A well-defined neck and jawline are hallmarks of a youthful appearance. But with age, gravity, genetics, and sun exposure can all take their toll—resulting in loose skin, vertical banding, and excess fat under the chin. If you’re considering a neck lift, understanding what to expect during the procedure is essential for making an informed decision.
This step-by-step guide breaks down the neck lift process from consultation to recovery, giving you a clear picture of how the surgery works and what results you can expect.
Step 1: Initial Consultation
Your journey begins with a consultation with a board-certified plastic surgeon. During this visit, you’ll discuss:
- Your concerns and aesthetic goals
- Your medical history, including medications and previous surgeries
- A physical exam to assess skin quality, muscle tone, and fat distribution
- Whether you’re a good candidate for a neck lift or a combination procedure (like a facelift or liposuction)
Your surgeon may take before photos and use digital imaging to show expected results. They will also explain the surgical plan, anesthesia options, potential risks, and recovery timeline.
Step 2: Preparing for Surgery
Once your surgery is scheduled, your surgeon will provide pre-operative instructions, which may include:
- Avoiding certain medications (blood thinners, anti-inflammatories, supplements)
- Quitting smoking at least 4 weeks before and after surgery
- Arranging transportation and post-op care
- Fasting the night before if general anesthesia is planned
Following these guidelines helps minimize complications and ensures a smoother recovery.
Step 3: Anesthesia and Surgical Setup
On the day of surgery, you’ll arrive at an accredited surgical facility. A neck lift is typically performed under:
- General anesthesia, or
- Local anesthesia with sedation, depending on your surgeon’s recommendation
Once you’re comfortably sedated, the area is cleaned and prepped for surgery.
Step 4: Making the Incisions
Your surgeon will make precisely placed incisions, usually:
- Behind each ear, hidden in the natural crease
- Under the chin, if liposuction or muscle tightening is needed
These incisions allow the surgeon to access the underlying structures of the neck while keeping scarring discreet.
Step 5: Muscle Tightening and Fat Sculpting
The next step involves restructuring the underlying muscles:
- The platysma muscle, which often causes vertical neck bands, is tightened and repositioned (a technique called platysmaplasty).
- If needed, excess fat is removed via liposuction to improve neck contour.
This internal work is essential for long-lasting, natural-looking results.
Step 6: Skin Redraping and Trimming
Once the muscles and fat have been addressed:
- The skin is gently redraped over the new, tightened structure.
- Excess skin is trimmed away to eliminate sagging and create a smooth, firm appearance.
The surgeon is careful to avoid an overly pulled or “operated-on” look.
Step 7: Closing the Incisions
The incisions are meticulously closed with fine sutures or surgical glue, ensuring minimal scarring. A compression bandage or support garment may be applied to reduce swelling and support healing tissues.
The entire procedure usually takes 2 to 3 hours, depending on complexity and whether additional procedures (like a facelift) are performed at the same time.
Step 8: Recovery and Aftercare
After surgery, you’ll be taken to a recovery area. Here’s what to expect:
- Swelling and bruising for the first 7–10 days
- Mild discomfort or tightness, easily managed with prescribed pain medication
- Head elevation while resting or sleeping to minimize swelling
- Drain(s) may be placed temporarily to remove excess fluid (if used)
Most patients return to light activities within 10–14 days and resume full routines, including exercise, after about 4 to 6 weeks.
Your surgeon will provide:
- Instructions for wound care
- Follow-up appointment schedule
- Signs to watch for (e.g., unusual swelling or discomfort)
Step 9: Results and Long-Term Care
Initial results are visible once swelling subsides, with final results emerging after a few months. A successful neck lift will:
- Smooth sagging skin
- Eliminate fat deposits
- Restore youthful neck and jawline contours
Results typically last 10 years or more, depending on lifestyle factors and skin quality. To maintain your results:
- Follow a healthy skincare routine
- Stay hydrated
- Protect your skin from sun exposure
- Maintain a stable weight
Final Thoughts
A neck lift is a highly customizable, transformative procedure that addresses multiple signs of aging in one of the most visible areas of the body. By understanding each step of the process, you can approach your surgery with confidence and realistic expectations.
Ready to take the next step? Consult with a board-certified plastic surgeon to find out if a neck lift is the right choice for your facial rejuvenation goals.
