What is the Difference Between Neck Lift and Lower Face Lift?

The pictures make the results look pretty similar. What are the differences in operation?

Doctor Answers 24

Neck and lower facelift

The difference between a lower facelift and necklift is probably minimal and in fact might be the same procedure with just different terminology. The names of different lifts in the face and neck can be confusing as they expand but each patient needs to be evaluated to see what type of procedure would be best for them.. Although a lot of catchy names are out there dont be mislead by these but seek out advice from a Board Certified Plastic Surgeon who has a lot of experience with facial cosmetic surgery..

Chevy Chase Plastic Surgeon
4.5 out of 5 stars 6 reviews

Facial aging doesn't stop at the neck line.

The face and neck age together and for the most part a neck lift should include elevation of the lower face. Conversely a lower facelift should include tightening of the neck. In most cases the operation is essentially the same  but may be called a neck lift or a lower facelift depending on the surgeons preference. The one exception is an isolated platysmaplasty which can tighten the mid line neck without having any effect on the face. When performed on its own it is used to improve a sagging neck in a young patient who has no other signs of facial aging.

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
5.0 out of 5 stars 89 reviews

Lower Face Lift vs Neck Lift

You can try to keep things separate by discussing the lower face (from the cheekbone to the jawline) and the neck (from the jawline to the clavicle), but they are closely related.  If a patient only has muscle bands in the neck with minimal skin laxity, it is possible to do a truly isolated neck lift (by tightening the muscles, and allowing the skin to re-distribute)--but most of the time patients also have significant skin laxity.  When you need to remove excess skin from the neck, a scar will be placed in-front of the ear (to avoid "bunching" of the skin infront of the ear), and that means the cheek has been undermined.  Because of this, the neck operation has crossed-over into the lower face, and you might as well address the jawline.  It is important to discuss your desired outcomes with your surgeon, and listen to how they plan to achieve your goals - it should make sense.  How the operation is named is a bit superfluous.

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Neck vs lower face lift. What's the difference?

Neck vs lower face lift.  What's the difference?  Nothing other than semantics.   There are a lot of names flying around out there for facial rejuvenation procedures and you the patient have to be careful and do your homework to make sure you know exactly what you're buying and consenting.   Make sure your surgeon explains, and shows you, what the procedure can accomplish, location of incisions, and potential pitfalls or complications.  

James Wire, MD
Minneapolis Plastic Surgeon
5.0 out of 5 stars 7 reviews

Neck lift and Face Lift same thing

I consider a necklift and a lower facelift to be the same thing. The incision is mostly behind the ear and fixes the neck and jowls only. In my office it is done under local anesthesia and takes 1 hour with great results.

Neck lifts and lower facelifts

Aging is not restricted to only the neck area, so it would be unlikely to only need a necklift without the incorporation of the lower facelift as well.  As I perform the surgeries, I include the lower facelift with my necklifts for most of the patients.  Excess skin tightening as well as better muscle tone should include elevation and lateral rotation of the platysmal and SMAS layers with the neck and lower facial skin.


Good luck .


Frank Rieger M.D.  Tampa

Necklift vs Lower facelift differences

A necklift addresses the sagging skin in the neck and under the chin.  It isn't meant to address jowl tightening.  A lower facelift will tighten the neck, the jowl, and some of us also can perform a cheek lift at the same time. 

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.5 out of 5 stars 38 reviews

Necklift versus Lower Facelift - What is the Difference?

Thank you for your question. A lower facelift tightens and restores the entire face, neck, jawline, jowls, cheeks, midface and lateral brow.  A neck lift concentrates on the neck below the jawline. Hope this answers your question.  Best of luck to you!

John A. Kotis, DO, FACS, FACOS
Chicago Plastic Surgeon
5.0 out of 5 stars 13 reviews

Necklift versus Lower Facelift - What is the Difference?

A lower face lift is always combined with a neck lift but the opposite is not necessarily true. The incisions are almost the same, they go higher to the sideburns in a facelift. A lower facelift corrects the jowls while a neck lift tightens the neck skin and muscles and improve the neck profile.

Mohammed Alghoul, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 10 reviews

Necklift versus lower facelift.

Surgeons differ as to precisely what these terms describe.  Simply put, a necklift refers to a procedure that improves the appearance of the structures below the jawline while a lower facelift refers to the lower half of the face, above the jawline.  They are commonly performed together, to the point they may be inseparable.  A necklift will often require an additional short incision beneath the chin.

Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 13 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.