Necklift
A face and neck lift are usually performed together, but in some cases, a neck lift can be done independently if the primary concern is loose skin under the chin and in the neck area. A short incision is placed in front of the ear, following the back curve of the ear before extending into the hairline. The underlying muscle layer is tightened, and excess skin is removed. The neck lift also involves liposuction to remove excess fat and tightening of the midline neck muscle (platysmaplasty) to correct aging-related bands. Deep sutures may be dissolvable or permanent, while external sutures are typically removed after about one week.
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Considering a Neck Lift
Over time, the effects of aging, gravity, sun exposure, and daily stress become visible on the face and neck. Deep creases may form between the nose and mouth, the jawline can become slack and jowly, and folds or fat deposits may appear around the neck.
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A neck lift cannot stop the aging process, but it can help "turn back the clock" by removing excess fat, tightening underlying muscles, and re-draping the skin of the neck. It can be performed alone or in combination with other procedures such as a forehead lift, eyelid surgery, or other cosmetic enhancements.
​Ideal Candidates for a Neck Lift
The best candidates for a neck lift are individuals whose face and neck have started to sag but who still have some skin elasticity and a well-defined bone structure. Most patients are in their 40s to 60s, but the procedure can also be successfully performed on people in their 70s or 80s.
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While a neck lift can create a more youthful, refreshed appearance and boost self-confidence, it’s important to have realistic expectations. The procedure won’t change facial structure or restore the vitality of youth, so patients should carefully consider their goals before moving forward.
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The Surgery
A neck lift typically takes several hours, or longer if combined with other procedures. During surgery, the skin is separated from the underlying fat and muscle. Excess fat may be trimmed or removed through liposuction to enhance contour. The underlying muscle and tissue are tightened, and the skin is repositioned before the excess is removed. Stitches secure the layers of tissue, and metal clips may be used on the scalp.
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After surgery, a small drainage tube may be placed behind the ear to prevent fluid buildup. The head may also be wrapped in bandages to minimize swelling and bruising.
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Recovery and Healing
Most patients experience minimal discomfort after surgery, which can be managed with prescribed pain medication. Some numbness is normal and usually resolves within a few weeks or months. Keeping the head elevated and movement to a minimum in the first few days helps reduce swelling.
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If a drainage tube is used, it is typically removed within one or two days. Bandages, if applied, are removed within one to five days. Initially, bruising and swelling may be noticeable, but these effects will fade over the following weeks. Most sutures are removed after about a week, though stitches or metal clips in the hairline may remain slightly longer.
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Resuming Normal Activities
Patients are usually up and about within a day or two but should take it easy for at least the first week. The skin may feel tender and numb, so it’s important to be gentle with the face and hair.
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General recovery guidelines include avoiding strenuous activities such as exercise, heavy lifting, and housework for at least two weeks. Alcohol, steam baths, and saunas should also be avoided for several months. Plenty of rest is essential to support the healing process.
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Swelling, bruising, and mild stiffness may persist for a few weeks, but by the third week, most patients feel and look significantly better. Many return to work within 10 to 14 days, using camouflage makeup if needed to cover any remaining bruising.
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Long-Term Results
While the full effects of a neck lift take time to appear, most patients are highly satisfied with their results. Any scarring is typically discreet, hidden within natural facial creases and along the hairline, and will fade over time.
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Though a neck lift does not stop the aging process, it can provide long-lasting improvements. Many patients enjoy their results for years, and some choose to undergo a follow-up procedure after five to ten years.
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Additional Considerations
Neck lift surgery is typically performed on an outpatient basis under general anesthesia. Some patients opt to stay overnight for recovery. A compression garment is applied immediately after surgery and replaced with a more streamlined version the next day. Swelling and bruising usually subside within one to two weeks, and most patients experience minimal discomfort.