Some kinds of fullness under the jaw don't budge no matter how much weight you lose. The reason isn't the layer most people are looking at — it's the one a few millimeters deeper, where the muscles, glands, and deeper fat actually live.
Kirstin had been bothered by her neck for years. She finally booked the procedure that fixed it — a deep neck lift — and came back to talk through what it actually involves. Dr. James Koehler walks through the deeper anatomy: contouring the digastric muscles, trimming the deeper fat pads, and shaving down the submandibular glands when they're hanging too low.
He also explains why a less experienced surgeon would have offered her liposuction, and why the wrong procedure can leave you with 20 percent of the result you'd get from the right one. Dr. Vincent Gardner joins to cover recovery — Kirstin was back at work three days after surgery, and her bruising was gone in four days with Dermacut.
They also talk about why some "minimally invasive" alternatives — Kybella and Sculptra in particular — can quietly sabotage a future facelift by creating scarring that a surgeon later has to work around. If you've ever wondered why no amount of weight loss seems to change the shape of your neck, this one tells you why — and what to look for when you're choosing a surgeon to do something about it.
Read more about
neck lift surgery at Eastern Shore Cosmetic Surgery.Questions answered by this episode:- What is a deep neck lift?
- Deep neck lift vs. facelift — what's the difference?
- Why doesn't liposuction work on every double chin?
- How long is recovery from a deep neck lift?
- When can you go back to work after a deep neck lift?
- Does Kybella make a future facelift harder?
- How do you choose the right surgeon for a neck lift?
- Is it a red flag when a surgeon doesn't do facelifts?
- Why do some people have a fuller neck even at a healthy weight?
- How long until you see final results from a deep neck lift?
Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler and Dr. Vincent Gardner, surgeons with over 2 decades of expertise in cosmetic surgery and their trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.
Have a question for Dr. Koehler, Dr. Gardner or Kirstin? Record your voicemail at
alabamathebeautifulpodcast.com and we’ll answer it on the podcast.
Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama. To learn more about the practice or ask a question, go to
easternshoreplasticsurgery.comFollow the team on Instagram
@easternshorecosmeticsurgeryWatch Dr. Koehler, Dr. Gardner & Kirstin on YouTube
@JamesKoehlerMDAlabama The Beautiful is a production of The Axis:
theaxis.ioTheme music: Never Need a Reason, Guy Trevino and Friends
