Which Cosmetic Issues Can a Neck Lift Address?

A neck lift, medically referred to as a lower rhytidectomy, is a type of surgery that can be performed to improve the signs of ageing affecting the neck or jawline. Knowing more about what this procedure is capable of helps patients to ensure that they have realistic expectations. It is also important to know exactly what a neck lift is and the basics of how it is performed.

What is a Neck Lift?

As people get older, it is not uncommon for environmental conditions, gravity, stress and heredity to cause a loss of the youthful tautness and contours of the neck. If the face is still cosmetically pleasing, patients might not want to get a full facelift. In these cases, just getting the neck lift would be the appropriate choice because it can help to make the neck to match the more youthful look of the face.

The patient and doctor will discuss the results that are hoped for, and this will ultimately determine how the procedure is done and which issues are focused on. In general, the following steps are used:

1. Anaesthesia: Depending on the procedure being performed, patients may receive either general anaesthesia or intravenous sedation.
2. Incision: There are limited and traditional incision options, depending on the degree of change being made to the neck.
3. Closing: Once the surgery is complete and all changes are made, the surgeon will close the incisions.
4. Recovery: The time it takes to recover depends on several factors, such as the individual patient and the extent of the surgery performed.

Muscle Banding

Neck bands are considered to be a normal part of the ageing process, but this does not mean that patients have to just live with them. When the banding is present, the neck line takes on a saggy appearance. It also reduces the neck line’s contour. The platysma muscles in the neck are responsible for this issue. The structure of this muscle is repaired to restore tightness and contour to alleviate the banding. This muscle is a broad sheet. It arises from the deltoid muscle in the shoulder and the pectoral muscle in the best. It goes over the collarbone and continues upward along the sides of the neck.

Loose Skin

Sagging skin in the neck area is a major concern as people start to get older. It is common for skin in this area to become less taut as it loses elasticity due to aging. It is sometimes referred to as having a “turkey neck.” This sagging typically begins when someone gets to their mid-40s since elasticity loss starts around this time. If someone loses a large amount of weight or if they have significant sun-related damage, the sagging may be more pronounced. If the muscles in the area weaken, this too might contribute to loose neck skin. A neck lift may help to manipulate the muscles contributing to the sagging and pull the loose skin up so that the sagging improves.

Excess Chin Fatty Deposits

When there are fatty deposits in the chin area, this makes it appear like someone has a double chin. While this is often associated with excess weight, getting older may also contribute to the formation of a double chin. This is due to a combination of elasticity loss and fat. It can make the skin below the skin start to sag. A neck lift with liposuction to remove some of the excess fat and tighten the skin may be beneficial for this specific issue.


Jowls are best described as saggy or excess skin on the neck just around the chin and jawline. This is largely due to the skin losing its elasticity as people get older. The skin also becomes less resilient with age due to a tendency to become thinner and drier. A neck lift may be ideal to reduce the appearance of jowls. During the surgery, the surgeon will sculpt and reposition the tissues and fat of the jaw and lower cheek area. Any excess skin may also be removed as part of the procedure. If weakened muscles are a contributing factor, the surgeon may tighten them.

Neck Lift Limitations

Neck lift surgery is diverse and can aid with making the jawline and neck look younger. However, it is not able to stop the ageing process or make a major change to a patient’s fundamental appearance. All patients should be clear about what they are looking to achieve and work with their surgeon to make sure that the discussed results are what they are wanting.

Double board certified, Dr. Philip S. Schoenfeld, M.D., F.A.C.S, has been performing surgery since 1998. He performs a wealth of both facial plastic and reconstructive surgery procedures. Multiple national and local publications have him listed as a Top Doctor. Dr. Schoenfeld uses both non-surgical and surgical techniques while ensuring that he is always on the forefront of the latest proven techniques and technologies for body and facial rejuvenation. He provides care in Maryland and Washington DC. Get more information about him here: www.renudc.com.