Neck Lift

Non-surgical treatments typically address only one layer of neck aging — for example, Kybella® dissolves fat but does not tighten skin or correct muscle laxity, while skin-tightening devices do not address fat or muscle. A surgical neck lift is the most comprehensive option because it addresses all layers simultaneously: skin laxity, subcutaneous fat, platysma muscle separation, and deeper structural changes. This layered approach produces results that are more complete and longer-lasting than any single non-surgical treatment can achieve.

The platysma is a thin sheet of muscle that covers the neck. Over time, it can weaken and separate along the midline, producing the visible vertical bands that many patients notice with age. Correcting the platysma — a procedure called platysmaplasty — is one of the most important steps in creating long-term neck definition. By repositioning and reinforcing the platysma at a structural level, Dr. Jacobson creates a firmer foundation for the neck that supports more durable results.

The answer depends on whether facial aging — particularly jowling — is also present. Patients who maintain good facial volume and have minimal jowling but are primarily concerned with neck laxity or fullness may be excellent candidates for a standalone neck lift. Patients who experience both jowling and neck laxity may benefit from a combined facelift and neck lift, which produces a more seamless transition from the cheeks to the neckline. Because the SMAS layer of the face is continuous with the platysma muscle of the neck, treating both structures together often produces superior outcomes. Dr. Jacobson evaluates the face and neck together during consultation to recommend the most appropriate approach.

Most patients experience approximately 5–7 days of surgical downtime and up to 10–14 days of social downtime. During the first one to two weeks, temporary swelling, bruising, and tightness are common. Small surgical drains may be placed and removed early in recovery. Sutures and scalp staples are typically removed during follow-up visits. Light daily activities can generally resume around two weeks, with strenuous exercise resuming around four weeks. Noticeable swelling improvement occurs around one month, and continued contour refinement occurs up to six months.

Incisions are carefully placed to remain discreet, typically behind the ears, along natural skin creases, and beneath the chin when necessary. Because Dr. Jacobson corrects deeper structures rather than relying on skin tension alone, incisions can heal under less tension — which helps optimize scar quality. Most scars gradually fade over 6–12 months and are usually difficult to detect once healed.

There is no specific age requirement for a neck lift. Anatomy and individual goals are far more important than chronological age. Some patients in their 40s are excellent candidates because of early neck laxity or genetic predisposition to fullness beneath the chin, while others may benefit from addressing these concerns in their 60s or beyond. During consultation, Dr. Jacobson evaluates each patient’s unique anatomy and goals to determine whether surgery is appropriate and what approach will produce the most natural and lasting result.