Evidence Basedcheckmark

Awake Neck Lift

An awake neck lift refers to the type of anesthesia used during surgery — local anesthesia instead of general anesthesia. The surgical technique utilized for the neck lift will be similar to that used in a direct neck lift.

Awake Neck Lift

The Skinny


Average Recovery

3 weeks

Permanence

Temporary

Application

Surgical Procedure

Surgical

Yes

Cost

$5000 - $8000

The Specifics


What is an awake neck lift?

An awake neck lift refers to the lack of general anesthesia used during the neck lift surgery. Depending on the candidate, anesthesiologist, and plastic surgeon, an awake neck lift may be an alternative for patients who do not wish to have general anesthesia.

There are various types of anesthesia, however, they can be broken down into general anesthetics versus local anesthetics. General anesthesia is an intravenous sedation. In the awake neck lift, a patient undergoes "conscious sedation" or twilight anesthesia with regional or local anesthetics.

As in traditional neck lift plastic surgeries, excess skin, excess fat, and underlying muscle (usually the platysma muscle) is altered to create natural appearing results. The “awake” component means local anesthesia is used. Specifically, Tumescent fluid-a combination of epinephrine, local anesthetics like lidocaine, and saline-is used to anesthetize the area to be treated.

What cosmetic concerns does an awake neck lift procedure treat?

  1. Neck & Jaw Definition: An awake neck lift removes excess skin, excess fat, and alters underlying muscle to define and enhance the jaw and neck area.

Who is the ideal candidate for an awake neck lift procedure?

The ideal candidate for an awake neck lift has excess skin under the chin or on the neck, and understands there will most likely be visible scarring underneath the chin. An awake neck lift is not recommended for those with severe jowls/sagging cheeks who would be better suited to a facelift.

What is the average recovery associated with an awake neck lift procedure?

The recovery time associated with an awake neck lift only differs in the immediate post op experience. As there is no general anesthesia, and only local anesthesia, patients will feel better more quickly while still at the plastic surgery facility. Long term recovery time is unchanged with sutures/bandages being removed after one week, and limitations on activities lasting up to four weeks.

What are the potential side effects of an awake neck lift procedure?

Potential side effects from an awake neck lift include discomfort during the procedure, bruising, swelling, bleeding, discomfort, numbness, wound infection, and scarring.

What can someone expect from the results of an awake neck lift procedure?

The results of an awake neck lift will be dependent on the neck lift surgery technique. Awake neck lift results are immediately visible after the procedure, and are permanent. They will change with aging and significant weight gain.

What is the average cost of an awake neck lift procedure?

An awake neck lift procedure can cost anywhere from $5,000 to $8,000. The actual cost of an awake neck lift is dependent upon location, board certified facial plastic surgeon, and length and involvement of the plastic surgery. Learn more in our complete guide to the cost of a neck lift.

Pros

Less initial downtimeNo general anesthesia

Cons

Not available for all neck lift techniquesNo reduction in long-term recovery timePossible discomfort during procedure

Invasiveness Score

mildmoderatesevere
1
2
3
4
5
6
7
8
9
10

Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

What to Expect


An awake neck lift is a plastic surgery procedure utilized to rejuvenate the appearance of the face. Here is a quick guide for what to expect before, during, and after an awake neck lift:

The Takeaway


An awake neck lift refers only to the anesthesia component of the neck lift. In the awake neck lift, local anesthesia instead of generalized anesthesia allows the patient to remain conscious throughout the procedure shortening the immediate recovery after leaving the operating room. An Awake Neck Lift surgery can be used to correct a double chin, turkey wattle, loose neck skin, or neck muscle laxity.

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Source List

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AEDIT uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Bhupendra C. Patel; Michael J. Lopez; Zachary P. Joos. Anatomy, Head and Neck, Eyelash PubMed.gov; 2020-07-27
  2. Emil J Kohan Anatomy of the neck PubMed.gov; 2014-01-01
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