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Neck Lift

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A neck lift is a surgical procedure that tightens lax skin and underlying muscles to improve the contours of the neck and jawline. It can also involve the removal or alteration of excess skin and fat.

Typically, it includes a tummy tuck, breast enhancement (augmentation or lift), and liposuction, tailored to address the specific concerns of each patient.

Neck Lift

A blond woman with blue eyes looking into a mirror with her hands caressing her neck.

A neck lift is a surgical procedure that tightens lax skin and underlying muscles to improve the contours of the neck and jawline. It can also involve the removal or alteration of excess skin and fat. A neck lift effectively addresses issues such as excess wrinkling of the neck skin, the unwanted appearance of a double chin or ‘turkey neck’ and jowling.

A blond woman with blue eyes looking into a mirror with her hands caressing her neck.

Who might need it?

Candidates for a neck lift are typically those who:

• Experience sagging skin, excess fat, and muscle banding in the neck area
• Desire a more youthful and aesthetically pleasing neck contour
• Have skin elasticity that can withstand surgical adjustments
• Are in good general health and non-smoking, as these factors contribute to better healing
• Feel that their neck appearance does not match their upper facial appearance, often making them look older or heavier than they are

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The procedure

The neck lift procedure begins with consultation and proceeds through surgery and full recovery. The surgery itself is performed under anaesthesia and involves removal of excess skin, muscle tightening and, sometimes, liposuction, through small incisions discreetly placed around the ears and under the chin.

A neck lift is often combined with a facelift to achieve a more comprehensive and harmonious rejuvenation of the face and neck. Together, these surgeries enhance the entire lower facial area for a naturally youthful appearance.

A woman's neck and chin being marked up for a neck lift surgery.

Consultation

During the initial consultation, your surgeon will assess your neck's skin quality, muscle tone and overall bone structure. This session is your opportunity to discuss your aesthetic goals and explore potential outcomes. You will receive a detailed explanation of the procedure together with a personalised treatment plan that considers your specific needs and desired results.

You should also grab the opportunity to address any concerns or questions you may have.

Pre-op preparations

Prior to your surgery, you should follow certain guidelines closely to minimise risks and enhance your recovery process:

• Medical evaluation: This might include blood tests or a cardiovascular evaluation to ensure you are fit for anesthesia and surgery.

• Medication review: Certain medications that can increase bleeding, such as aspirin, anti-inflammatory drugs, and some herbal supplements, may need to be discontinued weeks before the surgery.

• Smoking cessation: Smoking can significantly impair your ability to heal and increases the risk of complications during and after surgery. You will be advised to stop smoking at least a few weeks before and after your procedure.

• Fasting: You will be instructed to fast, typically starting at midnight the night before your surgery. This is a standard requirement for anyone undergoing anaesthesia to prevent the risk of aspirating stomach contents during surgery.

• Skin care: In some cases, your surgeon might recommend pre-operative skin care treatments to improve the condition of your skin and facilitate better healing post-surgery.

• Arranging for assistance: As you will not be able to drive immediately following your surgery, you will need to arrange for someone to bring you to the clinic and take you home. It is also wise to have someone stay with you for at least the first night after the procedure for support and to help monitor your initial recovery.

Anaesthesia

Neck lift surgery is generally performed under general anaesthesia, ensuring you are asleep and pain-free throughout the operation. In some cases, local anaesthesia with sedation may be used, depending on the extent of the surgery and your specific health requirements. Your anaesthetist will explain all options to you and monitor you throughout the procedure to ensure optimal care.

Surgical procedure

The surgical neck lift procedure begins with strategically placed incisions, typically around the ears and possibly under the chin, to maximise discretion in scarring. Through these incisions, your surgeon will tighten the neck muscles, remove excess skin and fat, and reshape the neck contour. The specifics of the technique will vary depending on your discussed goals and the agreed-upon treatment plan. The procedure usually lasts 2–3 hours. After making the necessary adjustments, the surgeon closes the incisions with sutures, and the area is bandaged to support healing and reduce swelling.

Post-op

Following your neck lift surgery, a period of recovery and careful aftercare is necessary to ensure a smooth and comfortable healing process, achieving the best possible results.

An older looking woman with blond hair and blue eyes looking up while two hands with gloves examine her neck area.

Recovery

The recovery period after a neck lift is generally smooth, with most patients able to resume daily activities fairly quickly. You can expect some downtime where rest is crucial, and you can expect some swelling and bruising, which are normal and will diminish over the first few weeks.

Aftercare

Following the recommended aftercare routines will give you a smooth recovery and optimal outcomes.

  • Rest and elevation
    Immediately after the surgery, it is important to rest and keep your head elevated to reduce swelling. Using extra pillows when sleeping can help maintain elevation and support the neck.
  • Wound care
    Keep the area clean and apply topical medications prescribed by your surgeon to promote healing and reduce the risk of infection.
  • Compression garment
    Wearing a compression garment around the neck and chin area helps to reduce swelling and supports the new contours of your neck as it heals.
  • Activity restrictions
    Avoid strenuous activities, heavy lifting and any motion that might strain the neck for at least a few weeks. Gradually, you can return to more active routines as guided by your surgeon.
  • Hydration and nutrition
    Staying hydrated and eating a balanced diet rich in nutrients that promote healing, like vitamins C and E, are important. Avoiding salt can help minimise swelling.
  • Follow-up visits
    Attend all scheduled follow-up appointments so your surgeon can monitor your healing process and address any concerns that may arise.
  • Sun protection
    Sun exposure can worsen scarring and affect the healing of incisions. Use a broad-spectrum sunscreen and wear protective clothing when going outdoors.
  • Avoiding smoking and alcohol
    Smoking can severely hinder your healing process, and it is advised to avoid smoking and second-hand smoke. Alcohol consumption should also be limited as it can increase swelling.

Results

Initial effects can be seen once the swelling and bruising subside, but the final results of the surgery will be more apparent after several months as the healing process completes. The results of a neck lift are designed to be long-lasting.

Scarring

Incisions made during a neck lift are strategically placed to minimise visible scarring. Typically, these incisions are hidden within the hairline or in natural creases of the skin. Over time, with proper care, these scars will fade significantly and are usually well-concealed. It is important to follow your surgeon's advice on scar care, including the use of silicone sheets or gels if recommended, to ensure the best healing outcome.

FAQ

A neck lift is a cosmetic surgical procedure tightens the skin around the neck, reducing signs of ageing. Learn more and find trusted clinics with Adoreal.

How long does the result last?

Many patients enjoy the benefits from a neck lift for 10 to 15 years. Factors such as maintaining a stable weight, proper skincare and general health can influence the longevity of the results. Note that natural ageing will continue, so adopting a healthy lifestyle and using adequate sun protection can help preserve the outcomes for as long as possible.

When is the best age to do a neck lift?

Most patients who seek a neck lift are typically between the ages of 40 and 60, as this is when visible signs of ageing begin to appear in the neck area. However, if noticeable neck concerns are present, and a patient is in good health, a neck lift can be performed at a younger or older age. Make sure to consult with a qualified surgeon to determine the right time based on your specific skin condition and aesthetic goals—there is no definitive "best" age for the procedure.

What are the potential risks and complications?

Potential risks and complications associated with a neck lift may include:

  • Reactions to anaesthesia
  • Infection
  • Bleeding
  • Scarring
  • Uneven contours
  • Changes in skin sensation
  • Nerve injury (less common)

A detailed discussion with your surgeon about these risks will help you understand the safety measures in place to minimise such complications and ensure a safe and effective outcome.

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