Hello and thank you for your question. SmartLipo is ideal for removing fat in the neck and jowl areas. Since a facelift treats the skin above these areas, a facelift and SmartLipo complement each other very well and are often performed together with great results. Because they treat different aesthetic concerns, they are not interchangeable procedures. There are alternatives for SmartLipo, including a neck lift for more serious symptoms, and Kybella for more moderate symptoms. SmartLipo remains one of the most highly effective and reliable treatments for contouring the neck area. Schedule an in-person consultation with your board-certified facial plastic surgeon to discuss your concerns and identify the best course of treatment. Good luck! - Elbert T. Cheng, MD