Face and Neck Lift

Traditional facelift surgery is one of the most preferred methods, used to tighten loose, sagging skin of the face and neck, along with the tissues underneath. It is often performed to help reduce sagging and wrinkles caused by the natural aging process. Medically referred to as a facelift or neck lift, this procedure is aimed at softening the signs of aging and improving the contours of the face, jawline, and neck. When necessary, fat may be removed or redistributed, muscles can be tightened, excess skin is excised, and the remaining tissue is repositioned. The goal is to achieve a smoother and more balanced appearance.

Why Might Face and Neck Lift Be Needed?

The main reasons for undergoing a face and neck lift are sagging of the skin and loss of jawline definition, often resulting in what is commonly known as a “double chin.” Sagging skin, deepening wrinkles around the neck, and excess skin folds can negatively affect appearance. These changes may be linked to aging, genetic predisposition, sun damage, and weight fluctuations, all of which can reduce skin elasticity.

Surgical Procedures

Methods Used

• Facelift procedures: Deeper facial layers (such as the SMAS layer) are repositioned, excess skin is removed, and fat deposits may be redistributed if necessary.

• Neck lift (platysmaplasty): For sagging in the neck, excess skin may be removed, the platysma muscle tightened, and submental fat deposits reduced.

• Combined procedures: Face and neck lifts are often performed together, providing a more comprehensive rejuvenation. Surgery is usually done under general anesthesia or sedation. Incisions are typically placed around the ears, along the hairline, or in the natural folds of the neck, helping to conceal scars.

Recovery Process and Aftercare

During the first few days after surgery, swelling, bruising, and mild discomfort may occur. These effects can often be managed by keeping the head elevated and applying cold compresses. Stitches are usually removed or dissolve on their own within 5–10 days, and drains—if used—are typically taken out shortly afterward. Light activity is recommended during the first few weeks, while strenuous exercise and exaggerated facial movements should be avoided.

Protecting the skin from the sun, refraining from smoking, and following the surgeon’s wound-care instructions can support healing and minimize scarring. Final results may take weeks to months to fully appear, as swelling decreases and tissues settle.

Who is a Good Candidate?

An ideal candidate for face and neck lift surgery is someone in good general health without serious chronic medical conditions. Candidates often present with noticeable sagging or excess skin in the face and neck area, but should still have a certain degree of skin elasticity.

Because smoking is known to negatively affect wound healing, doctors typically recommend reducing or quitting smoking before surgery. It is also important for candidates to have realistic expectations. Surgeons will carefully explain the likely outcomes, potential for scarring, and the recovery process.