I recently had a hair patient proceed with the procedure I am describing and he suggested I put up the topic for review.

Men have several choices in dealing with the aging neck. Traditional facelifts are effective but are expensive and require sedation or general anesthesia. Also, some patients wind up looking fairly "pulled" afterward. In 2003 I started offering a direct excision of the turkey jowl and I've worked with 266 men. This procedure is quick, can be done with only local anesthesia, and will not cause the face to look stretched.

Here are a few examples, and I have published this and taught a course on this at our academy meeting a year or 2 back.

Dr. Lindsey McLean VA

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William H. Lindsey, MD, FACS
McLean, VA

Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians

I don't say this too often but this is a great result. I will keep this in mind 30 years from now

That's pretty interesting. It certainly made a difference. Dr. Lindsey do you do any other cosmetic procedures other then this and hair transplantation?

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My Hair Loss Website

how is this done then? looks good

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Dr A. Armani 2500 Fue
Dec 2008

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Monixodil X2 Day
Msm Daily

I've done about 270 of these procedures including my father in law. Its quick, easy, and reliable for men with saggy necks and who don't want a facelift. I've taught 2 instruction courses on this procedure as well. While I've performed over 3400 facelifts, in addition to hair work, I personally would pick this over a facelift for me when I get a bit older.

Dr. Lindsey McLean VA

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William H. Lindsey, MD, FACS
McLean, VA

Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians

Where is the incension made-- behind the ears and necked pulled? I've seen some great results with micro punchures in the chin and jaw (so small doesnt even need stitches) and they lipo out the fat-- looks very natural the the skin retracts as well.
But with the above pics, looks like more skin than fat so there needs to be a reduction or stretch-- how is that done?

No, right down the midline. The alternative is a traditional lift with incisions around the ears.

This procedure takes about 30 minutes in the office awake. The patient wears a head/neck wrap for one night. Sutures come out at a week.

Dr. L

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William H. Lindsey, MD, FACS
McLean, VA

Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians

I never come into this forum, but I saw this and am amazed. This is spot on perfect. I realized Dr. Lindsey was a plastic surgeon in addition to doing hair, but 3400 facelifts? You don't look old enough to have done that many!

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MSM 1500 mg. twice daily
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Damn, with all the stuff you put in your hair are you like a negative NW1?

Thanks RCWest. Lots of botox.

Dr. L

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William H. Lindsey, MD, FACS
McLean, VA

Dr. William Lindsey is a member of the Coalition of Independent Hair Restoration Physicians

Good result there, Dr Lindsey!

Can I ask the main benefit over direct excision of the excess skin in the middle of the neck as opposed to a standard necklift where the skin is pulled up behind the ears?

By the way, since general plastic surgery is one of the many strings to your bow, it would be nice to see more of these from you - you're clearly a very accomplished physician.