Facelift and neck lift are separate procedures in very specific group of patients. When we are talking about a pure necklift with a very young patient, it could be because they have experienced a significant weight loss or, have a very specific issue with their neck. With patients over 40 years of age, it is very difficult to seperate a facelift from a necklift because the aging process creates changes in both areas. Also, the platysmal muscle, which is involved in the face and neck, starts at the medial cheek and ends at the collar bone so, it's very difficult to seperate neck and facelift in older patients. In your specific case, you need a facelift which would also involve a necklift . We will be working on the areas of your medial cheek and also on your neck and this would be the best option to address your jowls. So, in older patients when we say Facelift we actually mean face and necklift. One of the most powerful techniques we can use to reshape the jowls and the mandibular line, is a Deep Plane technique.