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Updated: Apr 13, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
Published on: March 21, 2013
Can a neck lift trigger orthostatic hypertension and tremors?
Lucy Norcliffe-Kaufmann1, Alejandra Gonzalez-Duarte2
1Dysautonomia Center, New York University Langone Health, 530 First Av. Suite 9Q, New York, NY, 10016, USA.
Abstract:
We report a 71-year-old woman who developed disabling orthostatic tremor and severe orthostatic hypertension following cosmetic neck lift surgery. Autonomic testing demonstrated exaggerated pressor responses and excessive orthostatic catecholamine release, consistent with sympathoadrenal overactivation due to impaired carotid baroreflex function. This case highlights a potential autonomic complication of aesthetic neck surgery.
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