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Excision of Turkey neck deformity by Dr. Lindsey McLean VA


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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

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  • 1 year later...
  • Regular Member

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

William H. Lindsey, MD, FACS

McLean, VA

 

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

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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?

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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

William H. Lindsey, MD, FACS

McLean, VA

 

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

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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!;)

Finasteride 1.25 mg. daily

Avodart 0.5 mg. daily

Spironolactone 50 mg twice daily

5 mg. oral Minoxidil twice daily

Biotin 1000 mcg daily

Multi Vitamin daily

 

Damn, with all the stuff you put in your hair are you like a negative NW1? :D

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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.

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This is a trade off vs. a traditional necklift that you bring up. Money, time, risk, and scars, versus a midline incision line with a scar that will likely, but not for certain, fade in almost all men.

 

With this operation, and I've done around 270 and taught 2 courses on it, I can easily remove most of a "floppy neck skin pouch" in about 25 minutes while the patient is awake. Other than wearing a dressing one night, there is no downtime and the scar really has done well in about 264 patients. A couple needed a little touch up of a scar area.

 

I'd get it when I get older. The key is to do enough, but not too much, or the scar will certainly be bad.

 

I'd love to post lots of cases, but the problem with face work is you need permission to post cases....as opposed to hair where you just crop off the face.

 

Thanks

 

Dr. Lindsey McLean VA

William H. Lindsey, MD, FACS

McLean, VA

 

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

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