A neck lift can achieve an amazing transformation for your neck, profile, and overall facial appearance, but many patients are concerned about general anesthesia. This is why Dr. Mesa performs a neck lift under local anesthesia in NYC. 

What is a Neck Lift with Local Anesthesia

While general anesthesia is considered safe, there is risk involved. Besides disorientation, breathing issues, nausea, and dizziness, general anesthesia can also cause more serious side effects. This is why Dr. Mesa offers a neck lift under local anesthesia. He is able to perform this procedure safely, painlessly, and effectively.

Benefits of Using Local Anesthesia for Neck Lift Surgery

A cover photo of the video about facelift + necklift under local anesthesia

Key Benefits of  Neck Lift Under Local Anesthesia

  • Eases patient concern about being “put under”
  • No breathing tube needed
  • Blood pressure remains stable
  • Elevated level of patient safety
  • Reduced risk of swelling, bruising, or hematoma
  • Faster recovery

Why Choose a Neck Lift under Local Anesthesia?

With age, excess fat can begin to accumulate in the chin and neck area, creating a double chin or turkey neck. These areas can be nearly impossible to lose weight from, even if you maintain a healthy lifestyle. Because of this, many individuals choose to undergo a neck lift. The goal is to restore a slim, contoured chin and neck area for a better-looking facial, neck, and profile appearance.

Dr. Mesa

How a Neck Lift is Performed with Local Anesthesia

Dr. Mesa has pioneered and perfected a groundbreaking technique for performing a neck lift with local anesthesia rather than general anesthesia or IV sedation. The process of performing a neck lift with local anesthesia involves injecting a diluted local anesthetic into the face and neck which numbs the area well so that no pain is experienced during the procedure.

Ideal Candidates for a Neck Lift with Local Anesthesia

Does a neck lift with local anesthesia in NYC sound like something you’re interested in? If so, you may be a great candidate. To determine whether you’re safe to have this procedure, we will work with your primary care physician, internist, or specialist (cardiologist).
In general, individuals who make ideal patients for this procedure are those who:

  • Are bothered by the appearance of their neck/profile
  • Would prefer local anesthesia to general anesthesia or IV sedation
  • Are non-smokers in overall good health
  • Do not have any kind of anxiety condition
  • Do not take anxiety medications
  • Do not have any kind of bleeding disorder
  • Are not taking blood-thinning medications
  • Fully understand the procedure and have realistic expectations

Procedure Details for Neck Lift with Local Anesthesia 

A neck lift with local anesthesia takes 4-6 hours to complete. Dr. Mesa employs the most refined techniques and will talk to you during the procedure to ensure that you are comfortable. He will create an incision underneath the chin, separate the skin from the fat and muscle, and cut underneath the muscle layer. He will cauterize as he splits the muscles to ensure that there is no bleeding. He will then remove the fat pad from underneath the muscle, trim or remove excess muscle, and stitch the muscles into a corset. Next, Dr. Mesa will create an incision behind one ear, separate the skin from the tissue layers, and use stitches to pull the muscle up. This process will be repeated on the other side of the face. Liposuction is then used to remove excess fat. Dr. Mesa works in a manner to ensure minimal scarring. During all of this, the patient will be painlessly awake, even able to speak.

Dr. Mesa explains if and how long the patient will experience neck pain after undergoing a neck lift surgery under local anesthesia. 

a photo of Dr. Mesa performing surgery, with the title


Because no IV sedation or general anesthesia is used, after the procedure you will be able to stand up, walk, change clothes, and go home.  You will be provided with full aftercare instructions, and Dr. Mesa will be closely monitoring your progress with several follow-up appointments.
Plan on taking 2-4 weeks off of work or other activities. You can expect some swelling and bruising, which will typically last about one week. You must avoid any vigorous physical activities for six weeks.
The healing of your incisions will likely require up to three months and will continue to improve; however, these incisions won’t be obviously visible to others.

Why choose Dr. Mesa for a neck lift with local Anesthesia?

Dr. Mesa is a Harvard-educated, triple fellowship-trained board-certified plastic surgeon with offices in NYC, New Jersey, and Miami. He is nationally recognized for his advances in facial plastic surgery, including pioneering and refining performing a neck lift under local anesthesia. Beyond his exceptional surgical skills and techniques, Dr. Mesa is a caring medical professional, and he and his hand-selected staff focus on providing an exceptionally positive, empowering patient experience. He has hundreds of positive reviews from his happy patients who are very pleased with his warmth, artistry, and natural-looking results.

Dr. John Mesa, board certified plastic surgeon in NYC

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