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Houston Cranio Facial

3 Things to Know Before a Neck Lift

You’re not imagining it. The neck often ages faster than the face, thanks to thin skin, repetitive muscle movements and less protection from the elements. No amount of skincare can address the deeper structural changes that happen over time, but a neck lift can restore a smoother,  more youthful appearance. Before you schedule your consultation, there are three important things you should know about this transformative procedure. Keep reading to learn more.

What Is a Neck Lift?

First, let’s review what a neck lift is.

A neck lift is a surgical procedure performed to smooth and tighten loose skin below the jawline, including the neck and submental area. It is particularly effective at treating horizontal neck lines or wrinkles, vertical neck bands (also known as plastysmal bands), sagging, localized fat deposits that create the appearance of a “double chin,” contour irregularities and crepey skin.

When performed by an experienced, board-certified plastic surgeon like Dr. Payne, a neck lift provides comprehensive results, giving you a firmer, smoother and more defined facial profile.

1. A Neck Lift Isn’t Just About Removing Excess Skin

Most people think a neck lift = skin removal. While that is certainly an important part of the equation, a neck lift does far more than simply remove loose or sagging skin.

What Actually Happens During a Neck Lift

The procedure typically involves three key components that work together:

  • Muscle tightening: The platysma muscles in your neck can separate or weaken over time, creating vertical bands or a loose appearance. These muscles are repositioned and tightened during surgery.
  • Fat removal or redistribution: Sometimes there’s too much fat under the chin, other times, there’s too little in certain areas. The right surgeon knows the difference.
  • Skin redraping: Only after addressing the deeper structures is excess skin carefully removed and the remaining skin redraped for a smooth, natural contour.

When all three elements are addressed properly, you get results that look natural and age gracefully. Much like a finely tailored suit, the most refinement comes from expertly adjusting the seams and structure underneath the fabric so the final fit feels effortless. Patients often remark that people notice they look rested or refreshed, but can’t quite put their finger on what’s changed.

At Texas Liposuction Specialty Clinic, this same level of craftsmanship defines Dr. Payne’s work. His fellowship training in craniofacial surgery gives him a deeper understanding of facial anatomy than most plastic surgeons, so his approach is thorough, artistic and precise.

2. Neck Lift Recovery Involves 7-10 Days of Downtime

A neck lift is a surgical procedure, so some downtime is expected. But it’s more manageable than you might think, especially when you work with an experienced surgeon who uses advanced techniques and proven recovery protocols. Here’s what you can expect during the first two weeks of your recovery.

  • Days 1-3: You’ll have some swelling and bruising, but many patients describe the discomfort as less intense than they anticipated. Pain medication helps, and most people transition to over-the-counter options like Tylenol or Advil quickly.
  • Week 1: While deeper sutures will remain permanently to keep the tissues in a youthful position, more superficial sutures will be removed about a week after surgery. Dr. Payne will also check that your healing is progressing smoothly. Within seven to 10 days, swelling and bruising will start to subside and most patients feel comfortable enough returning to work and other daily activities.
  • Week 2: Swelling and bruising will fade significantly by week two. Although you’ll feel pretty much “back to normal” at this point, the healing process continues for up to six weeks, with incision lines becoming progressively less noticeable over time.
  • Weeks 4-6: Full healing typically occurs four to six weeks after surgery. By this point, you’ll be able to resume all strenuous activities and enjoy your final results.

While you’ll see immediate improvement once swelling subsides, your final results continue to refine for up to six months as the tissues fully settle into their new position. Neck lift results can last for 10-15 years or more, making it one of the longest-lasting procedures available. Your results will age gracefully with you, and most patients find that even a decade later, they still look significantly younger than they would have without a neck lift.

3. The Right Surgeon Makes All the Difference

Choosing the right surgeon can mean the difference between ‘good’ results and ‘excellent’ results. The skill gap between surgeons performing neck lifts is wider than you might imagine, as this procedure requires both genuine artistry and anatomical expertise.

Why Dr. Payne’s Background Matters

Dr. Payne’s fellowship training in craniofacial and reconstructive plastic surgery sets him apart in several important ways. It means he understands facial anatomy at a level that goes far beyond what’s required for general plastic surgery.

Craniofacial surgery involves working with the most complex and delicate structures of the face and neck. This background gives Dr. Payne an almost intuitive understanding of how changes to one area affect the entire facial structure. When he adjusts your neck contour, he’s considering how it will harmonize with your chin, jawline and entire facial profile.

What This Means for Your Consultation

During your consultation, you should feel like your surgeon truly sees you. Dr. Payne takes time to understand not just what bothers you about your neck, but also what you love about your face that should be preserved and enhanced. He’ll explain exactly what he recommends and why, using his artistic eye to show you how the changes will improve your overall appearance.

Considering Adjunct Procedures That Elevate Your Results

For some patients, a neck lift alone achieves the desired outcome. Others may benefit from additional procedures such as a facelift, liposuction under the chin, genioplasty, or even a brow lift. These options can enhance definition and balance, creating results that look and feel harmonious. During your consultation, Dr. Payne will help you decide whether a single procedure or a combination approach best suits your unique anatomy, goals and lifestyle.

Of course, the right combination looks different for everyone, which is why asking thoughtful questions during your consultation is so important.

Questions to Ask Any Neck Lift Surgeon

Before committing to any surgeon, make sure you ask these important questions:

  • What are your credentials?
  • Are you experienced in procedures of the face and neck?
  • What surgical technique do you recommend for me, and why?
  • Can I see before and after photos of patients with anatomy similar to mine?
  • Will a neck lift alone achieve my goals, or should I consider combining it with a facelift?
  • How do you handle complications?

Trust your instincts during the consultation. The right surgeon will answer all your questions with honesty and compassion to help you feel heard, informed and confident about moving forward.

Book Your Consultation Today

A neck lift can be truly transformative when performed by the right surgeon with proper planning and realistic expectations. Understanding these three key points: that it’s more than just skin removal, some downtime is expected but manageable, and the right surgeon can make all the difference, puts you in a much better position to make an informed decision.

If you’re ready to explore how a neck lift could help you achieve your goals and feel more confident about your appearance, board-certified plastic surgeon Dr. Eric Payne and the team at The Craniofacial and Plastic Surgery Center of Houston are here to guide you through the process. Call 713-461-8866 to schedule your consultation and discover what’s possible for you!