Defining anatomical borders of the neck and lower face eliminating major ageing stigmata
As one ages, the gathering of excess neck skin, bulging fat and hanging loose muscles and ligaments obliterate the defining features of the neck and lower face. Bony definition of the jawline is lost leading to a lack of distinction between the lower face and neck. Similarly there is a loss of the junction between the chin and neck known as the cervico mental angle. A heavy pendulous neck weighs down on the lower face contributing to a tired and aged facial appearance.
A neck lift aims to reverse these aged features and therefore re establish a fresh and rejuvenated facial appearance. Depending on your findings, this can be done in isolation or in combination with a facelift. A comprehensive facial assessment will determine which interventions suit you best.
Short incisions around the ear lobes and an incision underneath the chin are used to allow direct access to both the midline and sides of the neck. Along the midline, excess superficial and deep fat can be removed by direct excision, the platysma muscle is tightened and excess skin removed. From below the ears, the sides of the neck are entered deep to the platysma muscle which is fashioned into a robust hammock, tensioned and anchored firmly to fixed points below and behind the ears.
This deep plane approach and direct manipulation of the platysma muscle allows the execution of a definitive lift of the neck, re establishing the underlying natural anatomical defining features of a youthful neck.
For a comprehensive understanding of the principles of a neck lift and how this is often performed in combination with a facelift, you may refer to our Facelift overview.

In some cases, despite the face above the jaw line ageing harmoniously and being consistent and appropriate for age, the neck stands out with prominent stigmata of ageing such as heavy loose pendulous skin and prominent muscle bands. The targeted treatment would therefore be a neck lift without necessarily having to go through with a facelift.
On the other hand some cases benefit from a facelift by itself without needing to address the neck or a combined face and neck lift.
For a neck lift, the incision is placed around the ear lobe extending behind the ear.
The side of the face along the ear is avoided unlike a facelift.
General anaesthetic. If your surgery is carried out in the morning, you can be discharged on the same day if you prefer. For surgery commencing in the afternoon, an overnight stay is recommended.
What are the potential risks and complications? Access a detailed surgical procedure information sheet by the Australian Society of Plastic Surgeons here.