Leo J. Urbinelli, MD, Board Certified Plastic Surgeon *Top Plastic Surgeon in CNY* Bringing his expertise from NYC and Los Angeles back home to Upstate NY
The neck is where age shows first and where makeup cannot help. A neck lift addresses loose skin beneath the chin, the vertical bands that appear when you turn your head, and fullness that blurs the jawline. It is frequently combined with a facelift. Book a consultation.
Dr. Leo J. Urbinelli, a skilled neck lift surgeon in Syracuse, New York, does not just remove loose skin and move on.The neck often changes because of deeper structure, not only surface looseness. So the plan has to be more thoughtful.
At Premier Aesthetics, treatment is built around your face, your neck, and your goals. Dr. Urbinelli uses a careful approach that aims to improve contour while still keeping the result believable. That part matters. People should notice that you look fresher. They should not guess why.
A neck lift may help with:
Some patients come in saying they want the neck fixed. Then it turns out the jawline needs attention, too. That is common. The neck and lower face usually work as one unit.
People say “my neck” and mean one of three different things, which need different answers.
Loose skin. Skin that has lost elasticity and hangs. Only surgery removes it. Devices that promise tightening do little once skin has genuinely stretched.
Platysmal bands. The vertical cords that stand out when you tense or turn. These are the edges of a thin sheet muscle that has separated in the midline. They are tightened surgically, and no injectable repairs that separation.
Submental fullness. Fat beneath the chin, which may sit above or below the muscle. Fat above the muscle can be removed with liposuction. Fat below it requires an open approach.
Most necks involve more than one of the three, which is why an examination matters more than a photograph.
Someone whose jawline has softened, who is conscious of the profile in photographs, and who understands that this corrects contour rather than skin quality. Weight should be stable, because fat returning under the chin will undo the shape. Smokers stop in advance for the same vascular reasons that apply to a facelift.
A short neck with a low hyoid bone limits how sharp the angle under the chin can be made. That anatomy is explained at the consultation rather than discovered afterward, because it is the commonest reason a result falls short of what someone imagined.
A small incision under the chin gives access to the muscle, which is tightened across the midline. Where skin needs removing, incisions behind the ear allow it to be redraped. A combined facelift and neck lift shares the incisions around the ear and one recovery, adding only the small incision under the chin, which is the main argument for doing them together rather than a year apart.
Operating time, anesthesia and facility fees are quoted after the examination. See financing options.
A supportive garment is worn initially. Swelling and tightness are expected for the first week or two, and most people are comfortable in public at around two weeks. The contour refines for several months as swelling resolves. Numbness under the chin is common early and usually improves over months, though it is sometimes lasting. Strenuous activity waits several weeks.
Bleeding beneath the skin, temporary weakness of the nerve branch that moves the lower lip, contour irregularity, and healing problems where smoking or poor circulation are factors. Each is reviewed against your own history.
For some necks, yes. Botox relaxes platysmal bands where the muscle is active but not yet widely separated, repeated every few months rather than fixing anything. Submental fat with good overlying skin can sometimes be treated with liposuction alone, through one small incision and a far shorter recovery. Which applies is an examination question. See non surgical aesthetics.
Premier Aesthetics is offering the following services in Syracuse, New York:
People often wait too long before they ask about surgery. They try to ignore the neck or cover it with clothing, angles, and posture. That usually only lasts so long.
You may be a good candidate if:
The right answer is not always surgery. But when non-surgical options stop doing enough, a neck lift can become the more practical choice. Straightforward. No drama.
A lot of people notice the change in photos first. Others see it in the mirror during normal morning routines. Some feel it when they put on a collar or necklace, and the shape underneath just feels off. That is usually the moment they start looking for real solutions.
Premier Aesthetics offers surgical care with a personal feel. That sounds simple, but it matters. Patients do not want to be rushed. They do not want vague answers or a hard sell. They want someone who will look at the neck honestly and explain what can be done.
Dr. Leo J. Urbinelli brings deep training and a strong eye for facial balance. He also understands that neck work often needs restraint. Too much tension creates a strange look. Too little does not solve the issue. Finding the middle takes judgment.
Some people come in thinking they only need one thing. Then the evaluation shows a different picture. That is useful. Better to know early than guess later.
A neck lift is rarely just about the neck. It affects the whole lower face. When the chin and jawline are more defined, then the face can look calmer and less weighed down. Even the eyes sometimes seem brighter. Not because they changed, but because the lower face stopped distracting them.
That is why neck work is often discussed alongside other facial procedures. The goal is harmony. A stronger jawline. A smoother neck. Less visual clutter.
A neck lift may also be part of a broader plan for facial rejuvenation, especially when age has changed several areas at once. Sometimes that means pairing it with a facelift. Sometimes not. The right combination depends on what you actually see in the mirror.
Dr. Leo J. Urbinelli’s expert neck lift surgery in Syracuse, New York, may be worth considering if the neck has become a constant source of frustration and non-surgical options have stopped helping enough.
It may be a strong fit for people who:
If that sounds familiar, a consultation can give you a clearer answer.
In general a necklift is for a patient who wants a more defined, sculpted jawline and neckline and under chin area. Whether it’s due to weight loss, aging or genetically a thick neck we can remove excess skin, deep fat pads and modify submandibular glands and deep neck structures to give a more refined and contoured neck line. This is typically done through incisions (cuts) under the chin and around the earlobe, ears.
Yes a necklift can be done in isolation, and in the correct patient this can look fantastic. But like most of us, our face and neck don’t age in isolation or sag in isolation, so most patients would benefit from a neck lift with a midface lift and possibly a brow lift. However, it’s not one size fits all and we can customized the plan to suit your goals, needs and anatomy.
Dr. Urbinelli trained at NYU School of Medicine and Bellevue Hospital and completed a craniofacial and pediatric plastic surgery fellowship at USC and Children’s Hospital Los Angeles. He is an Active Member of the American Society of Plastic Surgeons, and all services sets out the full range. He will tell you when a neck lift alone will not deliver what you are picturing and a facelift is needed with it, a conversation better had before surgery than after. See the gallery.
If you have been looking for neck lift surgery in Syracuse, NY, Premier Aesthetics offers a direct place to start with our expert surgeon, Dr. Leo J. Urbinelli. You will get honest guidance, a thoughtful surgical plan, and care focused on natural-looking results from him.
Schedule a consultation to talk through your neck, your profile, and what kind of change is actually possible.
Book your visit today if you are ready to stop
covering the issue and start fixing it!
