Your face does not stop at the jawbone. The neck lift is a regional operation, encompassing the area from the jowls – the flesh part below the jaw – to the collarbone. Most often a neck lift is done as part of a facelift procedure.

Skin in the neck usually begins to droop in the late thirties or early forties. There are, however, younger people with good upper- and mid-face tone who have sagging necks. The most common reason is excess fat in the upper neck (a “double chin”), which can be hereditary even in thin people. Weight loss, too, may result in excess flesh, or “turkey wattles,” hanging below the chin, or the emergence of muscle bands in the subcutaneous layer. (Muscle bands appear as cords extending vertically from the chin to the base of the neck, on either side of the midline). Each of these problems must be handled differently.

In a young patient with excess fat and good skin tone, liposuction — alone or combined with a small chin implant — can work miracles. The procedure is done under local anesthesia, healing is fast, and the results start showing within about a week. This surgery is often done at the same time as rhinoplasty (nasal refinement).

To correct loose, sagging skin, the surgeon makes a small incision behind the ear — and sometimes a short incision tucked into the chin crease — to remove the extra skin and tighten the lateral neck muscles. This creates a more defined jawline and eliminates the neck bands. Microcannula liposuction — suctioning the fat through microscopically fine tubes — can be used to remove excess neck fat and contour the jowl area. If the chin is weak, a small implant can be inserted through the same short incision under the chin that is used for the lift.

The results of cervicoplasty can be dramatic. This is an outpatient procedure, with sedation, that takes a little over an hour to perform. Usually one can resume normal activities a week or sooner after surgery. A chin support is generally used during the recovery period.

For a lunch hour fix, the neck bands can be softened temporarily with Botox injections to relax the muscles. This is a three-to-four-month fix that will safely buy time before more permanent work is considered.


If the patient is overweight, some weight loss may be recommended before a neck lift. A lymphatic drainage facial done a few days before the surgery will make the skin as healthy as possible and reduce recovery time.


The patient may need a neck support for five or six days. Lymphatic drainage, with or without a facial, can usually be done one to two weeks post-operatively. (Your doctor will determine the timing and frequency of the treatment.) Lymphatic drainage can dramatically shorten the healing process by reducing swelling and inflammation, and supporting the immune system.


Before any neck enhancement surgery, our lymphatic drainage facial is highly recomended at least once a few days before your surgery. This pre-operative treatment prepares the skin by making tissues as healthy as possible before the surgery, which improves recovery time. Also included is a deep cleasning facial for your face and neck. After your neck enhancement procedure, lymphatic drainage (with or without a facial) can usually be done as soon as one to two weeks post-operative, however, your doctor will determine the time and frequency of the treatment. Lymphatic drainage will dramatically shorten the healing process by reducing swelling and inflamation, as well as supporting the immune system.

Treatments That May Help

The following treatment links will take you to Ajune
for more information:
Miracle Waves LED, Collagen Treatment

Products That May Help:

Neocutis Biocreme, and Nia 24 SPF 30

For more information, please contact Dr. Romita at 212-772-3220.