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[Aeton TV] Everything About Neck Lift Surgery for Improving a Sagging Jawline and Neckline

Etonne Plastic Surgery Clinic · 에톤성형외과의원 · May 15, 2025

The most effective surgery for improving a sagging jawline and neckline, without a doubt, is neck lift surgery. Why does the neck sag? It is not simply because of aging. Of course,...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Etonne Plastic Surgery Clinic

Original post date: May 15, 2025

Translated at: April 23, 2026 at 2:05 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

[Aeton TV] Everything About Neck Lift Surgery for Improving a Sagging Jawline and Neckline image 1

The most effective surgery

for improving a sagging jawline and neckline,

without a doubt,

is neck lift surgery.

Why does

the neck sag?

It is not simply because of aging.

Of course, age has a major effect,

but there are a few other reasons as well.

They can be broadly divided into three categories.

✔️ Gravity and aging

Our bodies are constantly

exposed to gravity,

and as we get older,

skin elasticity decreases,

so sagging is only natural.

✔️ Weight gain

As body weight increases,

fat tissue builds up under the chin,

which can make the neck look saggy.

✔️ Anatomical structure

Depending on the position of the hyoid bone,

which supports the neck,

the neckline may look less defined.

The hyoid bone supports the neck tissue

like a hammock,

and for people whose hyoid bone is positioned slightly farther back,

the neck can feel more tightly supported,

while for those who are born with it positioned farther forward,

the lines of the neck may appear a little less defined.

Let’s take a look at

how each case can be improved surgically.

1️⃣ Neck lift using a submental incision

A submental incision is effective

when there is a problem with the neck muscles,

especially the platysma.

This muscle runs from the collarbone

to the jawline,

and tightening it can make the jawline look much slimmer.

But

some people have severe vertical neck bands.

These appear because the platysma develops folds and looks like bands,

and if the muscle is directly cut through a submental incision,

the wrinkles can be softened.

Also, in some cases,

there is a significant amount of fat accumulated beneath the platysma.

This area is difficult to remove with liposuction,

so direct removal through an incision

can be more effective.

Lastly,

if the platysma itself is significantly separated,

it can also be corrected with a submental incision.

2️⃣ Neck lift using a behind-the-ear incision

This is a neck lift method using

a posterior hairline or behind-the-ear incision.

A behind-the-ear incision

is effective when the skin has sagged significantly.

It is difficult to remove enough loose skin

with a submental incision alone.

So the skin is lifted and tightened

through an incision behind the ear

or along the hairline,

and the excess is removed.

Because the platysma, which is partially attached to the SMAS layer,

can also be tightened at the same time,

this second method can be effective

when the skin is very loose

and the muscle tightness has diminished.

And

a behind-the-ear incision uses the same incision area

as a facelift,

so when performed together,

it can be advantageous in terms of swelling and recovery time,

making it a good option

for people undergoing a facelift at the same time.

3️⃣ Submental incision + behind-the-ear hairline incision at the same time

This is for cases where both neck muscle issues and skin sagging occur together.

If vertical neck bands are severe

and the skin is also significantly loose,

combining the two methods mentioned above

can produce greater results.

However, unfortunately,

neck lift surgery does not significantly improve horizontal wrinkles.

Horizontal wrinkles are a problem of the skin itself,

so options such as laser treatments or fillers

should be considered.

We hope you choose the method that suits you best

and regain a more beautiful neckline 👍

[Aeton TV] Everything About Neck Lift Surgery for Improving a Sagging Jawline and Neckline image 2

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