Neck Lift

What is the Neck Lift Procedure for?

A neck lift is an anti-aging cosmetic surgery that removes excess skin and fat from the neck area to improve visible signs of aging. The neck lift may also be referred to as a lower rhytidectomy or platysmaplasty, named for the platysma muscles located along the neck.

The following is a list of concerns that the neck lift can correct:

  • Excess fat and sagging skin in the lower face that creates jowls.
  • Excess fatty deposits under the chin.
  • Turkey wattle or a double chin resulting from fat deposits under the chin.
  • Sagging neck skin and excess skin in the neck.
  • Abnormal contours in the neck resulting from muscle banding.

The goal of the neck lift is to address age-related wrinkles and creasing in the neck area to ultimately provide a natural looking neck and a smoother, slimmer profile. This procedure can be performed on its own, but it is often combined with other types of facial surgery, like a facelift. While results are long lasting, undergoing a neck lift cannot stop the natural aging process.

Who is a Candidate for Neck Lift Surgery?

Good candidates for a neck lift are typically healthy, non-smoking adults without any medical conditions that negatively affect healing. It is important that individuals maintain a positive outlook as well as having realistic expectations of what this procedure can accomplish.

Some candidates may choose the neck lift over a full facelift as they feel their upper face is still youthful, but they are unhappy with excess wrinkling of the neck skin, a double chin or turkey wattle, and jowl lines. When the appearance of the neck is significantly different from the appearance of the upper facial area, neck lift surgery is often a good solution compared to other plastic and reconstructive surgery options.

How is the Neck Lift Procedure Performed?

Initial Consultation

Before undergoing the neck lift procedure, the patient must first schedule a neck lift consultation with our board certified plastic surgeon, Dr. Brandon Kallman. During this consultation, Dr. Kallman will ask you about your medical history. This includes any prescription or over-the-counter medications you are taking, whether you are pregnant or breastfeeding, and whether you have had any past surgeries. It is extremely important to share this information with Dr. Kallman to ensure that neck lift surgery is a safe cosmetic procedure for you.

During the consultation, you will discuss your desired outcomes and whether these results can realistically be achieved through neck lift surgery. This consultation is also the time when photographs may be taken of the target location to help Dr. Kallman plan the surgical process and decided which surgical techniques are right for you. Contact us to schedule a consultation.

Preparing for Surgery

Before your surgery, it is important to:

  • Cease taking any blood thinning medications, including aspirin, for up to two weeks prior to the procedure.
  • Refrain from smoking for a minimum of two weeks prior to surgery. It is recommended that patients quit smoking entirely as smoking tobacco promotes the formation of wrinkles as well as slowing recovery and healing.
  • Limit sun exposure for at least two weeks prior to surgery.
  • Do not eat or drink anything six hours before your scheduled surgery as general anesthetic is typically used for this procedure.
  • Ensure you have purchased any recommended recovery items before your appointment. Be sure to ask for recommendations during your consultation.

Neck lifts are usually performed on an outpatient basis depending on the extent of the surgery. In these cases, since general anesthesia is typically used, we ask that you plan to have a family member or close friend pick you up after your surgery.

The Surgical Process

Neck lift surgery begins by administering either general anesthesia or a combination of local anesthesia and a sedative to the patient based on individual physiology. The next step is the incision. Depending on your treatment goals, either a traditional neck lift or a limited incision neck lift will be used. In a traditional neck lift, the incision typically begins in the hairline of the sideburn, continuing down and around the ear to end in the posterior hairline. For the limited incision neck lift technique, incisions may only involve shorter incisions behind each ear. Note that the results of this surgical approach may be less significant.

Once the incision is made, your plastic surgeon may sculp or redistribute fat from the neck and jowls. The tissue beneath the neck skin is then repositioned. At this point, the platysma muscle is typically tightened. Your experienced board certified plastic surgeon will then re-drape your skin over the now uplifted contours followed by trimming away any excess skin. For many patients, an additional incision is made under the chin to perform liposuction in the neck area as well as to repair the muscles.

Finally, your surgeon will close the incisions with sutures and, in some cases, skin glue as well. Depending on the surgeon performing the neck lift, dissolving sutures may be used otherwise sutures will be removed in a few days. Since the incision is made along the hairline, any scarring is usually well concealed.

Your doctor will likely prescribe pain medication to make your recovery more comfortable. Be sure to follow any and all instructions carefully. Contact your doctor if you have any questions.


Dramatically improves visible signs of aging in the face and neck such as jowls, excess or lack of fat, and wrinkly, loose skin.

DR. BRANDON KALLMAN, Miami's Best Necklift Surgeon

Face Miami’s Dr. Brandon Kallman, MD. is Miami’s best facelift surgeon. He brings over 27 years of experience as an Aesthetic, Cosmetic, and Board-Certified Plastic Surgeon to his prestigious practice. Miami men and women trust his extensive expertise in a diverse range of facial cosmetic procedures, and he’s renowned as a rhinoplasty specialist.

When choosing a board certified surgeon, it is important to select a doctor with skill and experience. Dr. Brandon Kallman is rated 5 stars on ratemd, healthgrade, vitals, and real self, can help you create a result that fits in with your other features and looks natural. He can also help you understand the benefits and limitations of your chosen procedure, so that you can make the decision that is right for you.

Recovering from Neck Lift Surgery

Following surgery, you doctor may place a bandage around your face and neck to help reduce any swelling and bruising. It may take several weeks to months for the swelling to completely subside. A thin drainage tube may also be used to remove any excess blood pooling under the skin. Swelling, redness, tightness, numbness, and bruising are normal symptoms following neck lift surgery. The first week following a neck lift is the most uncomfortable part of the recovery process. As mentioned, your surgeon will use bandages to cover the incisions as well as instructions on how to change them at home. You will need to keep your head elevated at all times, including during sleep. Most patients begin to feel better within the first week after a neck lift. Stiches are typically removed at this point and you should be able to slowly return to your regular, daily routine. However, strenuous activities and exercise should be avoided. Many people return to work after one week if the job does not involve hard physical activity.

Associated Surgical Risks

As with any surgery, the neck lift has some risks associated with it. These include the following:

  • Hematoma, which refers to bleeding beneath the skin.
  • Adverse reaction to the anesthetic.
  • Thick scarring.
  • Blood clots.
  • Infection.
  • Nerve injury.
  • Skin loss.
  • Open wounds.
  • Unsatisfactory results.
  • Potential for revision surgery.

How Long do the Results Typically Last?

The full effects of the neck lift procedure may take up to six months to appear as incision lines mature and swelling and bruising dissipates. To maintain results, it is important to use sun protection and live a healthy lifestyle. If the neck lift procedure is performed by a skilled American board certified plastic surgeon, results can last from 10-15 years.

Alternative Surgeries and Treatments

Alternative, non-surgical treatments are also available for individuals looking for a less invasive solution than a neck lift. The following is a brief list of these alternative treatments:

  • Botox injections can be used to help reduce the appearance of wrinkles in a sagging neck. Treatments must occur every three to four months to maintain results.
  • Fractioned ablative laser treatment works by selectively destroying the first two layers of skin, which promotes new collagen growth as well as textural improvements and skin contraction. This treatment is usually best suited for patients with moderate signs of aging.
  • Injectable dermal fillers used for non surgical nose job, may help reduce the appearance of wrinkles as well as to restore lost skin volume on the neck. Dermal fillers can induce collagen growth to tighten the neck skin.
  • Kybella is another injectable treatment to remove excess fat under the chin and upper neck. Kybella works by metabolizing fat cells. This procedure is usually repeated around four times to achieve maximum, natural looking results.
  • Ultherapy is a treatment that uses ultrasound technology to penetrate the skin to treat the subcutaneous tissue layer of the neck and chin area. Ultherapy improves wrinkles and creates a more youthful appearance by stimulating collagen growth. Results can last for up to one year.


Face Miami’s very own Dr. Kallman specializes in Aesthetic Surgical procedures. These include Rhinoplasty, facial rejuvenation, eyelid and eyebrow lift surgeries, fat transfers and more. Watch the video to learn more! 

Dr. Kallman is Board Certified by the American Board of Plastic Surgery. He re-certified his Plastic Surgery Board Certification in April 2005 and 2015- one of the first doctors in South Florida with this recertification.
An active member of the American Society of Plastic Surgeons, American Society of Aesthetic Plastic Surgery, and The Greater Miami Society of Plastic and Reconstructive Surgeons, he’s in an elite class.
Because of this wealth of knowledge and passion for cosmetic surgery, he has lectured extensively around the world- particularly on the intricacies of primary and secondary rhinoplasty , ethnic rhinoplasty and revision rhinoplasty.
An avid researcher, he continues to study innovations in lip augmentation, brow lifts, state of the art blepharoplasty, fat transfer surgery, breast implants surgery, nasal reconstruction, and anti-aging therapeutics.

Skill & Experience

 Call the office today for your consultation and come see what the possibilities are