Pre-Operative Preparation
Before your neck lift surgery, you will have a detailed consultation with Dr. Lickstein to review your goals, evaluate your anatomy, and finalize your surgical plan. Pre-operative instructions typically include:
- Discontinuing certain medications and supplements that may increase bleeding risk, such as aspirin, ibuprofen, and vitamin E, one to two weeks prior to surgery
- Avoiding smoking and all nicotine products, which can impair healing and increase the risk of complications
- Arranging for a responsible adult to drive you home after surgery and remain with you for at least the first 24 hours
- Fasting after midnight the night before your procedure, unless otherwise instructed
- Wearing comfortable, loose-fitting clothing on the day of surgery to ensure ease and comfort during recovery
Dr. Lickstein and his team will provide you with detailed, personalized instructions prior to your procedure and are available to answer any questions to help you feel fully prepared and confident on the day of surgery.
Anesthesia and Facility
Neck lift surgery is performed in an accredited surgical facility using general anesthesia to support a controlled, comfortable surgical experience. A dedicated anesthesia professional remains present throughout the procedure, continuously monitoring your vital signs and overall status.
Your anesthesia plan and any associated considerations will be discussed in detail prior to surgery, ensuring you feel informed and prepared.
Incision Placement
Dr. Lickstein carefully places incisions to minimize visible scarring. Incisions are typically made:
- Behind and around the ears, following the natural contours of the hairline
- Beneath the chin (submental incision), when addressing excess fat or platysmal banding directly
These discreet incision locations allow Dr. Lickstein to access the underlying muscles and tissues while keeping any resulting scars well-concealed within natural skin folds and the hairline.
Surgical Technique
Once access is established, Dr. Lickstein may:
- Remove or redistribute excess fat, sometimes using liposuction for precision contouring
- Tighten the platysma muscle using sutures (platysmaplasty) to eliminate banding and restore a smooth neckline
- Redrape and remove excess skin for a firmer, more youthful appearance
- Address the SMAS layer when combining the procedure with facelift surgery
The entire procedure typically takes two to three hours, depending on the extent of correction needed and whether additional procedures are performed concurrently.



