Awake Neck Lift
in Long Island, NY

Our awake neck lift offers a minimally invasive solution for patients looking to address signs of aging in the neck and jawline. Many individuals undergo this procedure to correct sagging skin, reduce the appearance of jowls, and smooth out unwanted wrinkles, ultimately achieving a more youthful and refreshed appearance. Patients often seek an awake neck lift because they want noticeable improvement without the extensive downtime associated with traditional surgery. Our treatment can enhance confidence while preserving the natural contours of your face.

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What is Awake Neck Lift?

An awake neck lift is a cosmetic procedure designed to refine the appearance of the neck by addressing visible signs of aging and laxity. It is performed while the patient is awake under local anesthesia, avoiding the need for general anesthesia. The technique focuses on improving the overall contour of the neck and often removes excess skin that contributes to a sagging or uneven look. This approach allows for a precise treatment tailored to the individual’s anatomy while reducing recovery time and surgical risks.

Awake Neck Lift Techniques

Cervicoplasty

Cervicoplasty focuses on improving the neck’s appearance by addressing loose or sagging skin. Using this technique, the surgeon carefully removes excess skin to create a smoother, more refined contour, while the patient remains comfortable under local anesthesia.

Platysmaplasty

Platysmaplasty is a technique that targets the platysma muscle, which can contribute to vertical banding or a less defined neckline. The surgeon adjusts or tightens this muscle while the patient is under local anesthesia, enhancing the overall structure and contour of the neck.
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Initial Appointment

The initial appointment is an essential step in planning the procedure. During this visit, Dr. Gargiulo carefully evaluates the patient’s facial anatomy, including the structure of the neck, jawline, and surrounding features, to determine the most appropriate approach. It is also an opportunity to discuss aesthetic goals, review medical history, and outline the techniques that may be used. This personalized assessment ensures that the treatment plan is tailored to the individual’s unique characteristics and desired outcome.

Awake Neck Lift Procedure

An awake neck lift is performed using local anesthesia with IV sedation. This combination allows the patient to remain relaxed and comfortable without the need for general anesthesia. Dr. Gargiulo uses this method to create a safe and effective surgical experience.
Small, discreet incisions are made in natural creases around the ears or under the chin. These incision points are chosen carefully to minimize visibility once healed. Through these openings, Dr. Gargiulo can access the areas of the neck that require reshaping or tightening, making it possible to improve definition and contour.
In some cases, the procedure involves the removal of excess fat beneath the chin and along the neck. This step helps to create a more refined profile and can reduce the appearance of heaviness in the lower face. The fat is carefully removed or repositioned to achieve a balanced and natural look.
Another critical part of the procedure is the tightening of the neck muscles, particularly the platysma. Over time, these muscles can weaken or separate, leading to banding or a less defined contour. By carefully suturing and repositioning the muscles, Dr. Gargiulo creates a smoother neckline and provides stronger support to the area.
Finally, the skin is gently redraped over the newly contoured neck. If necessary, any loose or sagging skin is trimmed to achieve a smoother finish. The redraping process ensures that the results appear natural and well-integrated with the surrounding areas of the face and jawline.
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Recovery After Awake Neck Lift Surgery

In the first week, swelling and bruising are still present but begin to gradually improve. Patients are usually able to return to basic daily activities. Follow-up appointments with Dr. Gargiulo help ensure that the healing process is progressing as expected.
By the second and third weeks, visible swelling decreases further, and the neck area starts to look more refined. Most patients feel more comfortable resuming work and social activities at this point. The healing process continues internally as tissues settle into their new positions, and any remaining discomfort is typically mild and manageable without strong pain medication.
By the second and third weeks, visible swelling decreases further, and the neck area starts to look more refined. Most patients feel more comfortable resuming work and social activities at this point. The healing process continues internally as tissues settle into their new positions, and any remaining discomfort is typically mild and manageable without strong pain medication.
After about one month, the majority of swelling has resolved, and the results of the awake neck lift are easier to see. The healing process continues for several more weeks, with ongoing improvements in contour and smoothness. Most patients can enjoy their regular routines without restrictions, while continuing to follow any long-term care instructions provided by Dr. Gargiulo.

Add-On Procedures

An awake facelift surgery is performed while the patient remains comfortable and relaxed under local anesthesia with IV sedation. It can range from a mini facelift that provides subtle improvements in the lower face to a more extensive lift that addresses deeper concerns. The surgeon repositions and tightens the underlying facial tissues to restore balance and create a rejuvenated appearance.
A brow lift is a surgical procedure designed to elevate the brow and restore more youthful facial contours. It helps correct drooping or loose skin that may affect the forehead and upper eye area. By carefully adjusting the tissues, the procedure creates a refreshed and natural look that harmonizes with the rest of the face.
Eyelid surgery is a type of cosmetic surgery that focuses on the upper and lower eyelids to reduce puffiness, sagging, or tired-looking eyes. It is often performed to achieve comprehensive rejuvenation of the eye area and enhance overall facial expression. This procedure refines the delicate features around the eyes while maintaining a natural appearance.
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Candidates for
Awake Neck Lift

Many people consider an awake neck lift to improve the appearance of their neck and jawline. Good candidates for this procedure include:

Benefits of Awake Neck Lift

An awake neck lift can restore a youthful appearance and highlight the patient’s natural beauty. The procedure tightens the neck and improves contour, resulting in a more defined jawline that complements the overall facial features. This approach creates subtle yet noticeable enhancements that blend harmoniously with the rest of the face.
Because an awake neck lift avoids general anesthesia, patients often experience a faster recovery compared to traditional neck procedures. Most people can enjoy minimal downtime and return to daily activities sooner. This makes the procedure convenient for those seeking effective results without a lengthy interruption to their routine.
An awake neck lift generally carries fewer risks and complications than more invasive surgeries. Staying alert during the procedure under local anesthesia reduces the potential issues associated with general anesthesia. Careful technique and targeted treatment help ensure safe, predictable outcomes.
The awake neck lift is considered minimally invasive because it involves small, discreet incisions and precise adjustments to fat and muscle. This approach limits tissue trauma while still achieving significant improvements in neck contour. Patients benefit from effective results without the extensive surgical impact of traditional methods.
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Cost of Awake Neck Lifts in
Long Island, NY

The cost of an awake neck lift in Long Island ranges from $6,000 to $12,000, depending on the complexity of the procedure and the techniques used. Factors that can influence pricing include the amount of excess skin or fat to be removed, whether additional procedures are performed, and the specific surgical approach chosen by the plastic surgeon.

The exact cost of an awake neck lift will be determined during a personalized consultation. Our specialists will evaluate your individual needs and goals, explain the recommended approach, and provide a detailed price estimate so you have a clear understanding before moving forward.

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Refresh Your Look with Facial
Plastic Surgery at Age Focus

At Age Focus, patients can achieve a refreshed and youthful appearance through a range of cosmetic procedures tailored to their individual needs. Dr. Gargiulo is an experienced surgeon who combines advanced surgical techniques with careful attention to facial harmony to deliver natural-looking results. Our treatments may include facial fat transfer, reconstructive surgery, and other personalized approaches designed to restore balance and proportion. Located near New York City, our practice provides professional care that emphasizes both aesthetic improvement and long-lasting outcomes.

Frequently Asked Questions (FAQs)

The results of an awake neck lift can last 10 or more years, but they do not stop the natural aging process. Over time, changes in skin elasticity, fat distribution, and muscle tone may gradually affect the appearance of the neck. Maintaining a healthy lifestyle and skincare routine can help prolong the results.
Most patients have minimal scarring after an awake neck lift. Incisions are strategically placed in natural creases or behind the ears to reduce visibility, and any surgical scars typically fade over time with proper care.
Yes, mini neck lifts are available for patients who need more subtle improvements. This procedure targets specific areas with less extensive tissue adjustment while still providing noticeable contouring and definition.
Yes, an awake neck lift can be combined with other facial procedures to enhance overall results. Injectable treatments, such as dermal fillers, as well as laser skin resurfacing or other laser treatments, can improve skin quality and restore youthful contours. Combining surgical and non-surgical approaches allows for a more comprehensive rejuvenation of the face and neck.