The direct neck skin excision is a seldom-used technique that may be making a comeback. It can eliminate hanging neck skin, but it leaves a zigzag scar in the neck. Through this incision, fat can be removed and the neck bands eliminated.
The procedure takes less time than a face- or neck-lift and can be performed under local anesthesia. Patients who are at high risk for face-lifting complications and are willing to accept noticeable neck scars are candidates. They must be willing to wear opaque makeup over the neck scar forever.
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