New York Center for Facial Plastic Surgery
Schedule a consultation
Information About Neck Lift procedures by Dr. Andrew Jacono in New York City
Neck Lift Learn more about neck lift procedures with Dr. Andrew Jacono as this female patient discusses her experience and surgical results.
The surgical neck lift tightens neck skin, eliminates neck banding, and removes fat deposits. It creates a youthful definition without excessive tightening. Often, this technique is combined with a lower facelift to correct jowls, though not all neck lifts are paired with another surgical procedure.
Dr. Jacono’s neck lift differs from standard neck lifts because it targets deeper tissues. He surgically manipulates the area beneath the platysma muscle, sliding it into a more youthful position.
The platysma can also be tightened on the sides and in the middle of the neck during a procedure called platysmaplasty. This smooths skin and reverses cording in the neck.
As we age, the neck muscles sag, resulting in a “turkey neck.” Laxity of the platysma muscle causes vertical banding, with two paired cords appearing in the middle of the neck. Neck skin also droops, stretches, and wrinkles with time.
Some aging patients may develop excess fat deposits under the chin. These deposits can lie above or below the platysma muscle. Other anatomic factors that limit neck and jaw definition include the location of the neck’s digastric muscle and the size of the submandibular neck glands.
While neck drooping is an isolated problem most surgeons will explain to you that you need a full face and neck lift to correct it which is more surgery than most people want. In cases like this Doctor Jacono’s customized approach is an isolated neck lift (neck lifting alone which lifts the sagging muscles of the neck).
This creates a youthful and natural definition of the neck, without the tight look of older facelift and neck lift techniques. This technique can be combined with a lower facelift if you want to correct the jowls simultaneously.
His technique results in less bruising and swelling since it lifts beneath the muscle and not the skin where all the bruising occurs. Once the deeper tissue is lifted, the excess skin is trimmed behind the ears. Scars heal better because there is no tension on superficial layers and skin. This lift results in a natural, softer look and creates definition along the jawline and neck, not tightness.
Leaving an adequate amount of fat in the neck leaves a soft appearance. Under the platysma muscle, extra digastric muscle is reduced and large submandibular glands are shaved down so they do not bulge in the neck contour.
This beautiful 62-year-old patient wanted to lift her drooping cheeks and jowls and smooth her neck and jawline. Dr. Jacono performed a combination of procedures to address her concerns which included his deep plane facelift technique to lift her cheeks and jowling, a blepharoplasty to open her eyes so she does not look tired anymore, and a neck lift with platysmaplasty for her platysma bands. Her after photo was taken 3 years post-operative and she still looks amazing and natural.
Dr. Jacono’s neck lift differs from many standard lifts because it addresses the deeper tissue by going under the platysma muscle, sliding it back into its original youthful position. This helps avoid the appearance of an artificial overly tight neck that is created by simply pulling on the skin.
The muscle is tightened on the sides of the neck and also in the middle of the neck with a platysmaplasty, which removes the cording in the center of the neck. This approach requires two incisions, a small 1-centimeter incision under the chin and one behind each ear. Since there are no incisions in front of the ear, no scars are visible.
Dr. Jacono is a dual board-certified facial plastic surgeon who specializes in cosmetic facial and neck procedures. He is considered to be one of the best neck lift surgeons by both his patients and his peers.
A neck lift lasts between 10 and 15 years depending on how severely a patient’s skin sagged before surgery. Other factors that affect the longevity of results include age, diet, and overall health.
Dr. Jacono’s neck lift technique allows for easy recovery. He does not use general anesthesia, instead, he performs neck lifts under twilight anesthesia (IV sedation) or local anesthesia. With no general anesthesia, patients:
At about 7 days after surgery, patients will be socially presentable. Any remaining swelling or bruising can be easily hidden with a scarf, turtleneck, or collared shirt. Patients can wear their hair up within two weeks without a visible scar.
This patient wanted a more youthful jawline. She also wanted to tighten her hanging neck and smooth her vertical bands. After surgery, her neck skin does not appear too tight or stretched.
This woman experienced a loss of jawline definition and a buildup of neck fat. She also suffered from muscle and skin drooping. Dr. Jacono performed a deep neck lift, removing and repositioning parts of the platysma muscle. This was done through a small incision under the patient’s chin.
Dr. Jacono also reduced her superficial and deeper platysmal fat pads and trimmed her heavy digastric muscle and submandibular glands. Lastly, he removed excess skin from a hidden location behind the patient’s ears.
This woman wanted to correct her “turkey neck” and vertical banding. Dr. Jacono performed a platysmaplasty, lifting the platysma muscle to a more youthful position. He also removed excess neck skin with a hidden incision behind the ears.
This patient was unhappy with her droopy neck and cheeks. Dr. Jacono performed a deep plane facelift, a neck lift, and a platysmaplasty. These procedures recreated the youthful structure of her face and neck.
TThis patient was concerned about her aging face and neck, and wanted to rejuvenate her jowls, drooping jawline, and hanging neck skin. Dr. Jacono performed a deep plane facelift, platysmaplasty, necklift, and a lip lift. She looks completely natural and rejuvenated without looking overly tight.
This patient wanted to look younger, but not unnatural. Dr. Jacono performed a deep-plane facelift, a neck lift, and a temporal lift to open her eyes. To complete the process, he used a CO2 laser to resurface her skin and reduce deep facial lines. She looks 20 years younger and is thrilled with her natural-looking results.
This woman wanted to get rid of her vertical neck bands. She had previously undergone Ultherapy to no avail. Dr. Jacono tightened her neck muscles through incisions under the chin and behind the ears. All extra neck skin was removed with hidden incisions.
This woman had droopy neck skin and under-chin fat deposits. Dr. Jacono performed liposuction above the platysma muscle, then removed deeper neck fat below the platysma. This neck contouring was combined with a platysmaplasty. Excess neck skin was removed in a hidden location behind the ears.
This woman had jawline loss, under-chin fat, and droopy muscles. Dr. Jacono performed a deep neck lift, removing and repositioning extra platysma muscle. This was done through a small incision under the chin.
He also removed the superficial and deeper platysmal fat pads. Excess neck skin was then removed in a hidden location behind the ears.
New York Center for Facial Plastic Surgery
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (212) 570-2500 .