Neck Lift
Surgery (Lower Rhytidectomy)
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Neck Lift Surgery (Lower Rhytidectomy)
Overview
What is a neck lift (lower rhytidectomy)?
A neck lift, or lower rhytidectomy, is a cosmetic surgical procedure that tightens sagging skin, removes excess fat, and smooths muscle bands in the neck and jawline. This procedure is designed to eliminate signs of aging, such as:
- Loose, sagging skin (“turkey neck”).
- Excess fat under the chin (“double chin”).
- Visible muscle bands or wrinkles.
- Loss of jawline definition.
A neck lift restores a firmer, youthful contour to the neck and jawline, creating a refreshed and natural-looking appearance.
How does a neck lift improve facial appearance?
A neck lift:
- Tightens sagging skin and smooths deep wrinkles.
- Eliminates a double chin and excess fat.
- Enhances jawline definition for a sculpted look.
- Reduces muscle banding for a smoother neck profile.
Creates a youthful, harmonious transition between the face and neck.
How common is neck lift surgery?
Neck lift surgery is one of the most effective anti-aging procedures, often performed alone or in combination with a facelift. Many patients in their 40s, 50s, and beyond choose a neck lift to restore a firmer, more youthful profile.
Who is a good candidate for a neck lift?
The ideal candidate for a neck lift:
- Has sagging skin or muscle laxity in the neck.
- Wants to refine jawline definition and remove excess fat.
- Is in good overall health and at a stable weight.
- Does not smoke or is willing to quit before and after surgery.
- Has realistic expectations about the results.
Procedure Details
Types of Neck Lift Procedures
Neck lift techniques are customized based on the patient’s concerns, degree of skin laxity, and desired outcome.
1. Traditional Neck Lift
Best for moderate to severe skin sagging and deep wrinkles.
Incisions are made behind the ears and under the chin.
Tightens muscles, removes excess skin, and repositions tissue for a dramatic lift.
2. Limited Incision Neck Lift (“Mini Neck Lift”)
Uses shorter incisions behind the ears.
Ideal for patients with mild skin laxity and early signs of aging.
Provides a more subtle lift with a faster recovery.
3. Neck Liposuction (Double Chin Removal)
- Uses small incisions to remove excess fat under the chin and jawline.
- Best for younger patients with good skin elasticity.
- Can be combined with other procedures for enhanced results.
4. Platysmaplasty (Muscle Tightening)
- Corrects loose neck muscles (“turkey wattle”).
- Improves muscle banding and vertical wrinkles in the neck.
- Often combined with a facelift for full lower-face rejuvenation.
What happens before neck lift surgery?
Before surgery, patients must:
- Consult with a board-certified plastic surgeon to discuss their goals and treatment plan.
- Stop smoking and avoid certain medications that increase bleeding risk.
- Plan for recovery, as swelling and bruising will occur for several weeks.
- Maintain a healthy lifestyle and stable weight to optimize healing and results.
What happens during neck lift surgery?
A neck lift is performed under general anesthesia or local anesthesia with sedation and typically takes 2–3 hours, depending on complexity.
The general steps include:
- Incision Placement – The surgeon makes incisions behind the ears and under the chin to minimize visible scarring.
- Fat Removal (if needed) – Liposuction is used to remove excess fat under the chin and along the jawline.
- Muscle Tightening – The platysma muscle is tightened to reduce neck banding and improve contour.
- Skin Redraping and Trimming – Excess skin is removed and repositioned for a smooth, firm appearance.
- Surgical Closure – Sutures are placed, and dressings or a compression garment are applied for support.
Risks / Benefits
What are the benefits of a neck lift?
A neck lift provides long-lasting, transformative improvements, including:
- Tighter, smoother neck skin with reduced wrinkles.
- Enhanced jawline definition and a more sculpted look.
- Elimination of sagging skin and muscle banding.
- Reduction of double chin and excess fat.
A younger, refreshed facial appearance.
What are the risks of neck lift surgery?
While neck lifts are safe and effective, potential risks include:
- Swelling and bruising – Common in the first few weeks.
- Temporary tightness or numbness – Usually resolves within a few months.
- Scarring – Incisions are well-hidden but may take time to fade.
- Hematoma (blood accumulation) – Rare, but may require drainage.
- Slight asymmetry – The neck may heal slightly unevenly, but revisions are rare.
Choosing a board-certified plastic surgeon with expertise in neck contouring helps minimize risks and ensure optimal results.
Recovery and Outlook
How long does recovery take after a neck lift?
Recovery depends on the extent of the procedure, but general timelines include:
- First 3–5 days – Swelling, bruising, and mild discomfort. Patients must keep their head elevated and wear a compression garment.
- Week 1–2 – Most swelling subsides, and stitches are removed. Patients may resume light activities.
- Weeks 3–6 – Bruising fades, and results become more visible.
- Months 3–6 – Final results are seen as residual swelling completely resolves.
Patients should avoid strenuous exercise, sun exposure, and alcohol for at least four weeks to optimize healing.
How long do neck lift results last?
Neck lift results typically last 10+ years, but longevity depends on:
- Genetics and skin quality.
- Sun protection and skincare routine.
- Healthy lifestyle and weight stability.
Can a neck lift be combined with other procedures?
Yes! Many patients combine a neck lift with:
- Facelift (Rhytidectomy) – Lifts and tightens the lower face and jawline.
- Chin Augmentation (Genioplasty) – Enhances facial balance and profile.
- Eyelid Surgery (Blepharoplasty) – Corrects sagging eyelids and under-eye bags.
- CO2 Laser Resurfacing – Improves skin tone, texture, and fine lines.
Final Thoughts on Neck Lift Surgery
A neck lift is one of the most effective procedures for rejuvenating the lower face and restoring a youthful profile. Whether performed alone or with a facelift, it removes sagging skin, tightens muscles, and refines jawline definitionfor long-lasting, natural-looking results.
At BodEvolve, our board-certified plastic surgeons specialize in customized neck lift techniques, ensuring aesthetic, balanced, and natural enhancements.
If you are considering neck lift surgery, schedule a consultation today to explore your options.
Call 817-342-0232 or request an appointment online.