A neck lift, or lower rhytidectomy, is a cosmetic surgical procedure designed to improve visible signs of aging in the jawline and neck. As we age, skin loses elasticity, fat accumulates, and muscles weaken—leading to sagging skin, "turkey neck," or excess fat under the chin. A neck lift tightens loose skin, removes excess fat, and redefines the jawline for a smoother, more youthful appearance.
This procedure is often combined with a facelift for full facial rejuvenation but can also be performed alone for targeted improvements. Whether due to genetics, aging, or weight loss, a neck lift helps restore confidence by creating a firmer, more contoured neck profile. Patients typically seek this surgery to eliminate wrinkles, reduce a "double chin," or achieve a sharper jawline.
Modern techniques, such as minimally invasive liposuction or laser-assisted tightening, allow for customized treatments based on individual needs. If you're considering a neck lift, understanding the procedure, recovery, and expected outcomes is essential for making an informed decision.
The best candidates for a neck lift are healthy adults experiencing moderate to severe sagging in the neck and jawline area. Ideal patients are non-smokers, within a stable weight range, and have realistic expectations about the results. Common signs that you may benefit from a neck lift include:
Patients in their 40s to 70s are the most common demographic, but younger individuals with genetic predispositions may also qualify. A consultation with a board-certified plastic surgeon will determine if you're a good candidate based on skin quality, medical history, and aesthetic goals.
Those with uncontrolled medical conditions (like diabetes or heart disease) or who smoke may need to delay surgery until they meet health requirements. Alternative treatments, such as Kybella injections or radiofrequency skin tightening, may be recommended for mild cases.
Neck lifts are not "one-size-fits-all"—several techniques exist depending on the patient's needs. The most common types include:
This involves an incision behind the ears and under the chin to remove excess skin, tighten muscles, and redistribute fat. Best for significant sagging and muscle banding.
A less invasive option with smaller incisions, ideal for mild to moderate laxity. Recovery is faster, but results may not last as long.
Targets submental fat (double chin) without major skin removal. Often paired with laser tightening for better contouring.
Focuses on tightening the platysma muscle to reduce vertical neck bands. Frequently combined with other techniques.
Your surgeon will recommend the best approach after evaluating your anatomy and goals. Non-surgical alternatives like Ultherapy or thread lifts may also be discussed for minor concerns.
A neck lift typically takes 2–4 hours and follows these key steps:
Most patients go home the same day with a compression garment to minimize swelling. Temporary drains may be placed to prevent fluid buildup. The procedure is tailored to each patient—some may only need liposuction, while others require full muscle and skin restructuring.
Recovery varies but generally follows this timeline:
Aftercare tips for optimal healing:
Most patients see dramatic improvements within weeks, though final results may take months. Adhering to post-op instructions ensures a smoother recovery and longer-lasting outcomes.
While generally safe, neck lifts carry potential risks, including:
Choosing an experienced, board-certified surgeon minimizes these risks. Patients should disclose all medical conditions and medications to avoid complications like poor wound healing or anesthesia reactions. Smokers are at higher risk for delayed recovery and unsatisfactory results.
A successful neck lift delivers:
Results are long-lasting (typically 10+ years) but don’t halt aging. Maintaining a stable weight and skincare routine prolongs outcomes. Before-and-after photos from your surgeon can help set realistic expectations.
The average cost ranges from $5,000–$12,000, depending on:
Most insurance plans don’t cover cosmetic neck lifts, but financing options (like CareCredit) may be available. Ensure cost quotes include all associated fees to avoid surprises.
Q: How painful is a neck lift?
A: Discomfort is manageable with prescribed pain meds. Most patients report tightness rather than sharp pain.
Q: When can I exercise after a neck lift?
A: Light walking is encouraged immediately, but avoid intense workouts for 4–6 weeks.
Q: Are results permanent?
A: While long-lasting, aging and gravity will eventually cause new laxity.
Q: Can a neck lift be combined with other procedures?
A: Yes, many patients pair it with a facelift, eyelid surgery, or fat grafting.