Neck lift corrects sagging: understand the Robbie Williams case

Neck lift corrects sagging: understand the Robbie Williams case


The singer will undergo a neck lift to rejuvenate her skin after “manopause” and years of alcohol





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In a recent interview, singer Robbie Williams, 49, said he plans to undergo a neck lift to rejuvenate the skin in the region, as years of partying, alcohol consumption and “manopause” have left his neck more noticeably flabby . And indeed the singer is right to blame bad habits and hormonal imbalance.

“Alcohol affects the skin causing aging in several ways. First of all, it reduces the production of ADH, which is an antidiuretic hormone, then the kidneys eliminate water, also causing dehydration of the skin, resulting in the appearance of early wrinkles; and alcohol also causes an inflammatory process of the skin”, explains Deborah Beranger, endocrinologist, with a specialization in Endocrinology and Metabology at the Santa Casa de Misericórdia do Rio de Janeiro (SCMRJ).

“As for what he called manopause, this process is known as andropause. It’s equivalent to what happens during menopause in women, where you start to have a decrease in the production of the male hormone, testosterone, and with that l “Man starts to have signs and symptoms of andropause. What are they? Decreased libido, decreased hair production, decreased erection, change in irritability, decreased overall quality of life. And this also affects the skin, after all testosterone is very important for the production of sebum in the skin, which helps with skin hydration. Testosterone in normal production in healthy men provides hydrated skin with few wrinkles. When the patient has a testosterone deficiency during andropause, this skin becomes less hydrated, with a lack of sebum, and the first wrinkles begin to appear on very dry skin”, he adds.

Facial depressant

Furthermore, according to Paolo Rubez, plastic surgeon trained at UNIFESP, member of the American Society of Plastic Surgery (ASPS), few know it, but the neck muscle, known as platysma, is a facial depressant, that is, constant contractions tend to “pull” the entire region of the lower third downwards. Furthermore, cosmetic changes such as sagging and the famous double chin are not uncommon in the region.

“All this damages the contour of the face. The neck has several layers of tissue that can suffer from the aging process. The flaccidity of the neck, therefore, can be caused by excess skin, fat, muscle relaxation in the region or even by the submandibular gland located under the jaw”, underlines Paolo.

Therefore, to treat sagging neck, the most modern facelift technique in the region is the Deep Neck Lift. “This procedure helps a lot with facial contouring, as it treats all layers of the neck, including muscles, deep fat, and submandibular glands that may have grown in size. It can also be done on young people to improve the contour”, adds the doctor.

More natural results

According to the specialist, the Deep Neck Lift, in addition to bringing more natural results, is a long-lasting and safe alternative to non-invasive injectable procedures.

“This technique differs by treating all these layers of the neck, from the most superficial to the deepest. Older techniques treated only the skin and superficial fat. The Deep Neck Lift allows you to treat the neck region and double chin in a single procedure. It is very interesting because it can be done on young people and it greatly improves the definition of the territory”, says the doctor.

“Often the neck was not treated directly, that is, it was ‘stretched’ through lateral tractions of the skin coming from the lifting incisions on the sides of the face,” explains Paolo.

The name of the technique is due to the fact that it also treats the deeper structures of the neck, such as the muscles, the fat above the muscles and the submandibular gland.

Better neck contour

The doctor emphasizes that the Deep Neck Lift is indicated in all cases where the patient needs a better contour of the neck, regardless of age. The surgery is performed in a surgical center using an incision approximately 4 cm under the chin.

“If there is excess skin, incisions may also be necessary around the ears. The anesthesia must be general or local with sedation,” explains Paolo.

As for preoperative care, it is the same as for any other surgery, i.e. preoperative examinations, 8-hour fasting the day before surgery and the patient must be in good clinical condition.

“After the operation it is necessary to avoid physical exertion for at least three weeks, as well as taking the prescribed medications and using an elastic band in the area for at least a week. Furthermore, the patient must sleep on his back for at least two weeks,” says the doctor.

“It is common for the patient to experience swelling and purpleness in the neck area postoperatively. They vary in intensity. It is not a painful procedure and in some cases the patient needs to have drainage for around 48 hours.”




Hormone replacement therapy

Finally, the endocrinologist points out that hormone replacement therapy may also be recommended.

“In it, we treat by replacing the andropause hormone, which is testosterone, with an implant, with an intramuscular injection, or with a gel. These are the three ways to carry out the replacement”, concludes Deborah.

Watch the video with the plastic surgeon Waldemar Pennaface and nose specialist.

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Source: Terra

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