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
Before my appointment, photos were taken, and I was then escorted to a private room where Dr. Mesa personally went through my medical history with me. He was incredibly attentive, listened to everything I had to say, and took the time to explain everything thoroughly. What really impressed me was how detailed his assessment was. He carefully examined my face and had me make different facial expressions so he could see exactly how and where my wrinkles were appearing. He then used a diagram to walk me through each treatment area and explained exactly how many units of Botox he planned to use. I really appreciated knowing what he was doing and why.
The entire experience was also incredibly relaxing. His assistant brought in some aromatherapy, which was such a thoughtful touch, along with the Botox and ice packs. Dr. Mesa came back shortly afterward to begin the treatment, and I was honestly amazed at how gentle his hand was. Ice packs were used around my crow’s feet and glabella areas, which made the process even more comfortable.
Afterward, Dr. Mesa explained that I should see my full results in about five days and told me that if I felt I needed a touch-up, I could simply call and they would get me back in. That level of care and follow-through really stood out to me.
I also received an amazing introductory price, but I was pleasantly surprised to learn that their regular pricing is very reasonable for the area as well.
I couldn’t be happier with my experience and would highly recommend Dr. Mesa to anyone considering Botox. He is knowledgeable, thorough, gentle, and genuinely takes the time to make you feel comfortable and confident in your treatment. The entire team was fantastic, and I’m so glad I found Dr. Mesa!
What I appreciated most was his meticulous attention to detail and his commitment to achieving a natural look. The results are exactly what I was hoping for.
Staff is nice.

Verified Customer Reviews
- Dr. Mesa and his team were awesome! I always had stubborn face fat that wouldn’t go away no matter how lean I got and didn’t really know what to do. I did some research on buccal fat removal, and initially I was nervous because of some of the celebrity “ozempic faces” we see these days. But after my consultation I learned that I was a good candidate for buccal fat removal. The recovery process was easier than I anticipated and now, two months later, my face looks great. No one has questioned if I had gotten work done either, my face just looks naturally more chiseled. I highly recommend Dr. Mesa if anyone is considering buccal fat removal.Read MoreRead LessRobert C8/28/2026
- Dr. John Mesa and his entire staff were absolutely wonderful from beginning to end. From the moment I walked in, everyone was so kind, welcoming, and professional, and they immediately made me feel comfortable.
Before my appointment, photos were taken, and I was then escorted to a private room where Dr. Mesa personally went through my medical history with me. He was incredibly attentive, listened to everything I had to say, and took the time to explain everything thoroughly. What really impressed me was how detailed his assessment was. He carefully examined my face and had me make different facial expressions so he could see exactly how and where my wrinkles were appearing. He then used a diagram to walk me through each treatment area and explained exactly how many units of Botox he planned to use. I really appreciated knowing what he was doing and why.
The entire experience was also incredibly relaxing. His assistant brought in some aromatherapy, which was such a thoughtful touch, along with the Botox and ice packs. Dr. Mesa came back shortly afterward to begin the treatment, and I was honestly amazed at how gentle his hand was. Ice packs were used around my crow’s feet and glabella areas, which made the process even more comfortable.
Afterward, Dr. Mesa explained that I should see my full results in about five days and told me that if I felt I needed a touch-up, I could simply call and they would get me back in. That level of care and follow-through really stood out to me.
I also received an amazing introductory price, but I was pleasantly surprised to learn that their regular pricing is very reasonable for the area as well.
I couldn’t be happier with my experience and would highly recommend Dr. Mesa to anyone considering Botox. He is knowledgeable, thorough, gentle, and genuinely takes the time to make you feel comfortable and confident in your treatment. The entire team was fantastic, and I’m so glad I found Dr. Mesa!Read MoreRead LessOlympia Chamcham8/26/2026 - My visit to Dr. Mesa’s office was excellent. His staff is truly professional, courteous and highly efficient. Dr. Mesa himself is quite impressive. Immediately instills confidence and he thoughtfully evaluates a client’s situation. His execution and technique is excellent. He hits the desired result just right; not too little, not too much, just perfect. I would highly recommend him to friends and would visit again. First class experience and top level expertise.Read MoreRead LessJason Kim8/21/2026

