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Neck Sculpture

Neck sculpture optimizes the definition between the chin and neck by removing excess fat beneath the skin and tightening the sagging platysma neck muscle. Its success is dependent upon the neck skin having enough elasticity to retract and re-drape satisfactorily after sculpturing. This procedure is most appropriate for younger patients who have inherited a “double chin” or for those patients who, despite reasonable weight loss, retain a neckline that is still poorly defined. Skin and underlying tissue above the jaw are not affected. A chin implant to further improve the profile may be inserted during the same procedure.


General anesthesia is administered by a physician anesthesiologist specializing in facial procedures. Under anesthesia, there is no pain and no awareness. An intravenous is started and you “drift off to sleep.”

Before & After Photos

Click photo to enlarge and to read Dr. Kotler’s comments for each case

Many people considering cosmetic facial surgery are not certain if their particular situation is appropriate for either the surgical or non-surgical improvement. To help those just beginning the important research and homework, we offer an opportunity for Dr. Kotler to review your photos.


Approximately 1 hour in the operating room.

Recovery Time:

Usually 1 hour in a fully monitored and state of the art recovery room at the surgery center.


Professional care is optional. A 1/8 inch diameter plastic suction tube is placed under the skin in the lower neck to help keep swelling and bruising to a minimum. The small suction bottle that receives the excess fluid can be managed by any responsible adult. As with all of our procedures, precise instructions, direction sheets and a “care package” of supplies and medications are provided by the office. A brief office visit is made the day after surgery as well as the following day at which time the small suction tube is removed.

Stitch Removal:

Stitches are removed from the hidden, under the chin incision beginning on the 4th, 5th or 6th day after surgery. “Steri-strips” or a “butterfly” dressing may be applied at that time for wound support for an additional several days.

Return To Work, Normal Activities, Etc:

Usually 5 to 7 days. If there is bruising, it can be concealed with make-up. The neck feels tight and there is a slight limitation of movement for the first few days. Automobile driving is permitted after 7 days. Mild exercise, e.g., walking, after 2 days.

After That First Week:

Numbness about the chin and upper neck usually begin to subside. The incision still feels lumpy which is perfectly normal. If a chin implant has been inserted, the lower lip stiffness that may have been present initially after surgery begins to abate. Strenuous exercise can be resumed 2 weeks after surgery.

For The First Several Months:

Some lumpiness to the touch of the upper neck is not unusual after this procedure. This generally disappears by 8 to 12 weeks but in any event, is usually not visible. Within 3 months the hairline incision under the chin has matured to become fine, soft and nearly invisible. For the first 6 months, those patients with dark skin should use a sunscreen to protect the incision and neck skin, particularly during the summer.

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Skype Consultation


To save time, needless travel and inconvenience, we offer Skype consultations; it’s the next best thing to actually being in the office.



Now, thanks to Care Credit, cosmetic surgery is affordable for nearly everyone. To get more information about financing, call 310-278-8721 to speak with Yvonne our patient coordinator or click here to learn more.

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