The Seattle

Plastic Surgery Center

William A. Portuese, M.D.

What Is Necklift Surgery

Necklift surgery, also known as cervicoplasty or lower rhytidectomy, is a surgical procedure designed to improve the appearance of the neck and jawline. It can be used to correct signs of aging such as sagging skin, wrinkles, and jowls as well as excess fat in the neck. This article will discuss what necklift surgery involves, its benefits and risks, and who may be suitable candidates for this procedure.

The aging process causes many changes in the face that can lead to an aged-looking appearance. Sagging skin on the neck is one of those changes that can occur due to sun damage, loss of collagen and elastin in the skin, or simply from gravity over time. Necklift surgery is designed to restore a youthful look by removing excess fat and tightening underlying tissues in order to create a more defined jawline and reduce visible wrinkles.

Necklift surgery is a complex procedure that should only be performed by a qualified surgeon with experience in facial cosmetic procedures. It requires careful planning by both the patient and their doctor to ensure successful results are achieved with minimal risk of complications. In this article, we will provide an overview of what necklift surgery entails including its benefits and risks so readers can make an informed decision if they are considering this treatment option.


Necklift surgery is a cosmetic procedure that involves tightening the neck muscles and removing excess skin. It is typically used to treat signs of aging in the neck, including sagging or wrinkles. The procedure may also be used to correct other aesthetic issues related to the neck area, such as fat deposits or muscle laxity. This type of plastic surgery can also be used to correct birth defects that affect the appearance of the neck area.

The goal of necklift surgery is to improve the overall appearance of the patient’s neck by giving it a more youthful look. Depending on the patient’s needs, multiple techniques may be employed during a necklift procedure. These techniques can include liposuction, platysmaplasty, and cervicoplasty. Liposuction is used to remove any excess fat from around the jawline and neck area. Platysmaplasty tightens and reforms underlying facial muscles while cervicoplasty removes excess skin from around the chin and jawline areas.

Necklift surgery can be performed on its own or in conjunction with other facial procedures such as facelift or brow lift surgery. Patients should consult with their surgeon to determine which procedure best suits their individual needs and goals.


As necklift surgery may be an option for individuals wanting to improve their appearance, there are certain criteria that must be met in order for it to be an effective procedure. Candidacy for a necklift is determined by a physician during the patient consultation, and involves evaluating the overall health of the patient as well as considering any existing medical conditions or lifestyle habits that could interfere with successful surgery.

In general, good candidates for a necklift are those who are in good physical and mental health, do not smoke or consume excessive amounts of alcohol, and have realistic expectations about the outcome of the procedure. Additionally, patients should also have some loose skin around their jawline and neck area that could be improved through the procedure. It is important to note that necklift surgery may not be ideal for all individuals; those with more severe aging issues such as deep lines or wrinkles may require additional procedures to achieve desired results.

The best way to determine candidacy for a necklift is to schedule a consultation with a plastic surgeon who is experienced in performing this type of surgery. During the appointment, the doctor will examine the patient’s skin quality and discuss individual goals and expectations about what can realistically be achieved through this procedure. Afterward, they will provide detailed information about potential risks, recovery time frame and cost associated with undergoing this type of surgery. With this knowledge in hand, patients can make an informed decision about whether or not they would like to pursue a necklift.

Procedure Overview

Necklift surgery is a cosmetic procedure designed to tighten and improve the appearance of the neck. It can reduce sagging skin, jowls, and wrinkles, as well as refine the jawline. Depending on the individual’s desired results, several techniques may be used during the procedure. The incisions may vary according to technique, but typically involve incisions hidden behind or near the earlobes. Once the incisions are made, excess fat may be removed and underlying tissues tightened with sutures. Then, loose skin is trimmed away and redraped over the contours of the neck in a smoother manner. The entire procedure usually takes around two to three hours under general anesthesia or local anesthesia with sedation.

Following surgery there may be some discomfort and bruising that will gradually subside over time. Post-operative care will involve specific instructions from your surgeon such as avoiding straining activities for about two weeks and keeping any dressings clean and dry. In addition, patients should wear a compression bandage for one to two weeks following surgery to reduce swelling and encourage healing. Final results can generally be seen within four to six weeks after the operation when the swelling has subsided completely.

Benefits Of Neck Lift Surgery

Neck lift surgery is generally considered to be a safe and effective procedure that can help improve the aesthetic appearance of the neck. The potential benefits of neck lift surgery include an improved jawline, reduced wrinkles and sagging skin, and a youthful neck contour. Additionally, studies have indicated that the majority of patients experience significant improvement in self-esteem after undergoing a neck lift procedure.

The most common benefit associated with neck lift surgery is a more defined jawline. A well-defined jawline is often seen as an attractive facial feature for both men and women. In addition to improving the shape of the chin area, neck lift surgery can also reduce jowls or a “turkey wattle” at the base of the neck. This can help create an overall smoother and more balanced look to the face.

Patients may also experience improved results in terms of skin laxity or sagging skin along their necks. Neck lift procedures involve tightening underlying tissues which can help reduce wrinkles or lines along the lower face and upper chest. Furthermore, many patients report feeling better about themselves after having this procedure done due to improvements in their physical appearance; this may lead to enhanced self-confidence levels and improved quality of life.

Therefore, it is evident that neck lift surgery offers numerous benefits that can be enjoyed by many individuals desiring rejuvenation in their facial features.

Preparations For Surgery

Prior to necklift surgery, the patient should discuss their medical history with the surgeon. This includes any medications they are currently taking, any allergies they may have, and any previous surgeries or procedures. The patient should also inform the surgeon of any lifestyle habits that could affect the outcome of the procedure, such as smoking or drinking alcohol.

The patient also needs to arrange for help with activities during their recovery period. This can include assistance with childcare and/or help around the house while they heal. It is important that they have someone available to drive them home after surgery and stay with them during the first night post-operation.

Patients should stop taking any medications or supplements that can promote bleeding prior to their procedure. They should also avoid eating or drinking anything after midnight on the day before their operation. Additionally, the patient’s face and neck area must be thoroughly cleaned prior to surgery to reduce infection risk.

Risks And Complications

The potential risks associated with necklift surgery must be carefully considered before proceeding. The most common risks include infection, bleeding, and adverse reaction to anesthesia. Other risks may include skin necrosis or the death of skin cells due to inadequate blood supply to the area; poor wound healing; facial nerve injury resulting in numbness, tingling, or a drooping face; asymmetry of the face and neck due to uneven distribution of fat removal during liposuction; and visible scarring on the neck. Patients should also bear in mind that results are not always as desired despite satisfactory surgical technique.

In rare cases, some patients may experience an allergic reaction to medications used during surgery or may have problems related to their overall health status. For example, diabetes increases risk for wound healing complications. Additionally, those who smoke or take certain medications such as aspirin and ibuprofen are at higher risk for blood loss and bleeding during surgery.

It is important for patients considering necklift surgery to discuss these risks with their surgeon prior to undergoing the procedure in order to make an informed decision about whether or not this type of surgery is right for them. It is also advisable for patients to review all pre-operative instructions carefully in order to reduce potential complications from occurring after surgery.

Recovery Process

Following a necklift surgery, patients usually experience soreness and minor swelling in the area. The swelling will typically start to subside within a few days of the procedure, but full recovery can take several weeks. Patients should plan to take at least one week off from work following the surgery. During this time, it is important to keep the neck area elevated with pillows while sleeping. Additionally, patients should wear a compression bandage or garment around the neck for up to two weeks after the procedure.

Patients should also avoid any strenuous activities or exercise during their recovery period. Light activity such as walking is generally ok but should be done in moderation. Strenuous activities should be avoided for at least two weeks after the procedure. It is also important for patients to follow their doctor’s instructions regarding medications and cleaning or changing dressings on the site of incision if applicable.

Most people can resume normal activities within 2-3 weeks following necklift surgery and begin to see results after a few weeks. However, continued improvements in appearance may take up to six months as swelling subsides fully and scars fade away completely.

Results Expectations

The results of a necklift surgery can vary greatly depending on the individual’s needs, goals and anatomy. Typically, patients who have undergone a necklift procedure can expect to see a more defined jawline and improved contours of the lower face and neck. Additionally, the patient should notice an overall improvement in their facial profile as a result of the repositioning or removal of excess skin from around the chin and neck area.

Patients may also experience better-defined facial features such as cheekbones, eyebrows and eyes. In some cases, wrinkles in the lower face may be reduced or eliminated. It is important for patients to understand that the effects of necklift surgery are not permanent and will require maintenance for optimal results.

Results from a necklift procedure typically last anywhere between five to seven years with proper maintenance through lifestyle habits such as avoiding sun exposure, avoiding smoking and maintaining a healthy weight. Additionally, it is recommended that patients follow any post-operative instructions provided by their surgeon to ensure optimal results.

Cost Considerations

Necklift surgery is a complex and specialized procedure, so it is important to consider the cost before undergoing treatment. The cost of necklift surgery can vary greatly due to a number of factors, including the complexity of the procedure, the geographical location and the experience of the surgeon. On average, a necklift procedure may range from $5,000-$15,000 depending on these factors.

It is important to note that there may be additional costs for anesthesia, post-operative care and follow-up visits. Furthermore, if any additional procedures are needed in conjunction with a necklift such as liposuction or chin augmentation, those costs should also be considered in relation to total cost. Insurance coverage for necklift surgery is typically not available as it is considered an elective procedure.

Financial assistance may be available through medical financing companies who offer flexible payment plans to help make cosmetic surgery more affordable. It is important to discuss all possible financing options with your doctor prior to undergoing any cosmetic procedure.

Alternative Treatments

Alternative treatments to necklift surgery are available for people wishing to reduce the appearance of wrinkles, sagging skin and jowls. Non-surgical treatments use dermal fillers, laser skin tightening, and ultrasound energy to improve the appearance of the neck area. Dermal fillers are injected into the skin to plump up areas of laxity and add volume. Laser skin tightening uses heat energy which improves collagen production and tightens the skin. Ultrasound energy breaks down fat cells while stimulating collagen production and improving circulation.

Exercises can also help improve the appearance of the neck area. Neck lifts exercises involve stretching, strengthening, and toning muscles in order to improve muscle tone and contours of the neckline. It is important to perform these exercises correctly in order for them to be effective.

In addition, lifestyle modifications can help reduce signs of aging on the neck area like smoking cessation, healthy diet with essential vitamins A & C, adequate hydration, sunscreen protection and stress reduction techniques such as yoga or meditation. By making these modifications it may be possible to delay or reduce signs of aging including wrinkles, sagging skin and jowls without having surgery.


Neck lift surgery is a procedure that can provide patients with a more attractive and youthful-looking neck. By addressing issues such as skin laxity, wrinkles and sagging jowls, this procedure can help men and women look younger. Candidates for this procedure should understand the risks associated with any surgical procedure and should be in good health. Patients should also be aware of the cost considerations prior to undergoing neck lift surgery.

The recovery process typically involves some swelling and bruising which will subside over time. Results expectations involve having a smoother, tighter neck area for up to 10 years, depending on the patient’s age and lifestyle habits. Alternative treatments include non-surgical options such as injectable fillers or laser treatments but these may not provide the same results as surgical procedures.

Neck lift surgery is an effective solution to reduce signs of aging in the neck area, providing patients with improved self-confidence in their appearance. Prospective candidates should take into consideration all factors involved before undergoing this surgical procedure; consulting with a plastic surgeon experienced in performing neck lifts will provide greater insight into the risks, benefits and costs associated with this type of treatment.

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Plastic Surgery Center


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