A Different Approach to Platysplasty (Neck Lift) – Direct Excision Platysplasty (Neck Lift)

Direct Excision neck lift
By Dr Andre Safvat

What is a Direct Excision Platysmaplasty (Neck Lift)?

A direct excision platysmaplasty (neck lift) improves the appearance of the neck by tightening the neck muscles and removing the excess fat and skin. It is particularly effective in getting rid of the so-called double chin that many people are concerned about. Overall, it gives a more aesthetic appearance.

What is the difference between a Direct Excision Platysplasty (Neck Lift) and a Standard Platysplasty (Neck Lift)?

A standard platysplasty (neck lift) is quite an elaborate surgery and has incisions around the ears which are camouflaged away. In contrast, the direct excision platysplasty (neck lift) removes skin by cutting it out directly from the middle section of the neck. It is also a more straightforward procedure than a standard and has less potential complications. The recovery period is shorter in a direct excision platysplasty (neck lift), as is the theatre time and length of stay in hospital. It does, however, leave a visible scar in the centre of the neck. This scar fades over time and, surprisingly, is fairly unnoticeable. Also, a scar in that position is not commonly associated with cosmetic surgery, so it is not picked up on like other more known cosmetic surgery procedure scars.

Who is a good candidate for a Direct Excision Platysplasty (Neck Lift)?

The direct excision platysplasty (neck lift) works best on older patients with more wrinkles as it is easier to hide the midline scar. It is not ideal for younger patients with smooth skin. It can be performed on both men and women.

What are the benefits of a Direct Platysplasty (Neck Lift)?

  • Better definition of the neck
  • Reduction or elimination of the double chin
  • Reduction of neck fullness
  • Reduction of the large fold of excess skin that commonly occurs in the middle of the neck
  • Faster recovery than a standard platysplasty (neck lift)
  • Costs less than a standard platysplasty (neck lift)

How long will it take to recover after surgery?

The direct excision plastysplasty (neck lift) is usually a day-only procedure in hospital. You will have some mild pain and possibly some swelling and bruising after the surgery. You will need to avoid strenuous activity for a few weeks. If you follow scar management advice, the scar will fade over time and usually by the 12-month mark it will not be that obvious.

How much does a Direct Excision Platysplasty (Neck Lift) cost?

Any type of platysplasty (neck lift) is a cosmetic procedure and, as such, is not covered by Medicare or Health Funds. There are a number of factors that determine the final cost of this procedure such as the surgeon, anaesthetist and hospital fees. However, it is less costly than a standard platysplasty (neck lift) as it takes less time to perform the surgery and it is a day-only procedure.


Dr André Safvat, Specialist Plastic Surgeon – MBBS FRACS
As a fully qualified and highly trained Specialist Plastic & Reconstructive Surgeon, Dr Safvat provides a broad array of Plastic, Cosmetic, Hand and Reconstructive Surgical procedures. His perfectionist approach in surgery, combined with his genuine caring nature, makes him a devoted Plastic Surgeon whose aim is to achieve the best possible result and impeccable care for his patients.


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