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Cervicoplasty

CPT4 code

Name of the Procedure:

Cervicoplasty
Common Names: Neck lift, Neck rejuvenation surgery
Medical Terms: Cervicoplasty, Platysmaplasty (if neck muscles are also tightened)

Summary

Cervicoplasty is a cosmetic surgical procedure aimed at improving the appearance of the neck by removing excess skin, and, in some cases, tightening underlying muscles. This results in a more youthful and contoured neckline.

Purpose

Cervicoplasty addresses issues such as sagging, wrinkled, or loose skin in the neck area.
Goals: Achieving a smoother, firmer, and more aesthetically pleasing neck appearance.

Indications

  • Sagging or loose skin on the neck due to aging or significant weight loss.
  • Wrinkles or folds on the neck.
  • Excess fat deposits in the neck region.
  • Patients generally should be in good overall health and have realistic expectations.

Preparation

  • Fasting for at least 6-8 hours prior to surgery if general anesthesia is used.
  • Medication adjustments may be necessary as per the surgeon’s instructions.
  • Diagnostic tests might include blood work and a physical examination to ensure fitness for surgery.
  • Avoid smoking and certain medications that could increase bleeding risk.

Procedure Description

  1. Anesthesia: Administered general anesthesia or local anesthesia with sedation.
  2. Incision: An incision is made under the chin or behind the ears, depending on the extent of correction needed.
  3. Removal of excess skin: Excess skin is trimmed away.
  4. Muscle tightening: If applicable, underlying platysma muscles are tightened.
  5. Liposuction: Excess fat deposits may be removed via liposuction.
  6. Closure: Incisions are closed with sutures, and a supportive dressing or bandage is applied.

Duration

The procedure typically takes about 2-3 hours, depending on complexity.

Setting

Performed in a hospital, outpatient clinic, or a surgical center.

Personnel

  • Plastic Surgeon
  • Anesthesiologist
  • Surgical nurses
  • Support staff

Risks and Complications

  • Common risks: Bruising, swelling, scarring, and infection.
  • Rare risks: Hematoma, nerve injury leading to muscle weakness, and asymmetry.
  • Management: Follow-up visits to monitor healing and address any complications early.

Benefits

  • Enhanced neck contour and a more youthful appearance.
  • Immediate visible improvement, with final results visible after swelling subsides over a few weeks.

Recovery

  • Rest and limited activity for at least 1-2 weeks post-surgery.
  • Wearing a supportive garment or bandage as directed.
  • Follow-up appointments to check healing progress.
  • Avoid strenuous activities and heavy lifting for about 4-6 weeks.

Alternatives

  • Non-surgical options: Botox injections, laser treatments, and radiofrequency skin tightening.
  • Pros and cons: Non-surgical options often have shorter recovery times and lower costs but may provide less dramatic results.

Patient Experience

  • During: Patients are typically under anesthesia and should not feel pain.
  • After: Expect some discomfort, bruising, and swelling. Pain management will include prescribed medications.
  • Ensuring comfort includes keeping the head elevated and using cold compresses to reduce swelling.

By following this guide, patients can gain an understanding of what cervicoplasty entails, preparing them for a smoother experience and informed decision-making process.

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