What is the least expensive and invasive surgery to correct neck and jowls? (photos)

Doctor Answers 23

Lower face and neck lift

From this photo, it seem like you would get a great result with a lower face and neck lift. An in person exam would be needed to come up with the best treatment plan. Find a board certified plastic surgeon in your area with expertise in facial aesthetics. In my practice in the San Francisco Bay Area I have come to the conclusion that the happiest patients are those that have realistic expectation on what a procedure will and won’t do for them. Good luck!  

Dean Vistnes, MD.  

Vistnes Plastic Surgery 

#realself #drdeanvistnes #lowerfaceandnecklift

Bay Area Plastic Surgeon
5.0 out of 5 stars 45 reviews

Facelift Beats Necklift to Fix Neck and Jowls

In your case, fixing only the neck and jowls via a necklift would give you less than optimal results. From the degree of skin laxity that's visible in your photos, I'd recommend a traditional rhytidectomy, which includes a neck lift, platysma tightening, and jowl reduction. I would also recommend some fat grafting to fill in your hollowed cheeks. All of this can be accomplished in one procedure. Results can be spectacular – turning back the clock by up to 10 to 15 years and lasting for up to 10 years or more. I hope this helps.

What is the least expensive and invasive surgery to correct neck and jowls?

For minimal facial aging and neck laxity there are modified neck lifts and fillers that will make a difference.  The only surgery that will address your degree of neck and jowl laxity in any meaningful way is a facelift.  The neck is rejuvenated maximally with that operation.  

Richard Zienowicz, MD
Providence Plastic Surgeon
4.9 out of 5 stars 53 reviews

Bang for your buck

It is hard to comment on pricing in this circumstance for two main reasons.

# 1 it depends on what kind of result you want. Jowls can be camouflaged with fat grafting or fillers and neck skin can be very modestly tightened with RF and lasers. The problem is these will require multiple treatments over a period of time (1 year on average). So the cost adds up, the results are modest, and they take time to see results. For certain patients this is a great option.

# 2 A face and neck lift are more expensive but it will give you immediate (after swelling and recovery of about 2-3 wks) results and should not require any further treatment for ~ 10-15 years. The results will be more dramatic as well. 

So it is a decision you need to have after a detailed consult with facial analysis and discussion of your options with your surgeon.

Hope this helps.

Best of luck,


Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Best way to improve neck and jowls

Thank you for your question about your neck and jowls.

  • The only effective way to improve your neck and jowls is with a face and neck lift.
  • You should get a very good result.
  • You can spend a fortune on lasers and fillers trying to avoid surgery and the result will be disappointing.

Always consult a Board Certified Plastic Surgeon. Best wishes. Elizabeth Morgan MD

Options for neck

Thermitight is the best option for neck other than a proper surgical neck lift.  However the amount of improvement will not be as good as neck lift which is also lower facelift.


Dr. J

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 104 reviews

Lower Facelift Under Local Anaesthetic

Thank you for your question and picture.  In similar patients I would suggest a lower facelift and neck lift would be the most beneficial to provide you with outcomes making the neck line smoother and the jowls and jawline contoured.  If your skin is loose, sagging or creating the appearance of jowls you may be a good candidate for a local anaesthetic Concept™ Facelift Surgery. This type of Rhytidectomy is unique as the facelift is performed under local anaesthetic, and is less invasive than traditional methods, meaning the cosmetic surgery has a significantly faster recovery time.

The Concept™ facelift is suitable for men and women who wish to reduce sagging in the lower face and neck and regain a more natural, rejuvenated appearance. The procedure is less invasive than a traditional facelift and there is less scarring, bruising and swelling for a significantly quicker recovery period

What are the benefits of Concept Facelift under local anaesthetic?

  • Minimally invasive as it is a short scar facelift
  • There is minimal bruising and swelling, especially when compared to traditional facelifts
  • As the procedure is performed under local anaesthetic, you can go straight home following the procedure
  • Full recovery in a matter of days rather than months
  • Significantly less risk than Facelifts performed under general anaesthetic
  • Fresh, youthful and long lasting results

Typically a cost of lower facelift and neck lift would be between £8500-£10,000, many clinics many provide finance option as well to make it more affordable for patients.

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 


thanks for your question and pictures. There are many options available to you in order to achieve the results you wants. Your best overall result would provide amazing results. That would be a full face and neck lift combined. There is no doubt that would give you the best result. However, noninvasive approaches (velashape to neck, 'mini facelift, fat grafting, laser treatment, etc) could all be combined in some form to give you a More minimally invasive result. Seek a bc plastic surgeon who can offer these to you. Best wishes

Facelift vs Neck lift best options

Even though a personal examination is necessary  for a confident answer to this question, I feel that  a surgical procedure is the only way to obtain a significant improvement. The  main elements that need to be corrected are the fat accumulation in the jowls, tightening of the lax neck muscles , and removal of excess skin in the neck area. An isolated neck lift, that will avoid any incisions on the face can improve these elements all at once. However, the overall best result , is likely  to come form a face lift that incorporates the neck lift muscle tightening called a platysmaplasty. Other non operative techniques such as facial fillers, Botox to the neck muscles and radio frequency tightening  of the skin  wound be useful as maintenance procedures as time goes on. 

Best regards, Prashant Soni 

Prashant Soni, MD
Danbury Plastic Surgeon
5.0 out of 5 stars 10 reviews

Least expensive and invasive surgery to correct neck and jowls?

 Hi, I have performed facelifts for over 30 years and have performed many minimally, invasive type facelifts.  From the photos your cheeks are flat anteriorly (in the front), there is excess fat below and in front of the cheeks, jowls are present and there is significant excess skin in the neck.  These factors combine to create a rectangular shaped face. 

 Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.  This would be combined with liposuction of the face and neck for further shaping.

  "Jowls” are sagging facial tissues and an indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.

 My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:

  • very small incisions and no incisions extend or are placed within the hair.
  • minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
  • can be performed in 90 minutes or less, with or without general anesthesia
  • no incisions within the hair = no hair loss
  • excess fat can be removed
  • excess skin removed
  • cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
  • most patients fly back home to parts all over the world in as little as 3 days post-op

 I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.

Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

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.