Quatela Center for Plastic Surgery
973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000
Fax: (585) 271-4786
Monday–Friday: 8:30 a.m.–5 p.m.
The chin, jawline, and neck contribute to an attractive facial profile. If fullness or a lack of definition in these areas runs in your family, surgery may be the only solution. Using an in-depth understanding of the facial nerves and structures, our surgeons provide advanced deep neck contouring that did not exist in the past. To create a profile that conveys vibrance and strength, our surgeons perform personalized deep neck contouring procedures that account for each patient’s unique features. During a personal consultation, Dr. Quatela, Dr. Lee, or Dr. Montague will ensure you understand what to expect physically and emotionally during recovery so you can look forward to your more defined and youthful profile.
| Anesthesia: | Local with twilight sedation |
| Recovery: | 1 to 3 weeks |
| Return to work: | 1 week |
| Resume strenuous activities: | 3 weeks |
| Final results: | 6 to 12 months |
Deep neck contouring isn’t a single procedure; it is a sophisticated surgical technique that improves definition along the jawline and neck. By performing a personalized combination of cosmetic facial surgery procedures, our surgeons provide any combination of the following benefits:
The ideal candidates for deep neck contouring are women and men of many ages, typically in their 20s to late 30s, who meet the following criteria:
Many people in their mid-40s and older who want to improve their neck may not be good candidates for deep neck contouring alone. More advanced signs of aging are usually better addressed with a facelift, which will address sagging skin and muscle in the lower face and provide a more natural-looking result.
The facial plastic surgery specialists at the Quatela Center in Rochester are known for their superior neck contouring results, which attract patients from Syracuse and Buffalo, NY, as well as travelers from across the U.S. and the world.
Double Board-Certified Facial Plastic Surgeon
Respected internationally for his expertise in facial plastic surgery, Dr. Quatela has been refining neck contouring techniques for decades. He approaches deep neck contouring as a very technical procedure that does more than remove superficial fullness. Dr. Quatela addresses commonly avoided or overlooked concerns, such as fat under the platysma muscle and over the hyoid bone, overdeveloped digastric muscles, and enlarged submandibular glands, to provide noticeable, long-lasting improvements. He wants patients to understand that fitness and weight loss may not be enough to reduce excess fat and define the jawline. During the consultation, he takes the time to understand each patient’s unique expectations and motivations for surgery to ensure satisfying results.
Double Board-Certified Female Facial Plastic Surgeon
Dr. Lee has extensive training in cosmetic surgery of the face and neck, which includes a rigorous fellowship under Dr. Quatela. Because many of her patients are frustrated by a neck that “runs in the family,” each deep neck contouring procedure Dr. Lee performs is different and personalized to their unique anatomy and cosmetic goals. To attain lasting results, she uses advanced techniques that include contouring the soft tissue structures of the neck and addressing fat that cannot be removed with liposuction. She is honored when patients put their trust in her to help them through this entire journey – physically, mentally, and emotionally.
Double Board-Certified Facial Plastic Surgeon
Dr. Montague is a facial plastic surgery specialist with years of training dedicated exclusively to operating on the deeper structures of the face and neck, including a five-year residency and fellowship training under Dr. Quatela. He provides exceptional neck contouring results by including surgical dissection beneath the platysma that addresses subplatysmal fat, the digastric muscles, and the submandibular glands. Dr. Montague aims to provide the best result possible for each patient’s unique anatomy. During the consultation, he attains a detailed understanding of each patient’s concerns so he can be transparent and clear about what is achievable with surgery. He considers shared expectations as one of the pillars of aesthetic surgery.
The consultation is the time to get to know your surgeon and see if deep neck contouring is right for you. After a clinical staff member reviews your medical history, your surgeon will:
We will take photos of your face and neck from multiple angles and use computer imaging to show you possible results. These digital images will also help your surgeon understand your desired results.
Our surgeons perform deep neck contouring as outpatient surgery at the Lindsay House Surgery Center, our private, accredited, on-site facility. You will rest comfortably for the 1- to 3-hour surgery under local anesthesia with IV sedation.
During the procedure, your surgeon will place small incisions under the chin (within the submental crease) and behind the earlobes. After completing the specifics of your procedure, your surgeon closes the incisions with fine sutures and applies a gauze pressure dressing around your neck and jawline.
After surgery, we will monitor you in our comfortable recovery area until you’re awake and alert. When your surgeon determines you’re ready to leave, a nurse will discharge you to the care of an adult friend or loved one who will drive you home. If you are from out of town or prefer a medically supervised setting, you may choose to stay overnight in our Carriage House.
While discomfort is typically minimal, it can be relieved with pain medication, cold compresses, and rest. Expect some swelling, mild discomfort, and bruising around the chin and lower face. It is normal to experience tingling and unusual sensations as the surgical area is healing.
Here is a general recovery timeline that gives you an idea of what to expect (experiences vary):
Day of surgery:
An adult friend or family member will need to transport you home and stay with you for at least 1 to 2 days. You will have a head dressing as there may be drainage for 12 to 24 hours.
Day after surgery:
Head dressing removed at a post-op appointment.
Day 2:
Swelling and bruising peak.
Day 5:
Pressure bandage and chin sutures removed at a post-op appointment. Continue wearing the bandage while sleeping for 7 more days.
Day 7:
Ear sutures removed, if needed. Return to work, school, and nonstrenuous activities. Most patients feel comfortable being seen in public. Residual bruising can be camouflaged with makeup; our experts at Q the Medical Spa can teach you how.
Day 12:
Ready to stop wearing the pressure bandage at night.
2 to 3 weeks:
Swelling and bruising subside. Mild swelling can last for several months.
3 weeks:
Resume your normal activities and exercise routine.
6 to 12 months:
Final results are established.
For proper healing and optimal results, follow our pre- and post-operative instructions closely.
To help your recovery go smoothly, take the following precautions after surgery:
The cost of deep neck contouring varies with the procedures performed and your specific needs and goals. During your consultation, you will receive an all-inclusive price quote that accounts for pre- and post-operative appointments, surgeon’s fees, surgery center fees, and anesthesia costs. For more information, see our page on Plastic Surgery Costs.
While deep neck contouring involves a combination of procedures, our surgeons can rejuvenate and define other areas of the face by combining it with any of the following procedures:
Improves definition along the jawline and balances the profile.
Slims the lower face and enhances the cheekbones by removing or reducing the buccal fat pads.
Your consultation is a good time to discuss possible complementary procedures with your surgeon. If you are ready to meet with one of our double board-certified facial plastic surgeons, request a consultation[/link] online or call us at (585) 244-1000 to schedule your appointment.
There is no “best” age for these procedures because our surgeons personalize them to the patient’s unique needs and concerns. Many of our patients are in their 20s and 30s, but older patients attain beautiful results with deep neck contouring, although some require a facelift for their desired results. Dr. Quatela says there is a distinct genetic neck fullness that only gets worse with age, so contouring it earlier will help patients age more gracefully.
Most patients do not experience significant pain after their procedure. It is more common to have tightness and numbness of the cheeks, ears, and under the chin area for about 3 to 6 months.
Neck fullness may be due to deeper layers of fat that can’t be removed with submental liposuction, so it may not be effective on its own.
Small incisions are placed under the chin and right behind the earlobes. The scarring from these incisions is minimal and typically fades over time, becoming barely noticeable.
To achieve optimal results, choose a facial plastic surgeon with experience in facial contouring and rejuvenation procedures. Dr. Quatela, Dr. Lee, and Dr. Montague are known for achieving natural-looking results with facial plastic surgery procedures.
As a destination practice offering world-class care, the Quatela Center attracts patients from around the globe. Our virtual consultations and support program take the effort out of travelling for surgery.
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