I currently work at my own private practice in Nişantaşı, Istanbul.
Face and neck aesthetics is a group of surgical procedures that reshape facial and neck contours changed by ageing or by structure. This page covers how facelift and related operations are done, who they suit, recovery, risks, cost factors, choosing a surgeon and how the different procedures compare.
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I currently work at my own private practice in Nişantaşı, Istanbul.
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Face and neck aesthetics is the general name for surgical procedures that correct sagging, volume loss and proportion differences in the lower, middle or upper face and the neck. With age, skin loses elasticity and facial fat pads slide downwards. The jawline becomes less defined, and the neck may develop loose skin and bands. These changes progress at different speeds in different people. Genetics, sun exposure, smoking and weight changes all play a role.
This category includes several procedures that complement each other rather than a single operation. Facelift, medically called rhytidectomy, targets sagging in the lower half of the face and the neck. A brow lift treats the forehead and brows, and double chin surgery treats the area under the chin. Cheek and lip procedures deal more with volume and proportion. The surgeon decides which procedure or combination suits you at the consultation.
A facelift lifts the layer of muscle and connective tissue under the skin (SMAS) and removes excess skin. Pulling only the skin can look artificial, so most current techniques also treat the deeper layers. More detail is on the facelift page.
A facelift usually takes several hours. Adding neck, eyelid or brow procedures makes it longer. If volume loss is a main concern, fat grafting can be planned in the same session.
Face and neck surgery is considered for people with clear sagging in the face or neck whose general health allows surgery. A stable weight helps preserve the result. The surgeon decides suitability after an examination. The following can raise risk or require a delay:
For mild sagging or volume loss alone, non-surgical options can be discussed. Filler can support the cheeks and jawline, but it does not lift loose skin.
Most people return to social life within about two to three weeks after a facelift. Swelling, bruising and a feeling of tightness are normal at first. A drain, if used, is usually removed in the first days. Stitches come out within one to two weeks. Numbness around the ears and cheeks can last a few months.
Heavy exercise, saunas and direct sun are usually avoided for several weeks. Sleeping with the head raised and not turning the head sharply in the first days are advised. The final look can take a few months to settle. Wait for your surgeon's approval before colouring your hair near the incisions. Regular check-ups help catch problems early.
A facelift does not stop ageing; it corrects sagging as it is at the time of surgery. Results change over time as ageing continues. How long the effect lasts depends on skin quality, age, weight changes and sun protection.
The most common serious risk of face and neck surgery is a collection of blood under the skin (haematoma). Other risks include:
If one side of your face swells quickly or becomes very painful in the first days, tell your surgeon at once. A haematoma found early can be drained.
The cost varies widely depending on how many areas are treated and the technique used. Price ranges are shown in a separate section of this page. Main factors are:
Choose a surgeon from a specialty with solid experience in facial anatomy and facial surgery. In Turkey these operations are mostly performed by plastic, reconstructive and aesthetic surgeons. Ear, nose and throat specialists working in facial plastic surgery also perform some of them. You can compare face and neck surgeons in the doctor list by city. At the consultation, check:
Face and neck procedures differ by the area they treat and the cause of the problem. Facelift focuses on sagging in the lower face and neck. Double chin surgery targets fat under the chin. Lip surgery changes the distance between the nose and upper lip or the lip volume. The table gives a general comparison.
| Procedure | Target | Common technique |
|---|---|---|
| Facelift | Sagging in the lower face and jawline | Lifting the deep layer, removing excess skin |
| Neck lift | Loose neck skin, visible muscle bands | Tightening the neck muscle (platysmaplasty) |
| Double chin surgery | Fat under the chin | Liposuction, neck muscle work if needed |
| Forehead aesthetics | Low brows, forehead lines | Endoscopic or hairline brow lift |
| Cheek aesthetics | Cheekbone volume or full cheeks | Fat grafting, implants, buccal fat removal |
| Lip aesthetics | Long upper lip, lip proportion | Lip lift below the nose, lip reduction |
For procedures that reduce volume, such as buccal fat removal, the surgeon considers that the face may naturally thin with age. Planning looks at the years ahead, not only the present.
The information on this page is for general information only and is not medical advice. The suitable method for you can only be determined by a physician examination.