Plastic Surgeon Dr. David Azouz Answers Frequently Asked Questions on Neck Lifts/Face Lifts

Who Can Benefit From a Neck lift Procedure?

A Neck lift is a common plastic surgery procedure performed by Dr. Azouz as day surgery and is often associated with little pain afterward. Aging contributes to skin and soft tissue laxity. Over time, the body stops producing high levels of collagen and hyaluronic acid, which leads to loose skin, wrinkles, jowls, and many other signs of aging. Patients who desire a more youthful and contoured neck can meet with Dr. Azouz at Azouz Plastic and Cosmetic Surgery in Dallas, Texas. Dr. Azouz performs neck lifts for patients with these concerns and can help improve the side-effects of an aging neck and face.

        Have you been thinking about getting a neck lift but are unsure if you are a candidate?

The best way to determine candidacy for a lower rhytidectomy is to speak with Dr. Azouz. The best candidates for a neck lift are those healthy, do not smoke, and have realistic expectations for the procedure. A neck lift can treat various concerns with your face and neck you may have due to naturally aging skin.

What Can Neck Lift Surgery Treat?

  • Loose neck skin
  • Creppy neck skin
  • An obtuse cervico mental angle
  • Excess fat under the chin
  • Jowls
  • Muscle banding in the neck
  • Excess fat and skin relaxation in the neck

How does a neck lift compare to non-surgical procedures?

The neck starts to show visible aging signs prior to other areas of the body. To help combat this, a neck lift, or lower rhytidectomy, is performed to restore a youthful appearance. During a lower rhytidectomy, excess fat and/or skin is removed on the lower face, chin, and neck. The suspensory layers of the face are tightened and lifted to a more youthful position.  This has the advantage of contouring the jawline and neck for a more distinguished profile.

Non-surgical options do not physically remove excess skin and fat.  Generally, non-surgical procedures must be repeated numerous times in order to yield an appreciable result.  A neck lift is definitive and most patients will undergo only one in their lifetime.

What is it like to have a neck lift in Dallas?

The neck lift journey involves three main parts including the consultation, the surgery, and the recovery.


During a consultation, Dr. Azouz will walk you through what to expect for your lower rhytidectomy procedure.  Dr. Azouz will take a medical history and perform a physical examination.  Dr. Azouz also points out the aesthetic anatomy of the face through a physical examination.  Dr. Azouz is able to demonstrate on your neck what to expect after surgery.   Dr. Azouz is also able to discuss combination surgery for patients who would like to combine their neck lift with blepharoplasty (eyelid surgery), laser resurfacing, facelift, rhinoplasty or otoplasty.


Dr. Azouz most commonly performs neck lift surgery with local anesthesia and sedation. Dr. Azouz uses this technique so you are comfortable while minimizing the risks associated with general anesthesia.  This also allows Dr. Azouz to monitor and protect the muscles of facial animation.  Patients can be deepened or lightened to their desired level of comfort with anesthesia.  The vast majority of patients do not remember their operation due to the specific medications that are utilized during cosmetic procedures.  Dr. Azouz works with anesthesiologists and certified nurses and anesthetists who are experts in delivering an optimal surgical experience.  Side effects such as pain and nausea are minimized by Dr. Azouz’s local and regional blocks, his specialized dressings and the long-lasting anesthesia drugs that are provided by the anesthesia provider.


Dr. Azouz provides prescriptions for medications that will treat pain and nausea after a neck lift.  Patients do not usually describe significant pain after a neck lift and there are many patients who do not take any opioid pain pills after surgery.  Dr. Azouz personally follows his patients in the office after surgery with frequent appointments.  Dr. Azouz removes stitches at different appointments and will notify patients when they begin their skincare, sunscreen and makeup regimens.  Neck lift incisions are hidden behind the ears and under your chin.  Most patients are able to return to desk work a few days after surgery.  Dr. Azouz does not recommend any heavy activity such as scuba diving, sky diving, cross-fit, heavyweight training and marathon running for at least four to six weeks after surgery.

Frequently Asked Facelift Questions

How is a neck lift different than a facelift?

A Neck lift only addresses the lower portion of the face including the neck and jowls.  Young patients who have loose skin and fatty tissue under the chin are more commonly candidates for a neck lift.  Older patients who would like the benefit of midface rejuvenation are better candidates for facelifts.  Dr. Azouz generally combines a neck lift with all facelift procedures.  Some patients simply require neck liposuction which has the additional benefit of skin tightening and minimal incisions.

How can you tell the difference between platysma bands and loose skin?

Platysma bands are actually strips of muscles of the neck which become prominent with aging.  This is due to a combination of soft tissue and skin laxity as well as decreased muscle tone.  Dr. Azouz will be able to diagnose and treat platysmal banding after an in-office history and physical examination.

Is Botox enough for neckbands or is a platysmaplasty better?

Neuromodulators such as botox and Dysport generally only will last for 2-4 months.  This means that patients will have to have their platysma bands treated with injections several times a year for as many years as the plastysma bands bother them.  With a neck lift or facelift Dr. Azouz treats platysma bands directly by a platymaplasty, direct platysma band excision and by resuspending the skin and soft tissues of the face.

What causes premature aging?

The overwhelmingly greatest cause of premature aging is genetics.  People often notice that they look more and more like their aging parents as they age.  There are modifiable causes of aging as well but these do not contribute to aging as much as genetics.  Modifiable causes of aging include sun exposure, smoking, diet, skincare, and stress.

How can I reduce premature aging and maintain the results of my neck lift or facelift?

  1. Sun protection is one of the best ways to prevent premature aging. Wearing hats, avoiding the sun at the hottest parts of the day and applying sunscreen frequently is critical.  New broad-spectrum sunscreens protect from multiple damaging rays including UVA/UVB, infrared and blue rays.
  2. Smoking causes significant damage to nearly all parts of the body. The skin and soft tissues of the face and neck are damaged and can not recover as well in smokers.  Smoking can also cause discoloration of the teeth and gums.  Quitting smoking can not only lead to a longer life but also to the ability to better rebuild collagen and heal.
  3. Eating healthy is another way to better prevent early aging. A healthy diet rich in fruits and vegetables provides the skin with a healthy glow, better texture, tone and can even contribute to better skin elasticity.  Alcohol, fried, salty and sugary foods do not provide the face with the nutrients to build healthy and youthful collagen.
  4. Daily skincare programs with retinA, hydroquinone, vitamin c and moisturizers can strengthen, smoothe and tighten the skin. Azouz customizes skincare regimens to his patients after performing a skin exam and history.
  5. Daily stress is difficult to avoid but patients who provide self-care with exercise, meditation, familial support, and yoga can better distress to lower their stress hormones such as cortisol and adrenaline. Even very young patients in their 20s and 30s can become aged looking after experiencing periods of significant stress.

Cost of a Neck Lift

There is no one cost for a neck lift procedure. It varies based on many factors. Dr. Azouz will give you an estimated cost for your neck lift during your consultation.  Insurance companies deem facelifts and neck lifts to be cosmetic surgery and therefore non-covered procedures.  If you have any questions regarding the cost of a neck lift, feel free to contact our Dallas office at 972-702-8888.

Talk to Plastic Surgeon Dr. Azouz

If you are unhappy with your neck/jawline area due to loose, sagging skin then talk to Dr. Azouz. He can create your customized neck lift procedure to help you look years younger. To get started, contact our Dallas office today by phone or by filling out an online form.

Combination Plastic Surgery: Face, Breast, and Body

What cosmetic procedures can be combined and why would that be beneficial?

Combining plastic surgery procedures is extremely popular and involves a plastic surgeon performing multiple plastic or cosmetic surgeries in one day.  This is a great option for patients who have many different concerns they would like to address. Dr. David Azouz is a board-certified plastic and reconstructive surgeon in Dallas, TX who performs many combination procedures to help his patients reach their goals in a safe, efficient, and effective manner. Dr. Azouz is highly experienced and offers patients the benefits of a natural-appearing look with minimal scarring from his combination procedures. The most well-known combination procedure is the mommy makeover, but there are many procedures that can be combined. Facelifts, tummy tucks, liposuction, and breast surgeries are all popular surgeries that can be done together.

Benefits of Combination Plastic Surgeries

There are many different benefits that come from performing two or more surgeries simultaneously. Mainly, it cuts down on the need for multiple surgery days which allows a patient one recovery. Additionally, combining procedures often cuts down on the cost of surgery and anesthesia.

Candidates for Combination Plastic and Cosmetic Surgery

The best candidates for combination surgery:

  • Require moderate improvement of the areas to be treated
  • Are in good overall health
  • Are non-smokers
  • Have realistic expectations

Dr. Azouz recommends that patients with areas that require significant skin and soft tissue resection stage their procedures rather than have them done on the same day.  The right combination of procedures can achieve the results a patient desires and this is best achieved through expressing your goals with Dr. Azouz.  Dr. Azouz is committed to performing plastic and cosmetic surgery as safely and efficiently as possible.

Combining Plastic Surgery with other non-plastic surgery procedures

Patients often desire to combine cosmetic and plastic surgery operations with other types of surgery including:

  • Hysterectomy
  • Removal of gallbladder
  • Functional rhinoplasty
  • Hernia repair

Dr. Azouz is able to coordinate performing cosmetic surgery with other noncosmetic surgeries with a variety of different surgeons.  Often Dr. Azouz will work with an OBGYN to perform a hysterectomy and tummy tuck together.  Hernia repairs are often performed at the same time as a panniculectomy (tummy tuck).

Recovery Time

One of the main questions Dr. Azouz is asked during his consultations with patients is how much recovery time they will need for their procedure. If a patient has multiple concerns and requires multiple procedures, this adds to time spent recovering from surgery. With a combination procedure, you get one recovery time.  A mommy makeover may involve a drain-less abdominoplasty or mini-tummy tuck, liposuction, and breast augmentation in the same day.   Men often desire liposuction of the abdomen to be done concurrently with liposuction and removal of gynecomastia of the chest.  The recovery time for each procedure is about four to six weeks until a patient can return to heavy exercise. Instead of having to heal for four to six weeks to or three different times, patients can get surgeries done on the same day so that they only go through one recovery.

How soon can you have cosmetic surgery after massive weight loss surgery (gastric bypass)?

Gastric bypass induces weight loss by both restrictive and absorptive methods.   This means that a patient will eat less food and less food will be absorbed through the patient’s digestive tract.  Patients will generally have their weight fluctuate for six months after surgery.  Dr. Azouz typically recommends having a stable weight for six months prior to surgery as well.  Patients who have had bariatric surgery (gastric sleeve or bypass) are typically excellent candidates for post-bariatric body contouring.  Combination procedures are often possible and include a variety of cosmetic surgeries of the body, breast, and face.

Possible combination surgery after bariatric procedures include:

Mommy makeover

Body lift with liposuction

Tummy tuck with liposuction

Facelift with eyelid surgery (blepharoplasty)

Breast lift with breast augmentation

Liposuction and removal of gynecomastia

Cost and Recovery

Along with the cut down on recovery time, combination procedures also cut down the cost. The cost of each individual procedure varies greatly. You have to add in the surgical facility, anesthesia, and medical devices to the total cost. By getting multiple procedures done in one surgery, this cuts down on the time spent in the operating room and anesthesia costs being repeated. Dr. Azouz will give you an estimated cost of your unique combination procedure during your in-person consultation.

Popular Combination Plastic Surgeries

To help his patients save on recovery time and cost, Dr. Azouz performs many of his procedures in combination with others. Due to the drain-less technique accompanying his procedures, patients can enjoy a less complex healing period. One of his most popular procedures is the Drainless abdominoplasty. Other popular combination procedures are:

  • Mommy Makeover (breast and abdomen)
  • Liposuction and Removal of gynecomastia
  • Liposuction and Abdominoplasty
  • Breast Lift and Reduction
  • Rhinoplasty and Eyelid surgery (blepharoplasty)
  • Facelift and Eyelid surgery
  • Mini Abdominoplasty and liposuction
  • Tummy tuck and labiaplasty

Schedule a Consultation

If you have multiple body concerns that you would like to address, then talk to Dr. Azouz about combination procedures. These are excellent options to get your ideal look in a quick, effective manner. You can request a consultation with our online form or give us a call at 972-702-8888.

Natural Looking Male Facelifts with Dr. Azouz

While facelifts are still more popular among women, many men in the Dallas area are enjoying the results of a natural looking facelift. Dr. Azouz works with each patient to help them achieve a rejuvenated look while also maintaining a natural and masculine look.

John’s Facelift Experience

John, a man close to 70 years of age; never considered plastic surgery before his facelift. John was married to a woman for several years who he had bought plastic surgery procedures for over the years but never for himself. Until one day, a friend of John’s showed him her picture on Facebook and he was astonished at how young she looked. After this, John thought to himself “You know? if I could pay the money for the plastic surgeries for her, I bet you I have enough money to pay for it for myself”.

Dr. Azouz’s Analysis

When John went in to see Dr. Azouz, he expressed that he wanted a very natural look. His goal wasn’t to look that much younger, his goal was to look rested and good for his age. Dr. Azouz felt that this was very realistic for a gentleman who’s close to 70 years of age. According to Dr. Azouz, “In a gentleman you have to be extremely careful; this is because if you make him look unnatural, you tend to feminize him, and I think the last thing a man wants is feminization of the face”. With this in mind, Dr. Azouz carefully worked to give John a very natural look; to the point that he doesn’t even look like he’s had facial rejuvenation surgery.

John’s Results

Beyond the physical changes, John states that the surgery has given me a new confidence. John says that his new-found confidence has inspired him to join dating websites, and the results have been excellent. “I’ve probably had a different date at least once a week, maybe sometimes twice a week. The people responding to me, I realized that they were younger and younger”.

Schedule a Consultation

Interested in Learning More About Male Facial rejuvenation? Contact Dr. David Azouz’s office today to learn more about facial rejuvenation for men and schedule a consultation. Dr. Azouz is ready to work with you to achieve the natural results you’re looking for.  For more information, visit our blog.

Reason Patients Choose to get a Facelift Other Than Age

A lot of what we do here at Azouz Plastic and Cosmetic Surgery has to do with reversing signs of aging. However, there are other reasons a patient may opt to have plastic surgery and in this case a facelift. We interviewed two patients about their facelift stories and what motivated them to have a facelift procedure performed by Dr. Azouz in Dallas.

Correcting Asymmetry – Cindy

According to Dr. Azouz, Cindy’s situation was a little different than most facelift patients since Cindy had had a Bell’s palsy on one side. Because of this, she had obvious facial asymmetry as can be seen in her pictures that she had hoped to correct. Part of the reason Cindy elected this surgery was because when she had the Bell’s palsy she was very self-conscious. Her left eye would not close and the left side of her mouth did not work. Cindy found this to be very embarrassing and it caused her to avoid leaving the house.

This type of concern is addressed both under the skin, muscles and underlying tissue. First, before the skin, you get under the skin and muscle to reposition the tissues. This means that the underlying tissue over the muscles is moved back and upwards and then sewn into position. With that repositioning, the skin re-drapes over the rest of the face. This technique helps get rid of the jowls and give more definition along the neck and jowls without giving you an artificial look.

Post Weight Loss – Donna

After Dramatic weight-loss, many people experience an increase in excess skin. As for Donna, she decided that she needed to make some lifestyle changes, and I lost about 50 pounds. Even though she started to feel much better, she didn’t feel that she looked as good as she felt. Due to her dramatic weight loss, certain features such as prominent jowls became more noticeable. Also, her neck went from her chin down straight, which gave it little to no definition. To take care of the excess skin on and around the face Dr. Azouz did an upper and lower eyelid lift as well as a lower face/neck lift to get rid of the jowls. The best part? Dr. Azouz says that you’ll have a very natural and refreshed look and you’ll just look as if you’ve been vacationing or you’re well rested; people know you look a lot better, they just won’t be able to identify why.

If you are interested in learning more about what a facelift could do for you, Contact Dr. Azouz at (972) 702-8888.

The Best Time for a Facelift

If you are becoming bothered by facial imperfections due to genetics or aging, you may be wondering if now is the right time for a facelift procedure. Every patient’s anatomy is unique and also ages in its own unique way. The difference in aging process’ from person to person often vary because of one’s lifestyle and genetics. This, unfortunately, means there is no perfect time or age to have a facelift. In his recent segment on Ask the Doctor, Dr. Azouz explains that “A facelift is a procedure that is more dependent on what the problem that you’re trying to fix is”.

What Age Should I have A Facelift?

Is there a Perfect Age?

As Dr. Azouz discusses, the decision or parameters for candidacy to get a facelift is less about age than it is about the actual concerns that you would like to address. For example, a patient could want to have a facelift in their 30’s due to aesthetic concern while and some women are in their 60’s and don’t need a facelift. Dr. Azouz says that if you have a gobbler neck deformity or prominent jowls, or you just have a very aged look to your face, then you’re a candidate for a facelift and you can have that corrected. So essentially it is not age related, it’s depending on what the problem is.

What Concerns Can a Facelift Address?

Facelifts are a facial enhancement procedure that can correct a variety of facial concerns that can result from age, weight loss, and environmental factors. Sagging skin of the lower face and deep creases and folds in the skin may only be corrected through a facelift since the skin would need to be pulled taught to have a firmer appearance. Less invasive measures can often address certain signs of aging such as volume loss and lack of facial contours, but occasionally a facelift is necessary for more a more dramatic correction that the patient desires.

If you are interested in learning more about a facelift and what it could possibly do for you, contact Azouz Plastic and Cosmetic Surgery today to schedule a consultation with Dr. Azouz.