Necklift Vs. Mini Lower Facelift for Sagging Neck, Which One?

I am 47 years old and my neck is starting to sag, while my face is still just fine. I think a lower facelift would be premature, but my neck bothers me. Dr. #1 agreed that I do not need anything done on face, suggested neck lift only, return when I need lower face addressed. Dr. 2 suggested lower minilift ("S" lift) in order to "blend" face in, said it could last 8-10 years. Minilift is certainly more cost effective, but I have heard minilifts don't last as long, aren't as effective?

Doctor Answers 15

Neck Lift Almost Always Includes Lower Facelift

Thank you for your question.  The muscles and skin of the neck and lower face are components of the same aesthetic unit. Aesthetic surgical procedures must treat them together.  In my experience when performing a neck lift I almost always treat at least the lower face at the same time.  The risk of doing only a neck lift procedure without re draping the skin of the lower face and jawline is that it will create an inharmonious appearance to the face and neck.

Neck lift +/- lower face lift

I agree with Dr. 2. The neck and lower third of the face is really one subunit. Treating a neck independently almost always results in an unnatural outcome. While I agree that you may not need a full facelift, you should definitely address your lower face, jowls, and mandibular angle in conjunction with any neck lifting procedure.

Marcelo Ghersi, MD
Miami Plastic Surgeon
5.0 out of 5 stars 137 reviews

Necklift Vs. Mini Lower Facelift for Sagging Neck

Thank you for your question. We do a mini lift, and include the neck and tightening of he muscles, but not all do that.  My point is that each doctor/surgeon has a list of different things included in the procedure so finds what is exactly going to be done, and plan for that.  We find that doing a neck only leaves some loose skin in the lower face so a mini has worked better for us, well our version of a mink.  Check them all and find out what is included.   I hope this helps.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 25 reviews

Necklift vs. Mini Lower Facelift

Based on my experience of performing several revision facelifts, I find that although mini implies less recovery, it can also imply less results.   

The art of necklift surgery lies in appropriate restoration of the muscular anatomy, which is the foundation of the neck.   The excess fat can be directly excised or liposuctioned and the loose skin conservatively excised.

In my experience, it is difficult to fully correct and tighten the neck muscle to sufficient tension without some degree of iv sedation or anesthesia.    The tissues will always relax to a small degree, so I find it paramount to restore the muscular anatomy to give my patients a long lasting result they will be pleased by.

I wish you a safe recovery and beautiful result!!

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 82 reviews

Necklift Vs. Mini Lower Facelift for Sagging Neck, Which One?

       A neck lift or combination neck lift/lower face lift are probably your two options.  An exam would be necessary to determine what would be most effective.  Minilift is just a term, and I would look at patients before and after photo galleries to get an idea of the results that a surgeon generates.  Find a plastic surgeon with ELITE credentials who performs hundreds of facelifts, necklifts, and facial procedures each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Neck left versus mini lower face lift

 A  neck lift can be performed with and without skin  removal, but generally addresses the removal of fat and neck and tightening the anterior platysmal bands. A lower face neck lift will lift the jowls as well as  removing  excess skin and fat in the neck and tightening the facial and neck muscles.  The amount of excess skin laxity in the lower neck will determine which procedure to perform. Please see  the link below to our photo gallery for neck lifts and facelifts to see the difference

William Portuese, MD
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 126 reviews

Necklift Vs. Mini Lower Facelift for Sagging Neck, Which One?

While a neck lift alone is OK, it almost always creates more improvement when combined at least with a lower facelift. However, without photos it would not be possible to comment on your particular situation.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 24 reviews

Necklift Vs. Mini Lower Facelift for Sagging Neck, Which One?

 Photos of your face and neck would help in the evaluation.  If you are happy with the face and have a small amount of excess skin under the chin....this can be removed through an isolated procedure that can be performed under local infiltration without a formal Necklift or partial facelift.

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


It is hard to tell without pictures but the options include liposuction only, open necklift with no skin removal, face/neck lift, or direct necklift. These all have their place depending on the anatomy of the neck. Most neck procedures can be done under local anesthesia in office to keep the cost down.

Neck lift v.s facelift

There are several different types of facelift techniques that are currently performed by facelift surgeons. The most important factor is that the technique that is used by a facial surgeon will create a youthful, natural with long lasting result. Experience is the key in facial rejuvenation. Vectors of facial tightening vary from patient to patient. For a 45- 50-year-old patient, I would not apply the same vector and tension that I normally apply to a 70-year-old face. In addition, direction of vectors must be modified during secondary or tertiary facelift to avoid artificial look. I have performed well over 2500 facelifts and published a specific technique that describe the rotational angles and amount of tension that must be applied during SMAS plication to avoid over or under tightening. A well-performed neck lift during facial rejuvenation is the paramount in a youthful-appearing face. I apply gradual tension on my SMAS as follow: starting at temple area there is only 20-30% tension on muscle plication, once at the jawlines the muscle is tightened 100%. This prevent pulled looked at the corner of mouth. In neck area the muscle must be tighten with greater tension than 100%, depending on the neck laxity. Look at the doctor’s before and after pictures, a talented and experienced facelift surgeon will have a smooth and well-contoured neck that enhances the facelift results. There is no substitute in experience and artistic eyes.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
4.9 out of 5 stars 178 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.