Neck Lift Surgery by Dr. Perkins

Botox and dermal fillers are a great way to “defy” the aging process on your face but your neck may be giving away your “true” age. Unfortunately our necks are also susceptible to loss of collagen and the effects of gravity, which may leave you with a “turkey waddle” that certainly doesn’t match the rest of your look.

If this is the case, you may want to consider Neck Lift surgery by Santa Barbara cosmetic surgeon Dr. Terry Perkins. When the neck area has succumbed to the aging process, three issues may be involved: sagging skin, muscle banding and local fat accumulation. Dr. Perkins will address each of these problems in order to make the neck contour what it once was. This can be done using incisions behind the ears and a small incision under the chin. If necessary, Dr. Perkins will tie the muscles together to create a “sling effect” for even better support.

Is there anything you can do to stave off aging of the neck? If your neck isn’t quite at the point where a Neck Lift surgery is necessary than consider yourself lucky to be reading this post! Keep your neck area looking young by giving it the same treatment as your face. When you are cleansing, applying moisturizer, antioxidants, serum, or sunscreen, remember to feather it down your neck. Although your neck has fewer oil glands than your face, it is still exposed to the same elements so proper skincare and protection will do it a world of good – and may give you ten more years before a Neck Lift is necessary.

Schedule a cosmetic surgery consultation with Dr. Perkins by calling Cosmetic Surgery Center in Santa Barbara at 805-563-0000.

Cosmetic Surgery Center of Santa Barbara Shares Top Blog Posts

At Cosmetic Surgery Center of Santa Barbara, we use this blog for educational pieces on cosmetic surgery and as an advice column from Santa Barbara cosmetic surgeon Dr. Terry Perkins. Recently we made our list of favorite blog posts that have been read the most by our clients, friends, and family.

#10: Before and After Cosmetic Surgery Pictures in Santa Barbara

#9: Chemabrasion Skin Resurfacing: Santa Barbara Cosmetic Surgery Highlight

#8: Leg and Thigh Liposuction: Santa Barbara Cosmetic Surgery Highlight


#7: Platelet Rich Plasma: PRP Treatment in Santa Barbara

#6: Neck Lifts in Santa Barbara: Cosmetic Surgery Highlight

#5: Cosmetic Procedures Shift to Facial Focus in 2012

#4: Cosmetic Surgery Highlight: Lower Eyelid Surgery

#3: Cosmetic Surgery for Men: New Trends

#2: New Day Spa In Santa Barbara at Evolutions

#1: Cosmetic Surgery Highlight: Upper Body Liposuction and Tummy Tucks

For a consultation about facial surgery, upper body liposuction or tummy tucks with Santa Barbara cosmetic surgeon Dr. Terry Perkins, please call 805-563-0000.