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Deep plane facelifts are old news. By now, most modern plastic surgeons - and most educated consumers of plastic surgery - understand that the best way to treat looseness of the face is to use the underlying deep muscle sheet to lift and reposition what has truly fallen. The excess skin to be trimmed off is simply a byproduct of the true lift. Despite this, basically all plastic surgeons - even those who are expert at deep plane facelift - still believe most of the wrinkling in the low neck is due to sun damage and loss of skin electricity. To treat the skin of the neck, they separate it from the underlying platysma in a well-meaning (but misguided) attempt to stretch it backwards and remove the “excess” behind the ears and at the hairline of the nape of the neck. Some surgical and non-surgical practitioners also use lasers, injections, and peels to try to improve the sun damage and loss of elasticity of the neck directly. For 20 years, I followed the paradigms above. In the last two years or so, everything I do has been turned on its head. It has become clear that the contributions of sun damage and loss of elasticity to wrinkling of the neck skin are dramatically overestimated - and almost negligible. 99% of what looks like skin aging is actually a symptom caused by the platysma shifting down and forward into the neck. By shifting all of my neck efforts away from the skin layer and towards the platysma, my results over the last year or two have been dramatically better. Loose, crepey, wrinkly necks that I previously dreaded as “unfixable” have become my current favorites. *** GET IN TOUCH! =============================== 📸 - Get my daily updates on Instagram / nayakplasti. . 🌎 - Considering plastic surgery? Get a consultation with my office: https://www.nayakplasticsurgery.com 🛒 - My curated selection of skincare products will keep you looking great at any age https://dermspastore.com 🎵 - They told me all the kids were on the Tok! / nayakplasticsurgery