Lower face lift - chin incision?

Hi, is it necessary to have an incision under the chin, in addition to those around the ear, when having a neck/lower face lift?

Doctor Answers 11

Lower Facelift- Chin Incision

In some cases chin incisions are needed for extra access to the neck.  This is not always needed.  I try to do the playmaplasty and fat removal using the incisions around the ear and back of neck.  In general, this technique gives plenty of access to the neck.


Atlanta Plastic Surgeon
4.9 out of 5 stars 55 reviews

Lower face lift - chin incision?

Unfortunately, it is typically necessary to have an incision under the chin.  This incision typically heals very well.

The attached link provides more information on lower face and neck lift incisions.

I hope this helps. 

Timothy R. Miller, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

About the Incisions with a Lower Face Lift

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. The LiteLift™ is an innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself which benefits many male patients. 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. It is also individualized for each patient.
The technique requires limited incisions and takes a vertical lifting approach, in contrast to the traditional facelift, which requires extensive incisions and lifts or pulls the face towards the ears horizontally. The modern techniques used allow us to perform most LiteLift® procedures in the office under local anesthesia. Also, removing the risk of general anesthesia opens the door for more people to pursue facial surgery. All too often people do not move forward with undergoing the desires facelift surgery due to their overwhelming fear of the risks associated with general anesthesia.

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 that are discussed below. 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 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™.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

Chin Incision from neck lipo or platysmaplasty

Thank you for your question, an incision under the chin would only be necessary if neck liposuction or platysmaplasty was needed as well as a neck lift.  Please seek advice from a plastic surgeon consultant who can assess which procedure would be needed to give you your desired outcome.  All The Best 




Neck lift

we can do a lot through this small incision under the chin, we can remove and contour fatty tissue, we can tighten the muscle and sometimes if needed remove a small piece of muscle. 

Ali Totonchi, MD
Cleveland Plastic Surgeon
5.0 out of 5 stars 8 reviews

Lower Facelift is Chin Incision Needed

Dear shining, This small incision is generally placed in the natural crease and heals well with minimal visibility if any. This incision is necessary on some patients in order to provide the proper contouring and/or repair of platysma bands. During consultation your surgeon can discuss the options based upon your personal anatomy. In my office I typically have many patients coming in for follow up appointments in various stages of post operative recovery from a facelift. So I often show consulting patients the incisions that way they have a full understanding of their placement and also helps set their mind at ease regarding visibility. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 199 reviews

Chin Incision with Lower Facelift?

An incision located in the skin crease below the chin is often used for contouring of the fat in your neck and to repair the separated platysma muscles which create the visible bands in the neck. If you do not need correction of these problems then the chin incision would not be necessary, although your question was in reference to a "lower" facelift which suggests that these are issues that need to be addressed. 

Lower face lift - chin incision?

Whether an incision in a natural crease  under the chin is necessary  depends on the individual anatomy of the patient and the desired outcome.

I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with who extensive experience in performing facelifts. You should discuss your concerns with that surgeon in person.

Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you.

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 19 reviews

Submental chin incision for

Thanks for sharing. Yes it is necessary for the submental incision to be made with a neck lift part of a neck lift / lower facelift.  Through this incision the liposuction is performed to remove fat as well as the important platysmaplasty to tighten the neck waddle.  Although a small bit of skin can be removed here, the neck skin  is really removed from the incision behind the ears and along the back hairline. This incision is placed in or near the natural submental crease and heals very nicely. If you opt not to have lipo and a platysmaplasty then the incision would not be necessary. 

Raymond E. Lee, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 72 reviews

Lower facelift-chin incision?

In our practice, the chin incision is located in the mandibular crease underneath the chin which allows access to be able to tighten the  neck muscles( platysma plasty) and remove the fat deposits above and below the platysma muscle itself. Without a chin incision, it's  impossible to perform the appropriate neck work in order  to rejuvenate the neck. We perform a high-SMAS lower face and neck lift which also accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, and lifting the jowls. For more information  and many before-and-after examples, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 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.