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.
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.

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.
Recovery
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.
Verified Customer Reviews
Two years ago, I had buccal fat removal done in the UK, but the surgeon was only able to treat one side and told me there was no buccal fat on my right side. Ever since, I’ve been dealing with noticeable facial asymmetry, which really started to bug me.
After doing a lot of research, I came across Dr. Mesa and saw the countless buccal fat removal procedures he’s done and immediately felt confident he was the right choice. I ended up flying from London to New Jersey specifically to see him, and it was 100% worth it.
From the moment I arrived, everything was handled professionally and smoothly. Dr. Mesa was incredibly reassuring, and within minutes he was able to locate the buccal fat that my previous surgeon couldn’t find. The procedure itself was completely painless, which honestly surprised me, because my initial one in the uk I felt pain.
Now, after two years of dealing with asymmetry, it’s such a relief to finally have it resolved. I couldn’t be happier with the outcome.
I also want to mention Cristina and the rest of the staff, they were absolutely fantastic and guided me through every step of the process, making the whole experience stress-free.
Overall, this was a wonderful experience, and I would highly recommend Dr. Mesa to anyone considering this procedure.
After years trying to trust my face with someone I finally found Dr Mesa.
Dr Mesa make me feel amazing and finally look at the mirror and love my self with this amazing jaw line
Since the first time I came to the office the staff was very friendly and helpful.
Cristina and Alex responded all the questions right away.
The massage after the surgery is very important and they have Diana with amazing hands.
Thank you Dr Mesa and all the staff,
I’m 100% satisfied with my results.

Verified Customer Reviews
- My name is Fay.I am africian American senior citizen.I had buccal fat removal on one side of my face.My experience with Dr. Mesa and his staff was great.They are very pleasant I was awake throughout the procedure.My follow-up care was excellent. I was always made comfortable and at ease.Read MoreRead Lesssan jae4/16/2026
- I had an amazing experience with Dr. Mesa and couldn’t recommend him more highly.
Two years ago, I had buccal fat removal done in the UK, but the surgeon was only able to treat one side and told me there was no buccal fat on my right side. Ever since, I’ve been dealing with noticeable facial asymmetry, which really started to bug me.
After doing a lot of research, I came across Dr. Mesa and saw the countless buccal fat removal procedures he’s done and immediately felt confident he was the right choice. I ended up flying from London to New Jersey specifically to see him, and it was 100% worth it.
From the moment I arrived, everything was handled professionally and smoothly. Dr. Mesa was incredibly reassuring, and within minutes he was able to locate the buccal fat that my previous surgeon couldn’t find. The procedure itself was completely painless, which honestly surprised me, because my initial one in the uk I felt pain.
Now, after two years of dealing with asymmetry, it’s such a relief to finally have it resolved. I couldn’t be happier with the outcome.
I also want to mention Cristina and the rest of the staff, they were absolutely fantastic and guided me through every step of the process, making the whole experience stress-free.
Overall, this was a wonderful experience, and I would highly recommend Dr. Mesa to anyone considering this procedure.Read MoreRead LessBashir S4/15/2026 - The experience with my surgery wuth dr john mesa was outstanding,,not only did they make you feel at ease with the procedure it self but they explaind, every detailed making sure you understand the process.I had neck surgery with mini lift and at 3 month time im extremely happy with the results, being in a job that that constantly im seeing patients the amount of constant patients saying how great i look makes my day. Thank you dr messa. Greattttt work.Read MoreRead LessJaime Roman4/02/2026

