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The Seattle Facelift Center
William A. Portuese, M.D.
1101 Madison Street, #1280
Seattle, Washington 98104
Phone: 206.624.6200

A Guide to a Neck Lift in Seattle WA


The neck lift procedure is typically performed on patients in their 30s and 40s who are more self conscious about the turkey waddle or muscle bands beginning to show through the front portion of the neck or the fullness due to excess fat. At the Seattle Facelift Center the neck lift operation is a popular procedure performed to rejuvenate the neck. It is important to note that the neck lift procedure will not tighten any facial or neck skin. When facial and neck skin need to be tightened a facelift must be performed to address these concerns. The neck lift involves liposuction of the fat above the platysmal muscle, fat removal underneath the platysmal muscle, and a platysmaplasty to tighten the front portion of the neck muscles. There are 3 anatomical components of the neck; fat, muscle and skin. Excess fat in the neck obliterates the jaw line and is usually present both above and below the platysmal muscle and therefore both types of fat must be removed. The fat underneath the platysmal muscle has to be sculpted and surgically excised while fat above the muscle is removed with direct liposuction. The platysmaplasty procedure involves sewing the anterior platysmal muscles together above the Adam’s apple to give a new jaw line contour and create the actual frontal portion of the jaw line. The skin component of the neck will just redrape over the new sculpted jaw line (no skin is removed with the neck lift operation). A patient who undergoes a neck lift will appear as though they have lost weight due to the fat in the neck being removed. The important concept to understand regarding the neck lift is that it can only be performed on patients who have good skin tone but just have excess fat in the neck; laxity of skin in the face or neck will require a traditional facelift. The neck lift is performed to redefine the jaw line and the incision placement for the neck lift involves a 1 inch incision at the submental crease just underneath the chin and 2 small half inch incisions behind the ears. Men are able to keep a short hairline and women are able to put their hair up after the surgery with no shift in hairline. Patients must be physically healthy and have no underlying medical conditions and follow all pre- and postoperative instructions for an easy postoperative recovery.

Dr. William Portuese is double board certified in facial plastic and reconstructive surgery and in otolaryngology head and neck surgery. It is important to choose the right surgeon for your neck lift and Dr. Portuese has extensive experience in the neck and facelift operation. He is the founder and medical director of the Seattle Facelift Center in Seattle Washington, certified by Medicare and a licensed ambulatory surgical facility by the Washington State Department of Health. The surgery center is located on 1st Hill in Seattle, Washington adjacent to Swedish Medical Center. Dr. Portuese’s surgical team consists of 4 registered nurses who have over 30 years of combined experience and an anesthesia department of over 15 anesthesiologists from Swedish Medical Center on staff at the Seattle Facelift Center.