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Neck Lift Guide: Skin, Fat, Muscle, and Recovery

A neck lift can address loose neck skin, muscle bands, jowls, or localized fat. These concerns do not all require the same operation. A consultation should identify which tissue creates the contour before selecting a technique.

What a neck lift may include

The plan may reposition deeper tissue, tighten the platysma muscle, remove selected skin, or contour fat. Incisions may extend around the ear and into the hairline, with a separate incision under the chin in some plans. A limited-incision approach may offer a smaller change. Liposuction alone does not tighten substantial loose skin.

Anesthesia and recovery depend on the plan

Options may include intravenous sedation or general anesthesia. The surgeon and anesthesia professional choose the approach from the procedure, health history, and care setting. Early care may include a bandage, a drain, head elevation, and limits on bending or neck movement. Ask your surgeon when it is safe to drive, work, exercise, and wear clothing that passes over the head.

Risks to review

Risks include anesthesia problems, bleeding, hematoma, infection, fluid collection, poor wound healing, skin loss, changes in sensation, asymmetry, prolonged swelling, unfavorable scarring, persistent pain, blood clots, and rare nerve injury. Another operation may be needed if a complication occurs or the result does not meet the plan.

Consultation questions

  • Which part of my concern comes from skin, fat, muscle, or facial structure?

  • Which incisions and anesthesia options apply to my proposed operation?

  • Could a limited procedure leave part of the concern unchanged?

  • What support and transportation will I need?

  • Which symptoms require prompt evaluation?

Review the American Society of Plastic Surgeons neck lift guide for more background, then compare options on the facial procedures page.

Have questions that need a personal answer?

Meet one-on-one with Dr. Borsting and build a plan around the change you want.