What Are the Advantages of Getting a Neck Lift Incision Under my Chin?

Is the "chin incision" neck lift technique the best choice for sagging skin on my neck?

Doctor Answers 15

Neck Lift Advantages of Incision Under Chin

Thank you for your question.

The incision beneath the chin during a Neck Lift allows the surgeon to repair the muscles of the neck.

If you have two bands running under your chin down the neck-often called a "turkey neck" then an incision under the chin is necessary for correction.


Neck Lift

If you have bands on your neck there is no way to bring them together without an incision under your chin. This heals very well and can barely be seen

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Neck lift incisions

Whether you need an incision just under the chin, or whether you also need one behind and/or in front of ears depends on how much extra skin you have.  The incision under the chin typically does not allow removal of significant amounts of skin.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Chin incision for muscle repair -a special part of necklift

In addition to redraping skin with a necklift, several other issues may need attention depending on you as an individual.  Excess fat in the neck can be removed without a significant incision using liposuction.  Banding from the platysma muscle required the incision under the chin in order to join the muscle bands back together in the midline.  Not all patients require this, it is specific to how you've aged.  An experienced facelift/necklift surgeon can advise you on the necessity of the midline incision.  This is usually performed in conjunction with a facelift or necklift but is occasionally performed as a stand along procedure -platysmaplasty -in patients who have already undergone a facelift or necklift or who don't yet have alot of skin redundancy but who have muscle banding in the neck that is not responding to Botox.

Lawrence Bass, MD
New York Plastic Surgeon
5.0 out of 5 stars 10 reviews

Advantage of sub mental incision

To perform a neck lift which includes plication of the platysma, the submental incision is necessary. if you have a "turkey neck" and a lot of excess skin, then additional incisions around the ear may be required to correct the problem. To determine which method and incision is appropriate for your situation, you would need to see a board certified plastic surgeon in consultation.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Benefit of submental incision

In certain cases the incision under the chin allows your surgeon to perform a platysmaplasty. This involve suturing the platysma muscle to itself in the midline like a corset. You may or may not also need incisions back by your ears to complete the lateral lifting.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Neck lifts

I do not find that a submental incision alone addresses sagging skin to the neck, and this requires a facelift procedure to redrape the skin. The submental incision may or may not be required. If you have banding (cords) to the neck a platysmaplasty is often required to tighten the lax neck muscles, in conjuction with the facelift procedure. 

Christian A. Prada, MD, FACS
Saint Louis Plastic Surgeon
5.0 out of 5 stars 260 reviews

What Are the Advantages of Getting a Neck Lift Incision Under my Chin?

It depends on the type of Neck Lift that you are having.  All Neck Lifts, including the traditional Neck Lift uses an incision under the chin in order to gain access to the Platysma muscle for tightening.  This incision also allows for some localised skin removal.  In limited direct neck lifts, this incision allows for fat reduction and skin removal.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 26 reviews

Neck lift may reqire more than a chin incision

A chin or sub-mental incision is best if the muscle and skin laxity of the neck is in the central portion of the neck and the skin is not too loose.  This incision allows tightening the neck muscle in the center and removal of fat under direct vision.  If there is a significant amount of loose skin (turkey neck), then additional incisions will be required in front and behind the ear to allow removing the skin laterally as well.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon
4.7 out of 5 stars 13 reviews

Neck lift scars best options

The placement of neck lift scars depends on the nature of the neck problem:

  1. Significant fat deposit in the are below the chin with good skin tone = limited neck lift with short incision in the neck and liposuction
  2. Lots of skin laxity with "wobble" and folds = limited incisions in front or around the ears
  3. Lots of skin and significant fat with "bands" extending from the chin down = incision in front or around the ears PLUS incision under the chin

Neck lift is a great less invasive way to rejuvenate a face without a more extensive Facelift.  A new option include the SmartSculpt technique using the SmartLipo laser to tighten the lower face and neck with minimal incisions.

Mario Diana, MD
Plano Plastic Surgeon
4.5 out of 5 stars 28 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.