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Neck Lift Combined with a Facelift

Garnet Plastic Surgery · 가넷성형외과의원 · November 14, 2024

When the face shows signs of aging, not only does the skin of the face sag, but sagging in the area from the double chin to the neck also occurs. For this reason, among those consi...

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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: Garnet Plastic Surgery

Original post date: November 14, 2024

Translated at: April 23, 2026 at 1:51 AM

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

When the face shows signs of aging, not only does the skin of the face sag, but sagging in the area from the double chin to the neck also occurs. For this reason, among those considering a facelift, many also think about a neck lift.

In fact, because the face and neck are connected structures, it is difficult to define exactly where the face ends and where the neck begins.

In facelift surgery, dissection of the SMAS layer is very important. The SMAS layer in the face continues into the platysma in the neck, and the SMAS layer and the platysma are the same layer.

Neck Lift Combined with a Facelift image 1

Real model of a facelift and neck lift in a person in their 50s. This is a real model who gave consent for publication.

A woman in her 50s visited the clinic due to facial sagging. Because she is nearing her late 50s, there is sagging in the face, but sagging in the double chin and neck is also observed.

Neck Lift Combined with a Facelift image 2

Fat accumulation in the double chin. Loosening of the platysma

As people age, skin sagging in the lower face becomes more pronounced, and fat accumulates in the double-chin area. Aging of the neck also becomes more severe as the neck muscle called the platysma loses its elasticity and begins to sag.

'Facelift and Neck Lift in Your 50s'

In a facelift, there are incisions in front of the ear and behind the ear based on the ear. To lift a sagging neck, an extended incision toward the back of the scalp is necessary.

Neck Lift Combined with a Facelift image 3

Areas lifted by each incision in a facelift and neck lift

Because the sagging skin of the double chin and neck can be addressed through the incision line starting from the earlobe and extending behind the ear to the back hairline, the results are excellent when a neck lift is performed together with a facelift.

Neck Lift Combined with a Facelift image 4

Fixation direction of the platysma in a neck lift. Location of the mandibular retaining ligament. Course of the facial nerve

The most important point when performing a neck lift together with a facelift is to find the platysma well from the lower face along with the SMAS layer and lift it.

The lifted platysma is fixed to the mastoid fascia, the firm tissue behind the ear, to prevent the platysma from sagging again.

Also, if there is a large amount of fat accumulation in the double chin, delicate liposuction is necessary.

In addition, to lift the jawline and neck, dissection of the retaining ligament is also important. The mandibular retaining ligament must be released at the appropriate layer so that the skin of the face and neck can move upward well.

Because the marginal mandibular branch of the facial nerve runs around the mandibular retaining ligament, the retaining ligament must be dissected without damaging this nerve.

'Before and After Neck Lift Surgery in Your 50s'

Neck Lift Combined with a Facelift image 5

Facelift and neck lift review in a person in their 50s. Neck lift review in a person in their 50s.

Neck Lift Combined with a Facelift image 6

Facelift and neck lift review in a person in their 50s. Neck lift review in a person in their 50s

Neck Lift Combined with a Facelift image 7

Before and after facelift and neck lift in a person in their 50s. Before and after neck lift in a person in their 50s

Neck Lift Combined with a Facelift image 8

Before and after facelift and neck lift in a person in their 50s. Before and after neck lift surgery in a person in their 50s

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