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.

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.

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.

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.

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'

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

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

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

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