Improving Severe Neck Sagging: The Key to Neck Lift Surgery Is Deep Volume Reduction and Skin Repositioning

As we age, one of the concerns most frequently raised during facial lift consultations is sagging in the lower face, neck wrinkles, and neck laxity.

In particular, as people get older, they often experience a breakdown of the jawline, worsening of the double chin, loosening of the neck skin, and a less distinct boundary between the face and neck.

Because the face and neck are not independent structures but are connected as one unit, when sagging is severe, improving the face and neck together rather than correcting only the face has become the standard approach worldwide.

This is because it can restore the overall contours and balance more naturally than lifting only the face.

• Key Elements of Neck Lift Surgery -

Neck laxity is not simply caused by loose skin.

Multiple factors work together, including increased fat in the double-chin area, increased volume of the deep soft tissue beneath the platysma, and reduced skin elasticity accompanied by skin laxity.

The concept of a neck lift: deep volume, neck laxity, pelican neck surgery, turkey neck surgery. Source: Aesthetic Surgery Journal

Therefore, the concept of a neck lift is not limited to simply pulling the skin upward.

It is more appropriate to understand a neck lift as a process of appropriately reducing excessive deep-tissue volume and naturally repositioning loose skin to redefine the contours of the jawline and neck.

Deep fat under the double chin. Double-chin fat removal. Double-chin surgery. The partial model has consented to publication.

Digastric muscle reduction. Digastric muscle removal. Double-chin muscle tightening. The partial model has consented to publication.

Lifting the platysma together during facial lift surgery is a very important step.

In particular, the extent to which the platysma in the neck is appropriately tightened and repositioned can significantly affect the changes in the jawline and neck contour.

In addition, when there is excessive fat or soft-tissue volume beneath the platysma, it is necessary to appropriately reduce it within the required range.

This is closer to the concept of organizing the internal structures of the neck than simply pulling from the outside.

Skin repositioning is also a very important factor.

Retaining ligaments of the face and neck. Retaining ligaments of the neck.

Rather than simply pulling the skin tightly, the retaining ligaments of the neck and fine fibrous adhesions must be sufficiently released so that the skin can be naturally repositioned upward and securely settle into place.

A smoother and more natural neck contour can be created when the reduction of deep-tissue volume and skin repositioning are properly balanced.

• Before and After Neck Lift Surgery for a Woman in Her 70s -

In this woman in her 70s, severe double-chin fullness and loose neck skin were accompanied by age-related skeletal changes.

Before and after double-chin surgery. Double-chin surgery review. Before and after pelican neck surgery. Pelican neck surgery review. The partial model has consented to publication.

Before and after neck lift surgery. Neck lift surgery review. Before and after a neck lift. Neck lift review. The partial model has consented to publication.

Neck wrinkle removal. Neck wrinkle surgery. Neck lift. Neck lift surgery for a woman in her 70s. Facial lift surgery for a woman in her 70s. The partial model has consented to publication.

Of course, anatomical limitations exist due to her age, as well as changes associated with forward-head posture and the position of the hyoid bone.

In particular, the position of the hyoid bone and the skeletal structure of the neck are difficult to change completely through surgery, so the results may also have certain limitations.

Nevertheless, through a neck lift that reduced excessive deep-tissue volume and appropriately repositioned loose skin, it was possible to substantially improve the neck contour, which had sagged considerably for her age group.

The boundary between the jawline and neck became more defined, and the overall appearance also looked more refined.

The purpose of anti-aging surgery is not simply to create a younger-looking face, but to achieve the most natural and balanced change possible for the face as it is now.

Facial lift surgery for a woman in her 70s. Neck lift surgery for a woman in her 70s. The partial model has consented to publication.

For information about undergoing a neck lift together with a facial lift, please refer to the blog post below.