Lower Face Neck Lift Rhinoplasty Blepharoplasty Combo

Patient Overview

• Patient: Scott

• Age: 61 years old

• Gender: Male

• Procedures: Lower face and neck lift, platysmaplasty, rhinoplasty, eyelid blepharoplasty

• After photos taken at: 5 days post-surgery

• Origin: United States of America

• Location: Istanbul, Turkey

When the Entire Face Ages Together, the Correction Must Be Comprehensive

Facial ageing does not happen in isolation. The neck loosens, the jawline softens, the eyelids droop, and the nose gradually changes shape as cartilage weakens and skin thins — all simultaneously, all interconnected. Treating one area while leaving the others untouched creates an imbalance where the refreshed zone highlights how aged the surrounding areas still appear. For Scott, a 61-year-old man who travelled from the United States to Istanbul, every zone of his face had contributed to an overall tired, aged appearance that no longer matched how he felt. His consultation with Dr. Cem Berkay Sinaci, a Fellow of the European Board of Plastic Reconstructive and Aesthetic Surgery (FEBOPRAS) and active member of ISAPS and ASPS, resulted in a comprehensive four-procedure surgical plan: lower face and neck lift with platysmaplasty, rhinoplasty, and eyelid blepharoplasty, all performed in a single session.

Lower Face and Neck Lift With Platysmaplasty for Male Patients

The lower face and neck are where ageing is most visible in men over 60. The platysma muscle, the broad sheet that spans the front of the neck, separates along the midline with age, creating vertical bands that run from chin to collarbone. The skin above this weakened muscle loosens and sags, fat accumulates beneath the chin, and the once-sharp jawline disappears behind descending tissue. This combination of changes produces what is commonly called turkey neck, a deformity that is particularly noticeable in men because shorter hairstyles and the absence of makeup leave the neck fully exposed.

Scott's procedure began with the neck lift and platysmaplasty. Dr. Sinaci sutured the separated platysma bands back together in the midline, restoring the muscular foundation that supports a defined neck contour. Excess fat was removed from above and below the muscle layer, and the redundant skin was redraped and trimmed to sit smoothly over the newly tightened structure. The lower face component addressed the jowling that had developed along the jawline, lifting the descended tissue and restoring the clean, continuous line from chin to ear that defines a masculine lower face.

Male neck lift surgery requires specific attention to preserving masculine proportions. The goal is a strong, angular jawline and a defined cervicomental angle without any appearance of tightness or feminisation. Incisions are placed within the natural creases around the ear and beneath the chin, where they heal inconspicuously even with short hair.

Rhinoplasty as Part of a Full Facial Rejuvenation Plan

The nose changes with age in ways that most patients do not realise until they see the progression in photographs taken years apart. Nasal cartilage gradually weakens, causing the tip to droop and the overall nose to appear longer. The skin thickens slightly, softening the definition of the bridge and tip. These changes alter the nose's relationship to the chin, lips, and eyes, subtly disrupting the proportions that made the face appear balanced in earlier decades.

For Scott, rhinoplasty was not about creating a dramatically different nose. It was about restoring proportional harmony between the nose and the newly rejuvenated lower face and eyes. When a surgeon lifts the neck and tightens the jawline, the profile changes significantly. If the nose is left untouched, its aged characteristics become more prominent by contrast. By refining the nasal shape in the same session, Dr. Sinaci ensured that every element of Scott's profile improved cohesively, with the nose complementing the lifted jawline and refreshed eye area rather than contradicting them.

Eyelid Blepharoplasty to Complete the Upper Face

The eyes are the focal point of human interaction. When the upper eyelids develop excess skin that folds over the lash line and the lower eyelids accumulate puffiness from displaced fat pads, the entire face takes on a fatigued appearance that no amount of rest can correct. These changes are among the earliest and most noticeable signs of facial ageing, and they affect how others perceive alertness, energy, and mood.

Scott's blepharoplasty addressed both the upper and lower eyelids. The upper blepharoplasty removed the redundant skin that was hooding his eyes, restoring the visible eyelid crease and opening up the eye area. The lower blepharoplasty targeted the puffy fat pads beneath the eyes that created a perpetually tired look. The incisions for upper blepharoplasty sit within the natural eyelid crease and become invisible once healed. Lower blepharoplasty incisions are placed just below the lash line or inside the eyelid, leaving no externally visible scar.

The blepharoplasty completed the upper portion of Scott's facial rejuvenation. Combined with the lower face and neck work, it produced a result where every zone of the face appears refreshed and consistent, without the mismatched look that occurs when only one area is treated.

Why Four Procedures in One Session Produces a Superior Result

Performing a lower face and neck lift, platysmaplasty, rhinoplasty, and blepharoplasty in a single surgical session is a demanding undertaking that requires meticulous planning and significant experience. The advantage is a unified result that cannot be replicated through staged procedures. When all four areas are addressed simultaneously, the surgeon can evaluate the balance between them in real time. The degree of neck tightening influences how the jawline appears, which affects the proportional relationship with the nose, which interacts with how the eyes frame the upper face. Adjusting one element affects every other element, and having access to all of them in a single session allows for fine-tuning that staged procedures cannot offer.

For the patient, the practical benefits are equally significant. One anaesthesia event, one recovery period, and one set of follow-up appointments replaces what would otherwise be two to four separate surgical episodes spread across a year or more. For international patients like Scott who travel from the United States to Istanbul, consolidating the procedures into one session means one trip rather than multiple return visits.

Five Days After Combined Facial Surgery — Early Recovery

Scott's before and after photographs were captured at five days post-surgery, an early stage where the structural improvement is already visible even as bruising and swelling remain present. At day five, the neck lift and platysmaplasty results are the most immediately apparent. The turkey neck deformity is gone, replaced by a defined jawline and smooth neck contour that was unrecognisable just five days earlier. The blepharoplasty has already opened up the eye area, though mild periorbital bruising and swelling are still resolving.

The rhinoplasty result is the least visible at this stage because nasal swelling takes the longest to resolve. The external splint is typically removed around day seven to ten, and the nose will continue to refine over 12 to 18 months as deep swelling gradually subsides. However, even at five days, the overall profile improvement is striking because the neck, jawline, and eye area have all been transformed simultaneously.

Most patients at day five are mobile, independent in daily activities, and experiencing mild to moderate tightness and discomfort rather than significant pain. Bruising typically resolves within two weeks, and by week three to four, the majority of patients feel comfortable in social and professional settings.

Full Facial Rejuvenation for Male Patients From the USA in Istanbul

Scott's case represents the type of comprehensive male facial rejuvenation that Dr. Sinaci performs routinely for international patients. The combination of a lower face and neck lift with platysmaplasty, rhinoplasty, and blepharoplasty addresses every visible sign of facial ageing in a single surgical event. Dr. Sinaci's training, including fellowship with world-renowned plastic surgeon Raul Gonzalez in Brazil and advanced cadaver dissection courses in Bangkok, has built the layered anatomical expertise that multi-procedure facial surgery demands. For American patients seeking a complete facial transformation with a board-certified surgeon, Istanbul offers the surgical skill, clinical infrastructure, and international patient care protocols to deliver results like Scott's with confidence and precision.