What happens to the platysma (green arrow) during facelift surgery-the bands (the front edge of the muscle) sutured together and the back edge tightened in a posterior-superior direction (blue arrows)
Neck Lift & Lower Facelift
A contoured, smooth neck that creates a well-defined jawline is universally associated with youth and attractiveness. When the neck’s skin and underlying muscles lose their firmness, the sagging can make women and men look older than they feel. Board-certified plastic surgeon Dr. Jeffrey Kenkel performs neck lift surgery in Dallas to help patients from Frisco, Fort Worth, Arlington, and other nearby cities look more youthful by tightening both the skin and muscle and reducing underlying fat. A lower facelift also addresses the jawline.
My husband and I have both had work done, and we could not be happier. All questions were answered. From our first consultation visit to the final visit after surgery, it was professional, very considerate of our feelings, friendly and helpful at all times. Highly recommended.– Real patient review
Before & After Photos
Neck Lift Case #163
Neck Lift Case #167
Keep in mind that each patient is unique and your results may vary.
Am I a good candidate for a neck lift?
Our neck and jawline are often where we first notice skin laxity and changes. Fine lines such as crow’s feet around the eyes may appear earlier, but it’s often the aging neck that prompts people to first start thinking about cosmetic surgery. Women and men can both benefit from neck lift surgery and age is not much of a consideration. Some neck lift patients may be in their 40s, while others may be in their 50s, 60s, or even older. The neck lift and lower facelift procedures are not restricted by age.
People considering a neck lift want to:
- Reduce or eliminate a “turkey neck” by removing excess, sagging skin
- Smooth out wrinkles and creases throughout the neck
- Improve the appearance of vertical neckbands
- Remove fat causing a “double chin”
- Improve the contour and shape of the jawline
A person’s overall health is more important than their age. You should be healthy enough to safely be under a general anesthetic for up to 3 hours and not have underlying medical conditions that could increase the risk of surgical complications.
What is the difference between a facelift and a neck lift?
While a facelift typically includes addressing the neck, one can consider simply addressing the neck alone without any effect on the midfacial region. Dr. Kenkel can help you decide what procedure is best for you.
Here’s how the procedures differ:
Facelift: Multiple types of facelift surgeries exist, but when plastic surgeons talk about a facelift, it generally refers to a technique that elevates the skin and deeper tissues in the midface area toward the cheekbone, as well as improves the contours of the jawline and neck. A facelift involves making incisions in front of the ear with the goal of improving the cheeks, smile lines around the mouth, jowls, jawline, and neck. This is accomplished by reducing wrinkles and sagging skin in those areas.
Neck Lift: This surgery begins with small incisions made behind each ear and, in some cases, under the chin. These incisions are used to remove excess skin and to correct platysmal banding, which are vertical neckbands and an early sign of aging. It also addresses fat under the jawline, what is often called a “double chin.”
Lower Facelift: This procedure uses an incision in front of and behind the ears as well as one under the chin to sharpen the jawline and improve the contour of the neck.
Because many patients experience all of these concerns, it often makes sense to treat them all at one time with a procedure called a “facelift.”
What can I expect after a neck lift?
Healing after a lower facelift or neck lift surgery depends on both the individual patient and the extent of the procedure. Dr. Kenkel provides patients with detailed post-operation instructions that, when closely followed, minimize the risk of complications and enhance the recovery process. Prescription pain medication can help manage symptoms after surgery, but many patients find that they don’t need to use them for more than a few days. Many patients experience numbness at the incision locations and tightness in the neck that will take a bit of time to completely resolve.
Movement is important after surgery, such as taking short walks, which helps promote circulation. Circulation is an important part of the healing process. Avoid eating salty foods because they contribute to swelling.
Swelling and bruising are minimal following the procedure, so the results are apparent very early. Many of our patients are presentable within 7 to 10 days of surgery.
A Passion for Facial Plastic SurgeryJeffrey Kenkel, MD, FACS
At the apex of an accomplished career, board-certified plastic surgeon Dr. Jeffrey Kenkel is enthusiastic about turning his focus exclusively to facial plastic surgery and nonsurgical facial rejuvenation. Known for creating understated yet remarkable results, Dr. Kenkel ranks among the best plastic surgeons in the greater Dallas area.
- Chair of the Department of Plastic Surgery, UT Southwestern
- D Magazine, Best Doctors in Dallas 10+ years
- Past president, The Aesthetic Society
- Past president of Dallas Society of Plastic Surgeons
Credentials You Can Trust
How long does it take to recover from a neck lift?
Patients can generally expect to be off work for 1 to 2 weeks after neck lift surgery. During the consultation, Dr. Kenkel discusses the expected recovery timeline, including when patients can return to more strenuous activities.
While patient experiences vary, expect to progress through the following general milestones when recovering from a neck lift:
- Stay in hospital: not needed
- Keep upper body elevated: 7 days
- Sutures removed: 6 to 7 days
- Wear chin compression strap: continuously for 7 to 10 days, then at night for 7 days
- Ready to go in public: 7 to 10 days (patients whose hair covers their ears)
- Resume workouts: 2 weeks
- Limit salt intake (to minimize swelling): 4 to 6 weeks
- Numbness in surgical areas fades: 3 to 4 months
Be sure to follow Dr. Kenkel’s specific recovery instructions closely. He encourages patients to reach out to his office during recuperation with any questions they might have.
How long do neck lift results last?
Even though plastic surgery doesn’t stop the aging process, the results of a neck lift last approximately 7 to 10 years.
What is the cost of a neck lift in Dallas & Frisco?
Dr. Kenkel customizes surgical procedures based on each patient’s concerns and goals, so quoting a specific price for a neck lift is difficult until you have had your consult and discussed realistic goals with Dr. Kenkel. During your visit, we provide a detailed quote that includes the fees associated with surgery. If you decide to move forward with your procedure, we require a $500 deposit to reserve a time and date just for you.
Are there alternatives to a neck lift?
Not all patients who want to improve the contours of their necks need a neck lift. This is especially true for women and men who are concerned about excess fat that can accumulate below the chin, creating the appearance of a double chin. Neck liposuction is a surgical alternative to address this concern in appropriate patients.
The FaceTite skin tightening procedure can be a nonsurgical alternative to a neck lift for people with mild to moderate laxity; however, neck lift surgery is often the superior option as Dr. Kenkel explains in this blog post.
Can I combine a neck lift with other procedures?
Yes. A neck lift is often combined with a facelift or other facial rejuvenation procedures. For example, Dr. Kenkel can perform blepharoplasty (eyelid surgery) along with a neck lift to refresh a patient’s entire appearance. Chin augmentation, either with fillers or a synthetic implant, can also benefit some neck lift patients.
Request a Consultation
If you’re looking in the Dallas, Frisco, and North Texas area for a board-certified plastic surgeon to perform neck lift surgery, request a consultation using the online form or call Dr. Kenkel’s office at (214) 645-3112 to schedule an appointment.