Usual Method for Neck Lift?

They were supposed to have Neck lift (platysmaplasty) performed on me; instead, they  just put 2 sutures under my chin and the skin is still hanging on both sides of sutures. Is this the usual procedure during a Neck lift? What do I do now?

Doctor Answers 12

Neck Lift Usually Involves Incision Under Chin and Behind Ear

Thank you for your question. The procedure that you describe is not the usual Neck Lift.

A Neck Lift typically involves an incision beneath the chin and behind the ears so that neck muscles can be tightened and excess skin removed.

You should not have hanging skin on either side of the repair. See your surgeon.

Thread neck lift

Using sutures in the skin alone is a type of neck lift but it less invasive and thus less expensive and merits a discussion with a patient to make sure they understand what is being done.  This is usually an in - office minor procedure done with local anesthesia with shorter - lasting results than a true neck lift.  Make sure you are seeing a surgeon certified by the American Board of Plastic Surgery.

Samer W. Cabbabe, M.D.

Board - Certified Plastic Surgeon

St. Louis Plastic Surgery Consultants

Samer W. Cabbabe, MD, FACS
Saint Louis Plastic Surgeon
4.8 out of 5 stars 54 reviews

Necklift treatment

Placing two sutures under the chin to suspend it will not treat th loose skin. This would  need incisions around the ears to take out the excess.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 26 reviews

Necklift Options

Necklifts are designed to treat several neck problems;

1- Excess Skin

2-Excess subcutaneous Fat

3- Platysma bands - separation of the muscle under the chin

4- Excess subplatysmal fat - not treated by most doctors but very important for the best results.

5- Reduction in Digastric Muscle mass with tightening

6- Reduction in submandibular gland prominence


A platysmaplasty should address #2,3,4,5,and 6 through a small incision under the chin. #1 will depend upon the amount of sagging skin. If there is a large amount of skin then incision behind the ears will be needed. If not, skin can be treated with redraping.

Be certain your doctor addresses all these problems or the problems will recur - and fast!

Robert M. Freund, MD
New York Plastic Surgeon
4.8 out of 5 stars 32 reviews

Neck lift method

A neck lift typically does not tighten skin in the submental area. Platysmaplasty usually involves approximately ten sutures placed at the area underneath the chin between the Adam’s apple and the front part of the chin after the fat has been removed both above and below the platysma. If there is an excess skin problem, a full face/neck lift needs to be performed.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 139 reviews

Not Usual

I'm not sure what the surgeon did but this is not a well known procedure for neck rejuvenation. There are several approaches to neck rejuvenation. The submental approach utilizes a small incision under the chin to remove fat and muscle and tighten other muscles.

To really get neck rejuvenation requires an incision similar to a facelift incision but not quite as long. This allows a pull on the neck muscle, platysma, and removal of excess skin.

So see your surgeon or another one and get an appropriate evaluation and treatment.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
4.4 out of 5 stars 33 reviews

Neck Lift method depends

There are a lot of different ways to do a 'necklift'. Depending on how far out you are from your surgery, the results may be different. Go back to your surgeon to find out what was really done and what the goals were. Maybe your goals were not his/hers.

G. Gregory Gallico III, MD
Boston Plastic Surgeon
3.2 out of 5 stars 7 reviews

Neck Lift

Dear Eveline Debary, have you returned to your surgeon? how long has it been since your surgery? Generally after a procedure to shape and tighten the neck skin the area looks too tight at first and relaxes over the first month.

You should return to your surgeon for follow up and discuss the healing process.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 113 reviews

Neck Lift Technique

For a necklift, we usually perform a platysma muscle tightening through an incision under the chin. In addition, incisions within the back of the ears allow for further muscle tightening and better skin draping. We also remove neck fat for additional definition of the neck angle.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 47 reviews

Neck lift

There is no defined "neck lift".

It can range from:

  1. non-invasive radiofrequency treatments
  2. liposcuction with or without
  3. muscle suspension and/or repair with or without
  4. skin removal

Depending on what combination of these techniques are perfomed a variety of surgical procedures have been developed and given muliple names.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 79 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.