Dr. Levent Ünal
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Neck Thread Lift.

No. 1 Overview

Neck Thread Lift.

Neck thread lift is a suspension treatment that uses self dissolving threads to reposition the mild laxity that develops under the chin and along the neck. It is not a surgical neck lift. The aim is to define the transition between chin and neck in a measured way and to achieve a tidier line in profile.

What changes in the neck

Neck skin is thinner than facial skin and has less fat support beneath it, so looseness shows up here early. Over the years the edges of the platysma muscle can become visible, fat can accumulate under the chin, and the crisp angle between chin and neck softens. Long hours spent looking down at a screen also take a toll on skin quality in this area. A neck thread lift aims to tidy the line by supporting the tissue slightly in a defined direction with threads placed under the skin.

Situations where it is considered

  • Mild fullness and looseness under the chin.
  • A blurred transition between the chin and the neck.
  • Mild drooping and surface laxity of the neck skin.
  • A jaw line that fades when seen in profile.
  • People who are not considering surgery and want an option with a short recovery.

Who is a suitable candidate

The treatment behaves more predictably when skin elasticity is reasonably preserved and the laxity is mild to moderate. If the fullness under the chin is mainly fat, threads alone may not deliver the line you want, and other approaches are discussed. Where there is marked excess skin, advanced drooping or very prominent platysmal bands, surgical options may be more appropriate. Pregnancy and breastfeeding, an active skin infection in the area, medication that increases bleeding tendency, recent procedures involving the thyroid region and uncontrolled systemic conditions call for a more careful assessment. Suitability is established by a medical examination.

How a session goes

The examination looks at the thickness of the neck skin, the tissue under the chin and how the line changes with head movement. Entry points and thread directions are marked, the skin is cleaned with antiseptic and local anaesthetic is applied. Suspension threads are placed under the skin along the under chin and neck line and the tissue is supported evenly in the chosen direction. You are brought upright during the session so the profile line can be checked. Thread ends are trimmed, the entry points are closed and the procedure is completed in an outpatient setting.

Onset and duration of the effect

Most people notice the lift straight away. In the first days there can be a feeling of tightness, mild swelling and a pulling sensation when swallowing or turning the head, and these usually soften quickly. A clear assessment is made once the tissue has settled, within a few weeks. As the threads dissolve the supportive effect gradually fades and usually lasts a few months. Weight changes, posture habits, smoking and sun exposure affect the duration. Results vary from person to person.

What to pay attention to afterwards

  • Avoid turning the head quickly or through a wide arc in the first days.
  • Skip tight collars and neck hugging accessories that press on the area.
  • Do not massage the area or apply pressure to the entry points.
  • Limit long stretches of looking down at a screen early on.
  • Postpone heavy exercise, sauna and steam rooms for the first week.
  • Contact the clinic if you have unexpected pain, increasing swelling or difficulty swallowing.

Points that are often confused

A neck thread lift and treatments aimed at fat under the chin are not interchangeable. Threads support tissue; they do not reduce the amount of fat, so where both issues are present the plan combines approaches. A second confusion is between suspension threads and threads aimed at skin quality: suspension threads carry tissue, while smooth or mesh threads focus more on structural support. It is also fair to expect more modest results in the neck than in the face, because the skin is thinner and gravity works harder here. Threads are not permanent, and any repeat is planned after a fresh examination.

No. 2 Process

The process step by step

From consultation to the review visit, every stage is planned in advance. An unhurried, transparent flow.

01

Consultation

The thickness of the neck skin, the tissue under the chin, the chin to neck transition and your expectations are assessed. Whether a thread lift is suitable is discussed.

02

Planning and prep

Entry points and thread directions are marked, the skin is cleaned with antiseptic and local anaesthetic is applied at the entry points.

03

Application

Suspension threads are placed along the under chin and neck line, the tissue is supported evenly and the profile line is checked with you sitting upright.

04

Aftercare and review

You are asked to avoid wide head turns, tight collars and massaging the area in the first days. A review visit is then planned.

No. 01 Does it help fullness under the chin?

For mild laxity and tissue drooping it can define the chin to neck line in a measured way. If the fullness is mainly fat, however, threads do not reduce fat and may not be enough on their own. In that case other approaches or a combined plan are discussed. The decision is made at the examination.

No. 02 Is the procedure painful?

Local anaesthetic is applied to the entry points beforehand, so sharp pain is not expected. Most people feel only mild tightness or pressure during the session. In the first days there can be a slight pulling sensation when swallowing or turning the head. This usually softens quickly.

No. 03 How long does the effect last?

As the threads dissolve the supportive effect fades gradually and usually lasts a few months. Because neck skin is thin and gravity works harder here, results are expected to be more modest than in the face. Weight changes, posture habits and sun exposure affect the duration. Results vary from person to person.

No. 04 Who is it not suitable for?

The treatment is postponed or reconsidered during pregnancy and breastfeeding, when there is an active skin infection in the area, and with medication that increases bleeding tendency. Where there is marked excess skin or very prominent platysmal bands, surgical options may be more appropriate. Recent procedures involving the thyroid region also need attention. Suitability is established by a medical examination.

No. 05 How should I use my neck afterwards?

In the first days it is advised to avoid quick, wide head turns and to skip tight collars that press on the neck. Limiting long stretches of looking down at a screen also helps healing. Do not massage the area or press on the entry points. Your doctor will tailor these instructions to you.

No. 06 Can it be done in the same session as a face thread lift?

In some people the face and neck are planned together, since the jaw line is shaped by both areas. Total thread number, session length and the recovery load are taken into account, though. That is why splitting the work into two sessions is sometimes more appropriate. Planning is individual and the decision is made at the examination.

No. 07 Can bruising occur afterwards?

Small bruises can appear at and around the entry points; this is expected and usually settles within a few days. If you take any medication or supplement that increases bleeding tendency, tell your doctor at the consultation. Avoiding alcohol and heavy exercise in the first days can reduce the chance of bruising. The course varies from person to person.

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