Neck Lift (Platysmaplasty)

The neck lift, known technically as platysmaplasty, is a procedure to tighten loose skin and the underlying muscle under the neck and around the jawline.

What happens during a neck lift?

A number of different procedures can be used. The skin can be tightened via incisions made in front and behind the ear and into the hairline. Sometimes an incision is also made under the chin. If the problem with the neck is due to fat, not excess skin, sometimes liposuction alone can be used to give a more pleasing profile. However, the muscle under the neck is usually also tightened. The surgery lasts for around two hours and is usually carried out under a general anaesthetic, or occasionally a local anaesthetic in conjunction with intravenous sedation.

What sort of results can I expect?

neck lift - before
dermal filler restylane after injection
Before neck lift
After neck lift

The results can look quite natural afterwards. The neck lift can give a more youthful definition to your jawline, remove jowls and fleshy excess skin. The best results are obtained on individuals that had a preexisting good bone structure, together with skin that still retains a degree of elasticity.

Many people combine a neck lift with either a face lift, eye lift (blepharoplasty) or both.

How will I feel after surgery?

When you awaken from surgery, you will probably be wearing a pressure bandage which will be wrapped around your head and underneath your chin. You will be bruised, swollen and sore and a degree of numbness. However, this will resolve quickly and most people return to work in under two weeks.

You will get an indication of your likely final appearance after about a week to ten days, although the scars will take a while to fade. However, they are usually hidden either under the chin or in the hairline.

What are the risks?

  • The usual risks from having a general anaesthetic
  • Asymmetry in the finished result.
  • Changes in sensation and persistent numbness in the area that has been operated on.
  • Infection
  • Scars may become thicker over time instead of fading.
  • An unnatural "corded" appearance to the neck.