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Neck Lift

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Overview of Neck Lift Surgery in Washington

An aging neck is a common concern. As the lowest point on the face, sagging tissues show most prominently in the neck and jowls, and our Washington and Northern Virginia patients often seek correction. Surgical neck lift is the gold standard for restoring a lifted, tightened and defined neck contour, particularly when the efficacy of non-invasive devices is limited.

A blunted or full neck contour can be genetic (in younger patients neck skin is tight but underlying structures are bulky or full) or age-related (in order patients neck skin and muscle becomes loose and deeper tissues hypertrophy). In most cases Dr. Rad must address 4 factors: loose skin, excess fat above and below the platysma muscle, excess digastric muscle bulk, a weak platysma muscular sling, and a small chin and weak jawline. Addressing each of these factors with high skill can lead to lifelong excellent results.

Am I a Good Candidate for Neck Lift Surgery?

Ideal patients are generally healthy and of any age and any body type. Patients should have realistic goals: restoring crisp neck and jawlines in order to refresh one’s appearance is a reasonable goal, whereas seeking the looks of another person is not. Friends, family and colleagues should notice that you look better, as if having lost weight or more refreshed. Patients planning facelift should also consider neck lift for a balanced result. Nora Ephron once said “The neck is a dead give-away. Our faces are lies and our necks are the truth.” Dr. Rad is known in northern Virginia and Washington DC for achieving facial harmony and restoring youthful neck and face contours will give the most natural results.

How Does Dr. Rad Approach Neck Lift Surgery?


Patients are most concerned to achieve a “natural” result and Dr. Rad makes a detailed assessment of facial and neck anatomy when planning neck lift. With mild skin looseness, scars can be minimized, an approach Dr. Rad has refined and known as the “scarless” or mini-necklift technique. An open approach addresses significant laxity of all tissue layers. In the scarless approach, very small incisions behind the earlobes through which the platysma muscle is tightened and skin redraped. In the open technique longer incisions around the ear and under chin are necessary and all tissue layers are addressed: skin is redraped, deep fat removed, digastric muscles (“vestigial” muscles of no important function) reduced, and platysma muscle tightened. In both techniques, Dr. Rad endeavors to minimize tissue dissection and trauma. Dr. Rad places multiple ‘suspension’ sutures to contour the neck. Sutures are absorbable and over 6 months replaced by scar tissue which holds the beautifully lifted contour. The primary difference between the ‘closed’ and ‘open’ techniques is the length of scar. Neck lift is an artistic procedure requiring nuanced surgical judgement to create balance and harmony between the face and neck while maintaining a natural appearance.

Learn The Nuance Of The Washington Neck Lift


Neck Lift

Dr. Rad’s approach is unique for each patient, and it combines sophisticated, state-of-the-art techniques to achieve natural and long lasting results.

WHAT RESULTS CAN I EXPECT?

Your vision for your results will emerge through detailed consultation with Dr. Rad, meticulous examination of your anatomy, and careful pre-surgical planning. While Dr. Rad’s surgical approach is unique for each patient, the goal of naturalness remains constant.

  • Actual Facial Cosmetic Surgery Patient
  • Actual Facial Cosmetic Surgery Patient

Actual Washington Neck Lift Patient of Dr. Rad’s
See More Top Neck Lift Results

Sherber+Rad cannot guarantee specific results.
Individual results may vary.

Q+A

WHAT ANESTHESIA WILL I NEED?

You comfort and safety are most important and light “twilight” anesthesia ensures you won’t feel any discomfort, you won’t be aware of the procedure, and you’ll not have memories of surgery. This level of anesthesia is minimal, just enough so that you’re asleep and unaware of the procedure, but you are still breathing on your own (the machine is not “breathing for you”). The safest environment in which to perform surgery under anesthesia is a hospital-based operating room. Dr. Rad performs surgery at Sibley, GW and Inova Fairfax, the best hospitals in the northern Virginia and Washington DC areas.

WHAT IS THE RECOVERY AFTER NECK LIFT?

You may return home the same day after surgery and Dr. Rad will see you the next day to check that all is healing well. They usually experience temporary and moderate neck tightness, however this is not painful. The tightness sensation dissipates over a few weeks and a few days of pain medicine or muscle relaxant are helpful. Neck mobility returns to normal in a couple of weeks. Mild bruising and swelling is common and resolves in a few days, and small drains are removed 1 day after surgery.

WHEN CAN I GET BACK TO WORK, TRAVEL AND EXERCISE?

In Washington DC facelift patients want to return to their normal routine as soon as possible and Dr. Rad endeavors to minimize invasiveness so that swelling and bruising are limited to as little time as possible while still achieving your goals. Return to work is dependent on your work and healing: for example, if you have a physically strenuous job then you’ll need more time, closer to 3+ weeks. However, if your work is not strenuous then you can return to work much sooner, sometimes within 7-10 days depending on your unique tissue healing. A number of Dr. Rad’s patients enjoy a refreshed look in as little as 7-9 days.

WHAT ARE THE RISKS OF NECKLIFT SURGERY?

Necklift surgery is very safe when performed by a skilled surgeon in a hospital-based operating facility. The risks related to anesthesia – Dr. Rad considers your safety to be the highest priority and for this reason he chooses not to perform your surgery in the office, and rather at Sibley, George Washington or Inova Fairfax hospitals, the best hospital systems in the Washington DC and northern Virginia areas, where skilled anesthesiologists and nursing staff create a safe and comfortable environment. Anesthesia risk is very low for healthy patients who have no heart, lung or kidney disease, many times lower than the risk of driving a car every day.

CAN I GET A GOOD RESULT WITH JUST LIPOSUCTION AND SKIN TIGHTENING?

There are many techniques and technologies available, and it can be confusing to know how much improvement can be achieved with each. Many patients ask Dr. Rad if liposuction combined with a skin tightening device can achieve as good a result as surgical necklift. The short answer is no: surgical contouring addresses all tissue layers, i.e. skin, subcutaneous (under skin) fat, platysma muscle, sub-platysma fat and digastric muscles, whereas liposuction only addresses subcutaneous fat. Patients younger than 35 generally have good skin tone and so fullness in the neck can be related to excess fatty tissue (if overweight) but more commonly due to full digastric muscles and subplatysma fat which are not affected by liposuction. Older patients with loose skin won’t respond well to skin tightening because collagen content is low, and so redrawing of tissues is needed. Across all age groups, surgical neck contouring can be tailored to your exact needs, and Dr. Rad will guide you expertly towards the ideal results safely and effectively.

WHAT NON-SURGICAL ALTERNATIVES TO NECKLIFT ARE THERE?

For patients with good skin elasticity and who are concerned with early laxity in the neck and jowl, jawline regions, Thermage FLX is the most effective and science-driven skin tightening device on the market. It is the “smart phone” equivalent as compared with all other devices which are like the “dumb flip phones”. The reason is because Thermage FLX can titrate the heat delivered to tissues to raise temperature to the narrow band of efficacy. This “smart” technology of real-time adjustment of heat delivery allows every pulse of treatment to reliably tighten skin. All other devices are not capable of adjusting energy and so providers often err on the side of undertreating, which results in no improvement, because overtreating can result in a burn. Therefore Thermage FLX is the only skin tightening device that delivers reliable results.

HOW DOES PRICING WORK?

Pricing has several components: (1) surgery fee (for Dr. Rad’s skill, care and expertise), (2) hospital anesthesia cost (for the board certified anesthesiologist to manage your comfort during surgery), (3) hospital facility cost (to “rent” the operating room and staff time), and (4) implant costs (for example, breast implants, chin or jaw implants, etc.). Dr. Rad performs surgery in a hospital operating room as this is the safest environment where board certified anesthesiologists are involved in your care. While more costly that in-office surgery rooms, this cost is justified to ensure your procedure is as safe as possible. Sometimes we offer concessions for multiple procedures.

HOW CAN I AFFORD SURGERY?

We consider bringing aesthetic surgery cost within financial reach to be a high priority and we have several mechanisms in place to make surgery affordable. (1) We participate with CareCredit, a medical financing company; the most popular plan is our *free* 6 month plan which is *free* since we cover associated financing fees (longer plans up to 60 months incur fees); (2) We offer concessions (discounts) on multiple procedures; and (3) hospital fees are lowered by efficient surgery: Dr. Rad works with a hand-selected team of professionals to lower OR time and associated hospital fees. We appreciate that cost is an important consideration in patients’ decisions to select their surgeons. While there is variability in cost between plastic surgeons, surgeons’ pricing can reflect the surgeon’s expertise, safety measures taken, the quality of your aesthetic results, and the caliber of your overall care.

Consultation with Dr. Rad

WHAT CAN I EXPECT FROM MY CONSULTATION WITH DR. RAD?

Our plastic surgery office in Washington DC is centered on your comfort and privacy. You’ll be received by our exquisitely attentive staff, and escorted to your own private cabana wherein you’ll feel relaxed and comfortable while consulting discreetly with Dr. Rad. First Dr. Rad will determine if you are a good candidate for surgery and during your consultation you should decide if Dr. Rad is the right surgeon for you. Credentials are crucial and, in addition to being Board certified in plastic surgery, Dr. Rad is Assistant Professor at Johns Hopkins, and he enjoys an impeccable reputation as a top flight aesthetic surgeon. His facial plastic surgery expertise is sought out as one of the best surgeons in Washington DC, northern Virginia and the US.

Your safety is Dr. Rad’s primary concern and he will review your medical history. You should inform Dr. Rad of any medical problems or medications that may affect your healing. If you are medically appropriate to undergo surgery then Dr. Rad’s focus will be to understand what specific aesthetic concerns you have. Washington patients expect natural results with minimal downtime. Dr. Rad will spend time carefully listening to your concerns, asking clarifying questions and then masterfully guiding you, step by step, to understand how your unique anatomy can be improved to convey a rested appearance. Dr. Rad’s goal is to determine the most comprehensive approach for long lasting, natural results while minimizing downtime. Dr. Rad first needs to understand your specific concerns and you should prepare your thoughts prior to your consultation. Think of words that convey how you feel about your appearance. For example, Washington DC patients often say they look fatigued, tired or lackluster because of undereye bags or dark undereye circles, or they look sad, upset or disinterested such as from heavy eyebrows, excess skin above the eyes or downturned corners of the mouth. Patients often relate concerns of looking older than how they feel and this can be caused by jowls, nasolabial folds, loose neck skin, lines and wrinkles. Try to put into words how your appearance bothers you, and the priority you give to each area. Dr. Rad will then present to you his expert opinion about which procedures would be best to restore your anatomy to create a rested and refreshed appearance. In addition to surgery oftentimes patients can benefit from other procedures such as brow lift, eyelid lift, facial fat transfer, or rhinoplasty. And since surgery is intricate Dr. Rad will guide you through a stepwise approach of aesthetic analysis and he’ll deliver his recommendations in a clear and honest manner. Dr. Rad will present all options available in modern day surgery, both non-surgical and surgical.

Dr. Rad and Board certified dermatologist Dr. Sherber often collaborate to optimize patients’ results and to minimize invasiveness. As such Dr. Rad’s modern approach to surgery harnesses the power of both dermatology and plastic surgery as both specialities address different aesthetic challenges. For example, plastic surgery is effective to lift, tighten and volumize loose, atrophied tissues, whereas dermatologic treatments such as laser, radiofrequency tightening and skincare are best to improve skin texture, pigmentation and tone. Dr. Rad can address any concerns regarding skin quality and how to obtain and maintain optimal results.

Dr. Rad will review with you photos of his patients’ results (many of which you’ll not find online due to privacy concerns) to highlight his aesthetic approaches and skill. He will take your photographs, which remain confidential, to assist with the planning of your surgery. For your safety Dr. Rad performs surgery in a hospital-based operating room, considered to be the safest environment, rather than in the office. Anesthesia is delivered by a board certified anesthesiologist (MD) and you’ll be under light anesthesia which is important for your safety and comfort.

You will receive a customized quote for the procedures in which you’re interested. Once approved we may then move forward with pre-operative preparations and you will meet with Dr. Rad again at your final in person consultation prior to surgery. Dr. Rad’s reputation as one of the most technically gifted surgeons attracts patients nationally and from around the world. We cater to patients from across the globe by arranging virtual consultations, luxury accommodations at The Jefferson hotel, Washington’s most luxurious 5 star boutique hotel, as well as private nursing care. Your privacy, comfort and safely achieving exceptional results are our top priorities.

What are Dr. Rad’s patients saying?

“Dr. Rad performed a lower facelift for me about 5 months ago. He was incredibly accessible during the pre-and post-op time, even meeting me at 5 am before he went into another surgery to change my pain medicine. He has been nothing but courteous and professional during follow-ups. and my healing has been great. The results get more beautiful every day; I was mistaken recently for being 29! I recommend him highly to everyone I know.”

Jennifer P. | June, 2018

About your Washington surgeon

Dr. Rad’s credentials, results and patient reviews speak for themselves. Princeton (magna cum laude) and Duke University educated, Dr. Rad is a Johns Hopkins trained board certified plastic surgeon and Assistant Professor of plastic surgery there. Dr. Rad has performed thousands of aesthetic facial surgeries and he specializes in minimally invasive, scarless approaches featuring minimal downtime. He is ranked in the top 3 plastic surgeons in DC, has the highest patient ratings across all doctor review websites and has been an invited expert in international conferences teaching his techniques to surgeons from around the world. Dr. Rad’s patients seek to look refreshed and rested with natural results, minimal scars and the least downtime. He has innovated scarless techniques due to his patients’ needs for discretion and hidden evidence of surgery. Dr. Rad has membership with the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and he is certified by the American Board of Plastic Surgery. Through rigorous written and oral examinations, these national societies have vetted Dr. Rad’s education, training, professional qualifications, surgical competence, and ethical conduct as having met the highest standards in the world.

Meet Dr. Rad

What is the cost of Neck Lift surgery in DC?

In Dr. Rad’s DC practice, the cost for aesthetic procedures for in-office procedures range from $1,000 for non-surgical (injectables) treatments, $3,000 to $5,000 for eyelid rejuvenation, $9,000 to $18,000 for face and neck lifts, $8,000 to $11,000 for rhinoplasty, and $18,000 to $30,000 for corrective work or extensive total facial rejuvenation. Keep in mind these are approximate ranges and total cost depends on multiple factors: your unique anatomy, goals, complexity of the procedures, recommended techniques, whether corrective work is needed, in-office or hospital-based operating facility, and combining multiple procedures (increasing concessions apply for multiple procedures).

Although you may receive varying cost estimates from other practices, keep in mind that your surgeon’s education and training, plastic surgery board certification, his/her experience (at least 8 years of experience after residency is recommended), and the “X” factor of aesthetic artistry and surgical skill (i.e., talent) of your surgeon are important factors in pricing. Dr. Rad’s goal for every patient is to achieve nuanced and natural results with minimal recovery, and we have mechanisms in place to bring your goals in financial reach.

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Sherber+Rad1101 15th St. NW, Suite 100, Washington, D.C. 20005