Confused about procedures, help!

I've been looking into having my neck lifted & maybe the lower face. I've been reading about different Dr's take on it. Some say the lower face lift & neck lift are the same with 1 price, some say they are 2 different surgeries at 2 different costs. Many say there's the neck lift, lower face, middle face, upper face, 3 procedures, 3 different costs? Does that mean I should go with the Dr that offers the face & neck lift as 1 procedure at 1 price? I'm confused. Thank you

Doctor Answers 18

Confused About Procedures

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Without photos, it's difficult to determine the treatment to address your concern. Also, it really depends on the amount of #sagging you are experiencing.  It's best to begin by consulting with a surgeon in-person. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine what treatments will best rejuvenate your neck . During an in-person examination, your chin will be evaluated along with the neck and jawline.

However, you may want to consider Lite-lift™ which is an affordable, quick, and effective innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself. The goal of the #LiteLift is to provide a less invasive natural looking option for both men and women desiring to refresh their appearance with less downtime and risks. The LiteLift® is a “real” facelift, which does address the underlying muscle, tissue and overlying skin.

This is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.
The best candidates for #LiteLift are non-smoking patients 35-60 years old with stable skin elasticity, well-defined bone structure but showing early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™. All in all, Lite Lift™ surgery is individualized for each patient. 

The contributing factors to the #cost of a #neck and or facelift combined includes the surgeon’s fee, facility fee, medication cost and the anesthesia fee. Estimated fees may also be found here on Real Self, and the American Society of Aesthetic Plastic Surgery website,, or Consulting with a board-certified plastic surgeon is important to ensure you are receiving the best advice, care, and surgical experience possible. In some cases your plastic surgeon may give you more than one option to choose from. 

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Confused about procedures

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Thank you for your question, I understand your confusion,90% of my patient will always undergo facelift and neck lift together to achieve a natural result, leaving patients with continuity.  Even thought the face and neck lifts are different procedures, most patients firstly having them together and second the incisions I create for the facelift are the same incisions involved when providing a neck lift.  I would normal create a packed price for both procedures as in the past when patients do have only facelift or neck lift singular, then it can highlight more, imperfections in other areas, therefore them always returning to get one or the other procedure performed.  Moreover, I do have some patients of a younger age with jowls slightly highlighted however skin laxity fairly good compared to older patients, therefore in this case if a patient wanted just a facelift or just a neck lift, the procedures would be separate, and I would be happy to perform.  Needless to say, different surgeons have different approaches, but the more procedures performed affects the price. Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.

All The Best 

Confused about procedures, help! = the number of procedures performed affects the price #necklift #lowerfacelift

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Technically, neck lift only addresses the neck contour and no the jaw line. A lower facelift only addresses the jaw line and the lower  face, but not the neck.

Sometimes when performing a neck lift, a lower facelift is performed do give a sharp defined jaw line. Therefore, the pricing of the procedure varies depending of the number of procedures performed by the surgeon and if the surgeon decides to "bundle" the pricing in one single fee  or splits the price depending of the number of procedures performed

John Mesa, MD
New York Plastic Surgeon
4.9 out of 5 stars 141 reviews

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Lower face and neck lift

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In my practice, I rarely perform a neck lift without also performing a lower face lift at the same time. Since the lower face and neck are invested by a continuous sheath of muscle under the skin, lifting the muscle in one area without doing so in the neighboring area can cause unnatural and often dissatisfying results.

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Different procedures for facial rejuvenation.

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The terminology varies among surgeons, but there are a number of options available for face/neck rejuvenation.  My advice is to consult with a surgeon who does all regions of the face, that way you can be reasonably confident that you will be offered options depending on your needs and desires, and not because someone is trying to fit you into a procedure that they prefer to do.  In general, if you have a neck that would benefit from improvement, that should be done as well as the lower face.  Omitting the neck procedure when needed often produces dissatisfying results.  

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 Try to choose your surgeon based on what's bothering you the patient, and focus on solving those issues. There are many different semantic terms used for facial cosmetic surgery. In our practice we perform a comprehensive lower face and neck lift, which accomplishes  tightening loose facial and neck skin, tightening loose facial and back muscles, removing fatty deposits in the neck, a platysma plasty, and lifting the jowls. For many examples and our current price list, please see the link and the video below

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A facelift should cover a neck lift

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and if your surgeon wants to charge for both procedures, I would go find me another surgeon who offers everything for one price.  Charging each procedure as a unique procedure is just a way to generate more income and gets you no benefit.  If you are fine with your lower face, a neck lift is all that is needed and if you want your jawline and lower face addressed at the same time, a facelift in my hands will do all of it for you.

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Cost of Facial Rejuvenation

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Unfortunately you are experiencing a common problem many patients have when considering facial rejuvenation. The terminology is confusing because some surgeons include the neck and face when describing a face lift, others do not but list each part of this surgery as a separate procedure. You must be very specific about what will be done when trying to compare suggestions offered by different surgeons. An experienced surgeon can show you multiple examples of results in patients who had what they are proposing for you. It does not make any difference what they call it.

Richard W. Fleming, MD
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Confused about procedures, help!

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I agree that the terminology surrounding facial aesthetic procedures can be confusing, and is not standard among practitioners. I suggest you do the following: 1. find an experienced and attentive surgeon who has an eye for beauty and proportion; 2. explain to him or her the changes in your features that you are concerned about; 3. ask for a treatment plan and a discussion of reasonable expectations, risks and complications; 4. finally, and not most importantly, ask about the costs of the surgery and any possible revisions. No matter the terminology, you should then be in a position to choose the surgeon to whom you are going to trust your face. All the best. 

Confused about terms used to describe face and neck lift

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Doctors' use of lay terms to describe different procedures are confusing because we don't agree on what different things should be called. Medical terms such as rhytidectomy (facelift), necklift, forehead lift, brow lift are less confusing to a degree but within each category there are different techniques which do not necessarily give the same results. For instance in the category of facelift, there are SMAS lift, extended SMAS lift, subperiosteal lift. Within the subcategory of SMAS lift, there are different techniques such as SMAS plication, SMAS tightening with sutures alone. What I call a lower facelift is an extended high SMAS lift which will lift the midface and the lower 1/3 of the face. What a different surgeon calls a lower facelift is probably something else altogether and may not have the same result. Best forget all these terms and come in ready to discuss what specifically bothers you and the effect the proposed surgery is likely to have on those things that bother you. Look at the surgeon's before and after photos which have the same preoperative issues as you and see how well they have been addressed. Be sure to ask if other procedures have been performed on those photos such as laser resurfacing. Don't go by price alone, pick the best surgeon you can afford.

Peter T. Truong, MD
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.