A neck lift, also known as a lower rhytidectomy, is a surgical procedure that targets the visible signs of natural ageing in the neck and along the jawline.
It may be suitable for individuals who notice loose skin, vertical banding, or a loss of definition beneath the chin. The goal is to create a smoother, firmer neckline while preserving a natural appearance.
Neck lift surgery is frequently performed in conjunction with a facelift (meloplasty or rhytidectomy) for patients seeking a more holistic, harmonious approach.
Surgical Techniques
There are several techniques used in neck lift procedures, each tailored to address different anatomical concerns:
- Cervicoplasty: Involves removal of loose, excess skin to tighten and smooth the neck’s surface.
- Platysmaplasty: Tightens the platysma muscle to reduce visible neck bands or cords that contribute to an aged appearance.
- Submental Liposuction: Removes fatty deposits beneath the chin, often used when excess fat is present with minimal skin laxity.
- Combined Approach: Many neck lifts involve a combination of the above to improve both structure and skin texture.
Your surgeon will recommend a plan suited to your anatomy, skin condition, and goals.
What to Expect During the Procedure
- Neck lift surgery is performed under general anaesthesia or local anaesthesia with sedation.
- Incisions are made behind the ears and possibly under the chin for direct access to muscles and fat.
- Excess fat may be removed through liposuction or surgical excision.
- The platysma muscles are tightened or sutured together to reduce banding.
- Redundant skin is trimmed, and incisions are closed with sutures. A supportive garment or dressing is often applied.
- Surgery typically takes 1.5 to 3 hours, depending on the technique used.
Potential Benefits of a Neck Lift
- Improved definition of the neck and jawline
- Reduction of skin ptosis (sagging) or wrinkled skin under the chin
- Smoother neck profile with fewer horizontal or vertical lines
- Removal of localised fat deposits for a leaner neckline
- Enhanced overall facial balance and contour
Results vary and are influenced by skin condition, age, and individual healing response.
Risks and Considerations
Modern surgery is generally safe, but as with any surgical procedure, the neck lift procedure carries risks. These include numbness or skin sensitivity changes. Rare complications may include skin discolouration, infection, bleeding or asymmetry. Working with a certified and experienced plastic surgeon significantly minimises these risks. For a list of general and specific risks and complications associated with plastic surgery and neck lifts (platysmaplasty), please click here to download.
During your consultation, your plastic surgeon will talk about possible risks and complications. It is essential to understand these factors before deciding to proceed with the neck lift procedure. Any concerns should be communicated to the team at Advanced Plastic & Cosmetic Surgery.
Recovery and Aftercare
- First Week: Swelling and bruising are most prominent. Patients may experience tightness or numbness, which usually resolves with time.
- 2–3 Weeks: Most patients resume work and light activity. Sutures or staples (if used) are typically removed during this period.
- 4–6 Weeks: Scars continue to heal and fade. Exercise can usually be resumed.
- 3–6 Months: The final results become more apparent as tissues settle.
Post-operative instructions include wearing compression garments, keeping the head elevated, and avoiding excessive neck movement.
Who Might Be Suitable for a Neck Lift?
You may be a candidate for neck lift surgery if you:
- Have skin laxity or neck skin redundancy
- Experience neck banding or fullness beneath the chin
- Are in good health and a non-smoker
- Have realistic expectations and understand the recovery process
A consultation with an RACS Certified plastic surgeon is necessary to assess your goals and determine whether a neck lift is appropriate for you.
Q: Is a neck lift always combined with a face lift?
A: Not always. A neck lift may be performed on its own if your primary concerns are isolated to the neck or under-chin area.
Q: Will the scars be visible?
A: Incisions are strategically placed behind the ears and under the chin, where they are usually well-hidden and fade over time.
Q: How long will the results last?
A: Neck lift results typically last 8–10 years. Maintaining a healthy lifestyle and stable weight can help prolong the results.
Q: When can I return to normal activities?
A: Most people return to light activity within 2–3 weeks. Strenuous exercise should be delayed for 4–6 weeks.
Important Note
Surgical outcomes can vary significantly between individuals. Any before-and-after images or descriptions of outcomes (not included here) are not indicative of what every patient may achieve. Only a consultation with an RACS Certified plastic surgeon can determine whether neck lift surgery (lower rhytidectomy) is suitable for you.
Deciding on neck lift surgery (lower rhytidectomy) is a personal choice that’s best made with a full understanding of the potential benefits, limitations, and risks. Our surgeons at Advanced Plastic & Cosmetic Surgery provide evidence-based guidance and a transparent consultation process to help you make an informed decision. If you would like to explore whether neck lift surgery (lower rhytidectomy) is suitable for you, we encourage you to arrange a consultation with our team.