A “turkey neck” is a common cosmetic concern that refers to the sagging, loose skin and prominent muscle bands under the chin and along the neck. This condition can make an individual look older than they feel and is often a source of self-consciousness. Fortunately, modern cosmetic surgery offers several effective solutions to correct a turkey neck, restoring a youthful, defined, and elegant neckline with long-lasting results.
A “turkey neck” describes the appearance of excess skin and prominent vertical bands in the neck area, which resemble the wattle of a turkey. The condition is primarily caused by weakened neck muscles (platysma) and the loss of skin elasticity. Turkey neck correction refers to the range of cosmetic procedures, both surgical and non-surgical, designed to tighten the skin, remove excess fat, and smooth the muscles to create a more contoured jawline and neck.
The development of a turkey neck is a natural part of the aging process, influenced by a few key factors:
Aging: As we get older, our skin’s production of collagen and elastin, the proteins responsible for firmness and elasticity, slows down. This causes the skin on the neck to become thinner and looser.
Gravity: Over time, the constant pull of gravity causes the skin and underlying tissues to sag downward.
Weakened Muscles: The platysma muscle, a large, thin muscle that runs from the jawline to the collarbone, can weaken and separate over time, forming the prominent vertical bands characteristic of a turkey neck.
Genetics: An individual’s genetics can play a role in how quickly and severely their skin ages and loses elasticity.
Significant Weight Fluctuation: Rapid weight gain and loss can stretch and damage the skin’s elasticity, leading to sagging.
Turkey neck correction can be achieved through both surgical and non-surgical methods, depending on the severity of the condition:
Neck Lift (Platysmaplasty & Cervicoplasty): This is the most effective surgical solution. A platysmaplasty tightens and realigns the underlying platysma muscle bands, while a cervicoplasty removes excess skin.
Liposuction: If the primary issue is a double chin with excess fat but good skin elasticity, liposuction can be used to remove the fat and tighten the area.
Facelift: For patients with significant facial and neck sagging, a full facelift may be the best option, as it addresses both the jawline and neck as a single unit.
Non-Surgical Treatments: For mild cases, options like Botox injections (to relax the platysma muscle), an injectable that dissolves fat, and various radiofrequency and ultrasound therapies can help to tighten the skin.
Your journey begins with a detailed consultation with a board-certified plastic surgeon. The surgeon will examine your neck and jawline, discuss your aesthetic goals, and recommend the most suitable procedure. The surgery is typically an outpatient procedure performed under general anesthesia or local anesthesia with sedation, and usually takes 1-2 hours.
Medications: Stop taking blood-thinning medications (e.g., aspirin, ibuprofen) and certain supplements at least two weeks before the surgery to reduce the risk of bleeding.
Smoking: You must stop smoking for at least one month before and after the procedure, as it can significantly impair healing.
Medical Clearance: Your doctor may require a medical evaluation to ensure you are fit for surgery.
Planning: Arrange for a trusted person to drive you home after the surgery and assist you during the first 24-48 hours of recovery.
The surgical process for a neck lift (the most common turkey neck lift surgery) typically involves these steps:
The initial recovery period for a neck lift is about 10-14 days. During this time, you will experience bruising and swelling, which is normal. The surgeon may place a small drain to remove excess fluid. Most patients can return to work and light activities within two weeks. Full recovery, with all swelling completely gone, can take several months.
Compression Garment: Wear the compression garment or bandage provided by your surgeon for the recommended amount of time (usually for the first 1-2 weeks).
Head Position: Keep your head elevated with pillows while sleeping or resting to minimize swelling.
Activity: Avoid strenuous activities, heavy lifting, and bending over for at least four to six weeks.
Medication: Take prescribed pain medication and antibiotics as directed.
Follow-Up: Attend all scheduled follow-up appointments so your surgeon can monitor your healing.
Results are Long-Lasting: A surgical neck lift provides a durable solution that can last for 10-15 years, though natural aging will continue.
Not Just for the Old: While common in older patients, a turkey neck lift surgery can be performed on younger individuals who have a genetic predisposition to a loose neck.
Requires a Skilled Surgeon: A successful outcome depends on the skill and experience of the surgeon. A board-certified plastic surgeon can provide natural-looking results that avoid an overly tight appearance.
While a neck lift is the primary solution, other surgical procedures can be performed in conjunction to enhance results:
A facelift primarily addresses sagging in the cheeks and jowls, while a neck lift specifically targets the skin and muscle laxity in the neck. They are often performed together for a more comprehensive rejuvenation of the lower face.
The term “turtle neck” is a common misspelling of “turkey neck.” The two terms refer to the same cosmetic concern, which is the sagging skin and muscle bands in the neck area.
Non-surgical treatments like Botox, Kybella, and radiofrequency therapies can provide some improvement for mild cases. However, for moderate to severe sagging, surgery remains the most effective and long-lasting solution.
Most patients report minimal pain that can be easily managed with prescribed pain medication. The main sensations during recovery are tightness, numbness, and swelling.
