Our boutique practice in Palm Beach Gardens offers a non-surgical neck lift using MyEllevate treatment in West Palm Beach, Palm Beach Gardens, and throughout South Florida. A defined, angular jawline with a slender neck is universally desirable. The jaw and neckline are also the same areas that often show early aging. As one of the top facelift surgeons in Palm Beach, Dr. Mandal uses the MyEllevate™ technology as part of her Percutaneous WhisperLift™. MyEllevate™ is an innovative, non-surgical rejuvenation procedure for patients with mild to moderate sagging along the jaw and neckline. MyEllevate is typically performed under local anesthesia. What makes MyEllevate™ unique is that it addresses sagging muscles and glands of the neck. To date, no other minimally invasive technology exists to effectively treat the underlying neck structures percutaneously through the skin without incisions or open surgery. Unlike temporary thread lifts, which only pull on the skin and must be repeated every 6-12 months, MyEllevate is a long-lasting procedure that allows the surgeon to address the tissues deep to the skin for more effective, longer-lasting results. 

What is the “Exact Suture Suspension System”?

 “Exact” is Suture Suspension System, which, like MyEllevate, is a minimally invasive surgical procedure performed under “awake” local anesthesia to create a more appealing neck and jawline. Unlike MyEllevate, Dr. Mandal makes tiny (1 – 1.5 inch) hidden incisions behind each ear and tunnels under the skin, using the “Exact” tunneling device, to the front of the neck. This “Exact” device is then used to pass a special suture and place the sutures into the underlying lax neck muscle, which is then repositioned back and superior to where it was in the younger neck.

Patients typically wear an overnight head dressing, which is removed the next day. While some patients take 3 to 5 days off, others can return to work in 1 to 2  days. 

The Exact Suture Suspension method is long-lasting and versatile in treating multiple areas. In addition to the neck, it can lift sagging cheeks through a small incision hidden behind the temple hairline. It can also lift the outer brow through hidden incisions behind the hairline to improve a sagging brow. 

What are the Benefits of Suture Suspensions Approaches Using the Non-Incision Neck Lift (MyEllevate™) and the “Exact” Suture Suspension System?

There are multiple benefits to having a non-surgical neck lift or a suture suspension in Palm Beach Gardens or West Palm Beach. We’ve included several below:

• A well-defined neck and jawline contours
• Quicker results than a facelift
• Long-lasting results
• A subtle, natural look
• Convenient, in-office procedure
• Minimal downtime
• Faster healing, usually with only mild bruising or swelling
• Performed under local anesthesia, often in one hour
• Less painful than facelift surgery
• Less costly than facelift surgery
• No Incisions with self-healing percutaneous neck openings or tiny incisions hidden behind the ears and/or hairline

Who are the Best Candidates for a MyEllevate Non-Incision Neck Lift or the “Exact” Suture Suspension System? 

Patients with early aging who are not yet ready for a facelift and those who previously had facelift surgery and desire a touch-up or fine-tuning without aggressive surgery commonly choose the MyEllevate™ procedure or the “Exact” Suture Suspension System. Good candidates include patients with:

• Early aging of the neck and jawline
• Pronounced neck glands under the chin
• Mild skin laxity
• Excess submental fullness or double chin
• Vertical neck bands (turkey neck)
• Poor jawline contour

What can you expect on the day of your MyEllevate Non-Incision Neck Lift or the “Exact” Suture Suspension System? 

MyEllevate™ uses a patented, light-guided suture suspension system that allows the surgeon to elevate tissue and muscle without aggressive or invasive surgery. Dr. Mandal weaves a permanent MyEllevate™ suture beneath the skin along the neck and jawline. Instead of multiple, individually knotted sutures used to anchor tissues to specific points as in a neck lift, two strands of MyEllevate™ are placed to form a single continuous loop extending from behind each ear underneath the chin and back of the jawline to support and shape the neck as well as suspend the underlying muscle and glands. Instead of making skin incisions, the MyEllevate™ suture is passed percutaneously through micro-openings made in the skin with a special device, enabling the openings to self-heal without the need to remove sutures or noticeable scars.

Dr. Mandal then ties the suture to lift and pull back the underlying glands and muscles responsible for sagging. This can give a more precise re-contouring of the neck and jawline. This permanent, FDA-cleared suspension suture technique is associated with less swelling, less bruising, and no visible scarring compared to a facelift, neck lift, or mini-facelift.

The results from MyEllevate™ are amplified when it is coupled with 1) FaceTite™ or PrecisionTx™ to tighten residual lax skin and further contour the neck and jawline by removing excess fat and 2) transection of anterior platysmal bands with percutaneous suture. MyEllevate™ with platysmal transection (to soften visibility of the vertical muscle bands in front of the neck) typically takes an hour to perform. When paired with FaceTite™ or PrecisionTx™, another 45 minutes is added to the procedure. This combination of MyEllevate™, FaceTite™/Precision Tx, and percutaneous platysmal transection is referred to as Dr. Mandal’s Percutaneous WhisperLift™ and typically performed under local anesthesia without IVs. 

In good candidates with early aging not requiring a facelift, the Percutaneous WhisperLift™ can give results without the scars or downtime associated with traditional, more aggressive facial rejuvenation surgery. 

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Our West Palm Beach & Palm Beach Gardens non-surgical neck lift patients have been thrilled with the results. With a traditional neck lift, prominent platysmal neck bands are directly cut by incision under the chin, complete surgical elevation of anterior neck skin, trimming of lax bands, and tightening these bands with a corset suture. Loose neck skin is treated by making incisions behind the ears and around the earlobe, followed by open skin elevation, anchoring the underlying muscle and glands using multiple sutures. Loose skin is then excised, and incisions are closed with suture removal between 7 and 10 days. IV sedation or general anesthesia is often required with more downtime, swelling, and bruising compared to MyEllevate™ or the Exact Suture Suspension System.

MyEllevate™ FAQs

MyEllevate™ Vs. Thread Lift

Some people confuse MyEllevate™ with thread lifts. It’s important to note that MyEllevate™ is distinctly different from a thread lift. A thread lift is a temporary thread placed within the skin layers to give a very superficial lift to only the overlying skin of the cheeks and jowls. Due to the temporary nature of absorbable PDO, threads usually have to be repeated every 6-9 months to maintain results. Unlike MyEllevate™, thread lifts are placed within the skin layer itself. Thread lifts do not address underlying muscles and are typically ineffective for the neck. They are only designed to support the skin temporarily.

In contrast, the MyEllevate™ suture is a permanent braided polyester suture. It creates a supportive sling in the form of a continuous loop placed deep into the skin, underneath the jawline, to address underlying muscles and glands for a more defined neck and jawline. MyEllevate™ is placed deeper than a thread using the ICLED® lighted guided Suture Rod system.

MyEllevate™ Vs. Necklift

MyEllevate™ is a non-surgical procedure much less invasive than a standard neck lift. For patients with mild to moderately lax skin of the lower face or neck, the MyEllevate™ procedure can be an optimal alternative to a facelift or neck lift, especially when combined with FaceTite or Precision Tx plus percutaneous platysmaplasty. With MyEllevate™, there is no open elevation, no skin incisions, less swelling, and less bruising. Unlike the aggressive anesthesia needed for more invasive procedures, MyEllevate™ is typically performed under local anesthesia without IVs. Because MyEllevate™ does not involve the removal of skin, there are no incisions and no sutures to remove.

The Exact Suture Suspension System Vs. Thread Lift

Thread lifts are a great temporary option for improving facial aging. However, most patients will only see the results of their treatment for 6 – 12 months, whereas with the Exact Suture Suspension System, patients can enjoy their results for years. The Exact Suture Suspension System is an excellent choice for those looking to improve their appearance without an invasive surgery like a Facelift.

The Exact Suture Suspension System Vs. MyEllevate™

MyEllevate is a fantastic solution for patients seeking a more youthful appearance without invasive surgery. Patients looking for an even more natural appearance should discuss the Exact Suture Suspension System with Dr. Mandal during the initial consultation. The Exact Suture Suspension System also has the advantage over MyEllevate because the former can lift sagging brows, cheeks, and the neck in a single sitting.