No Laser...having a Necklift Revision? (photo)

Can anyone suggest what the typical downtime is for a Neck Lift revision? Is it the same as for the original facelift.

Doctor Answers 6

Facelift Revision Through A Submental Approach

As a necklift treats the midline problem directly, there is going to be much less recovery than the original facelift. Through a small submental skin incision under the chin, the neck cords could be removed. It does not appear, based on these pictures, that you would need any significant skin redraping/tightening.

Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

How long does it take to recover from a neck lift?

Revision neck lift procedures can be accomplished through a small incision under the chin. This incision gives access to the area of the neck that needs to be revised. The skin is lifted off of the underlying muscle and the edges of the platysma muscle are pulled together and sutured. This will tighten the muscle and eliminate the banding appearance in the neck. I would visit with an experienced facial plastic surgeon to discuss your concerns and look at different options. 

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

No Laser...having a Necklift Revision?

    Necklift revision limited to a submental incision will involve some bruising and swelling that will be limited to the neck.  Given that the dissection is less, the recovery should be easier.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

The recovery can be less than the facelift itself.

Hi tvm70,

A necklift involves a small incision 1/2" to up to 1" or more depending on the surgeon's preference.  I like a 3/4" incision in the wrinkle under the chin.  It gives me enough room to see the muscle cord and tighten it but not make the incision too long from side to side. 

In some cases the muscle cords are too long and simply sewing the natural edges together is not enough.  I like to find the edges of the muscle and pull them across the middle.  If too much of the muscle overlaps past the middle of the neck, I will trim the excess muscle and sew the remainder of the muscle together.

All too often, surgeons do not perform a platysmaplasty or tightening of the platysma muscle under the chin.  Instead the facelift incision and tightening is "supposed to" tighten the muscle cords from the side.  Usually this does improve the neck in the short term for up to 3-4 months but often times the neck "falls" as early as 4-6 weeks after this method of necklifting.

In these cases, some surgeons simply do the same thing and try to pull on the neck again from the sides and again the neck is better initially and falls again.  Since the skin around the muscle band were not changed, and the tissues under the chin have a tendency to return to its original shape.

If the skin under the chin is separated from the muscle bands, then the muscle bands and any excess fat is "rearranged" into a better shape and "foundation" then the skin can lay over the strong foundation and be less likely to "fall." 

A necklift typically does not involve the incisions in front of the ear, which would make it a facelift.  Because the face itself is not operated on, there is less bruising on the face and it is limited to the neck area.  Many patients will take advantage of the colder weather to hide their necks with collars, jackets and scarfs.  Warm weather clothes make it hard to hide the bruising on the neck, and it will look like someone tried to strangle you.  The bruising can range from minimal to significant, but in general it is not a bruise that hurts.

In my experience, if there is significant skin hanging directly under the chin, a lower facelift or mini-facelift at the same time as the necklift is actually beneficial in helping the necklift result.  

Why?  The skin directly under the chin wants to smooth out in a vertical fashion.  If you take a flat ribbon and lay it directly under your chin, where does the excess ribbon lay once it passes your jawline?  It goes onto the face.  If you lay the ribbon on your neck below the transition from your chin to the neck, this ribbon will wrap backwards toward the area behind the ears.  If the skin under the chin is sagging too much, the skin removal behind the ear may not be enough and the facelift may need to be perform at the same time help "walk out the excess skin."

Face and necklift can be thought of as a more complex tailoring "job."  To best fit a person who may have lost some weight and their clothes don't fit as well as when they were heavier, often times you will need to open the entire seam and trim a small amount of fabric along the length of the seam then sew the new pattern together.  A good tailor will go to the trouble of opening it all up to make the clothes fit the best for their client.

If a tailor tell you she or he can simply take in the waist band without opening the center seam to also take in some fabric evenly along the center of the pants, this may result in pleats at the waistband similar to wearing a belt tight on pants which are too big.  Similar things happen with the supershort scar facelifts which don't extend the incision long enough to lay the skin down smoothly.

Sorry about going a bit off topic.  Hopefully the additional information will help you to better understand the necklift and facelift procedure.   

Good luck on your revision necklift.


Dr. Yang

George Yang, MD
New York Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews


Hello there

Well it depends on the extent of the surgery that your surgeon has planned for you but generally speaking you will have a faster recovery time. Bruising of course can occur and this can last 10 days but hopefully it won't be severe and you can hide it with make-up .


Terrence Scamp

Terrence Scamp, MBBS, FRACS
Gold Coast Plastic Surgeon
4.8 out of 5 stars 7 reviews

Neck Lift Revision

I  tell patients that the neck lift is less recovery then a facelift. In fact, it may be that a submental incision ( incision below the chin) with revision of the platysmal cording would be sufficient without skin redraping. You have not included a lateral view so it is difficult to say whether or not the postauricular incision would be required to redrape the skin. If you only require the submental incision with platysmal revision then you should be up and about in a day or 2.

David F. LaPatka, MD
Santa Barbara Facial Plastic Surgeon
5.0 out of 5 stars 2 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.