I have had two neck lift procedures already at least 3 years apart in time. I lost a total of 90# overhead course of the last 25 years. I am 51 now. The first neck lift, they did the tightening of my neck muscles and the incisions went behind my ears and into my scalp some. I still was not happy with the results d had a lot of extra skin so I had a second procedure two years ago wherein the doctor removed a little skin under my chin. I have also had laser treatments and collagen threads.