Neck Lift

Cosmetic surgery to lift and revitalize the neck is an increasingly popular procedure among older people. As we age, the neck can become creased or flabby, and can make the patient appear “older”, however a neck lift is typically suggested after the development of deeper grooves in the face and neck.

Using advanced techniques, the modern neck lift not only tightens the skin, but also the thin muscles lying under the skin, improving on traditional results for a longer-lasting effect. The surgery itself does not remove the unsightly deep grooves wrinkles leave imprinted into the skin, but with other additional procedures they are minimized and often erased completely.

Neck lifts can be “extended” in order to tighten the lower two-thirds of the face, however this is a separate procedure, and not part of a traditional neck lift. Many patients opt to rejuvenate the face and neck simultaneously in a single procedure, which can also be combined with liposuction.

The incision and its direction is always determined based on the individual in order to ensure the least conspicuous scarring. The length of the incision and its exact direction depend on the degree of slack on the skin. These scars are almost invisible after complete recovery, or they can be partially hidden. Most incisions for a neck lift are done on the scalp or behind the ear, which mean the scars are hardly visible after recovery.

There is always a little bleeding and edema after a neck lift, which requires the application of a drain from the wound cavity to ensure faster and safer healing, and minimized pain. The drain is removed the next day, when the wounds are dressed with gauze, and the patient is given a compression garment to wear.

Preparing for the Surgery

Some examinations are required before facial and neck surgeries, which may include blood tests, ECG and chest X-rays to ensure the patient is in good health.

Patients who smoke, take aspirin, anticoagulant or anti-inflammatory medicine, or any other type of medicine are asked to indicate as such when consulting with a specialist. Certain medicines can increase the probability of bleeding or can cause other interactions under general anesthesia; therefore it is important that all medications are disclosed to the physician.

About the Surgery

The hair is thoroughly washed immediately before surgery. Neck lifts are most frequently performed under general anesthesia, although intravenous narcosis or local anesthesia may be used in selected cases.

During surgery under general anesthetic, the patient’s heart, pulse, blood pressure and blood oxygen content are monitored to ensure patient safety. Antibiotics are administered during surgery.

After the Surgery

It is advisable to spend a night in the clinic if the surgery is performed under general anesthesia. If, however, the surgery is performed under intravenous narcosis or under local anesthesia, the patient may return home following surgery.

Rest and recuperation are suggested after facial or neck rejuvenation surgeries. Discomfort may remain an inconvenience for 1 to 3 days following surgery, most likely due to edema and tension effects of the supporting suture, but this discomfort is temporary.

The initial discoloration and edema fade quickly, and occasionally asymmetry of the tissue can occur on the neck after surgery as a result of edema and hemorrhage, which dissipates in a day or two. In very rare cases they may remain up to a week, but as the swelling decreases these issues will fade.

Sutures are usually taken out two weeks later after “tightness” has significantly reduced.

  • Wearing a specialized, elastic compression bandage for a week or two is strongly recommended.
  • It is advisable to sleep with extra pillows so as to diminish movement in sleep, and to eat pulpy, easily digestive food for 2 to 3 days following surgery.
  • Any activity that causes plethora (flushing) of the face is contraindicated, and certain seemingly “harmless” activities should be avoided, such strain, sunbathing, sauna, hot or strongly seasoned food, and the consumption of alcohol or strenuous physical activity.
  • Hair can be washed Ten days after surgery and a lightweight foundation/concealer can be applied to minimize the appearance of bruising, however, makeup must not be applied to the scar.
  • The use of a hairdryer is contraindicated for at least 3 weeks following surgery, and sunbathing should be avoided for at least 6 weeks, and afterwards should be in moderation.
  • The scars must be treated and protected with sun protection cream for a long time even after the protective period.


Neck lifts case the skin of the neck to become tighter and give a rejuvenating, youthful result, which can be further improved by means of other surgical or non-surgical treatment, such as a facelift, wrinkle-fillers, or laser peels. Rejuvenating face- and neck lift surgeries can increase a patient’s self-confidence and quality of life.

Patients must be aware that although scars fade over time, they will never disappear completely. The results of a neck lift lasts for a long time, but will not last forever. Gravitation, changes in the hydration and flexibility of the muscular and skin tissues, along with other changes connected to age all have an effect on the face or neck, and the quality and quantity of the underlying tissues. As a result, a patient may choose to have a second neck- or facelift years after a successful first operation.