Giving yourself a smooth neck can make you look years younger. Neck bands and wrinkles are an unfortunate part of aging, but they don’t have to stay with you forever. In order to fight these using Botox and other methods, you’ll first need to learn more about them.
The vertical bands of muscle that form on the neck are called neck bands or platysmal bands. As we age, our platysma muscles – large muscles that go from the jaw area down to the top of the chest – loosen and separate. With repeated use, they become permanently tensed, forming corded neck bands. Botox can relax the platysma muscles, making your neck bands disappear.
The horizontal lines that form on the neck with age are called neck lines or necklace lines. A neck lift is usually a better procedure for correcting necklace lines. However, Botox sometimes does make a difference. When necklace lines are being treated with Botox, the substance is injected into the muscles below the lines (still part of the platysma muscles), easing the wrinkles.
Dr. Farhad Rafizadeh, a board-certified plastic surgeon serving the Morristown, NJ, area, can help you get rid of unappealing neck bands and wrinkles. To learn more about the Botox procedures we offer, contact our office to arrange a consultation.
Common Questions Patients Search About Facelift Surgery
How long does it take to look normal again after a facelift?
Most Northern New Jersey facelift patients look presentable in public around the 10–14 day mark, particularly with a little concealer for residual bruising. The polished, fully-rested result comes in over 3 months as subtle swelling resolves and incision lines fade. Patients who have surgery under local anesthesia with light sedation (Dr. Rafizadeh's standard approach) tend to look fresher faster than those who had general anesthesia.
How long do facelift results last?
A well-executed deep plane or SMAS facelift typically lasts 10–15 years before patients consider a refresh. The face continues to age — the facelift turns the clock back roughly 10 years, but does not stop time. Patients who maintain skin health (sun protection, medical-grade skincare, occasional non-surgical maintenance) tend to extend the visible lifespan of the result substantially.
Should a 70-year-old get a facelift?
Yes, when health allows. Many of Dr. Rafizadeh's North Jersey facelift patients are in their late 60s, 70s, and 80s — the operation is well tolerated at this age when performed under local anesthesia with light sedation, which avoids the cognitive and physiologic burden of general anesthesia. The right question isn't “am I too old” but “am I healthy enough,” and the answer is usually yes.
Is a deep plane facelift better than a SMAS facelift?
Not universally — the right operation depends on the patient. A deep plane facelift releases ligaments that anchor the cheek and midface, producing more dramatic midface elevation; it's well suited to patients with significant midface descent and deeper nasolabial folds. A SMAS facelift is excellent for jowls and the lower face when the midface still has good support. Dr. Rafizadeh chooses the technique based on the patient's anatomy, not a fixed preference.
What is recovery like from a deep plane facelift?
The first week is the most involved: bandages for 24–48 hours, then gradual de-swelling. Bruising peaks days 3–5 and fades by days 10–14. Most patients are back to non-public activities within a week and to social activities by week three. Numbness around the ears and jawline is normal for several weeks and resolves on its own. Dr. Rafizadeh's deep plane patients in Morristown typically describe the recovery as “more tedious than painful.”
What causes a Joker smile or windswept look after a facelift?
The “Joker smile” comes from over-aggressive horizontal pulling of the skin, and the “windswept” look comes from pulling skin and deep tissue in the same direction. Both are technique problems, not facelift problems. Dr. Rafizadeh lifts the deep layers vertically (which mimics how the face descends with age) and the skin in a more horizontal direction; that separation is what produces a natural result. Patients who look pulled or operated were almost always lifted in a single vector with too much tension.
How will I look 3 weeks after a facelift?
At three weeks most North Jersey patients look refreshed and natural in public. Subtle residual swelling along the jawline and beneath the chin softens through weeks 4–8. Incisions are pink and continuing to fade. Patients can wear makeup, attend events, and go back to most workouts (other than heavy lifting and contact sports) by this point. The face will still look incrementally better at 3 months than at 3 weeks.
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