What is a lower face and neck lift?

A lower face and neck lift (sometimes called a lower face lift) can help tighten the bottom third of your face, including your lower face, jowls and neck area. This surgery tightens underlying skin structures that slacken with age.

A lower face and neck lift can:

  • Trim away excess facial skin that has sagged because of a loss of facial volume or lost elasticity due to the ageing process,
  • Smooth out facial creases and wrinkles around your lower mouth, face and neck,
  • Eliminate sagging jowls, lax skin and down turned corners of the mouth so your face and neck are more visually appealing.

Why you may need lower face and neck lift surgery

The way you will age is largely genetic, but is also influenced by your weight, sun exposure, health and fitness, weight, smoking, and chronic over-expression (such as squinting in outdoor workers). The major elements of ageing in the face include:

Structure: The appearance of premature ageing may result because of your underlying bone and facial soft tissue shape. For example, because bony prominences reduce over time, a small chin may lead to early loss of your jaw line definition.

Gravity: During the ageing process, your brow, jaw line, neck tissue and cheeks can droop and become lax. This results looseness of tissues, such as the folds around your mouth.

Volume: When you were younger, you had full, plump facial tissue. With ageing, the loss of volume in parts of your face including your cheeks or lower eyelids can result in a drawn or tired appearance.

Texture: The ageing process causes changes to the texture of your skin. This will be more prominent if you have fair skin. Textural changes also include wrinkling, loss of elasticity, pigment changes, broken veins and dry patches that can be attributable to sun damage.

Lower face and neck lift surgery is the best way to reverse the effects of ageing and gravity in your lower and mid face. This type of facelift repositions fat and muscles and removes excess skin, which results in your cheeks and mid-face elevating, your jowls reducing, and a more defined jawline appearing.

Who is suitable for lower face and neck lift surgery?

Lower face and neck lift surgery is an option for people who feel that their face is ageing, where non-surgical treatments are not sufficient, and where they are in good health and of a healthy weight. It is important to note that most surgeons will not perform facelift on active smokers.
If you are interested in having lower face and neck lift surgery, and want to know if you are a good candidate for the treatment, it is very important that you have consultations with a few highly trained and experienced Cosmetic Surgeons.

Ideal candidates for this surgery include women and men aged 40 to 80 years of age who are in good health and want to address:

  • A sun or wind damaged neck and skin
  • Double or triple chin with fat under your chin
  • A turkey wattle neck with slack, loose neck skin
  • Jaw jowls with loose fat or too much skin
  • Their excess neck skin or neck fat
  • Visible muscle bands running down the neck, which created abnormal contours
  • Horizontal lines running across the neck

How does lower face and neck lift surgery differ from a full facelift?

Full facelift surgery is a combination of a lower facelift, mid facelift and a brow lift. A full facelift will rejuvenate your face from the forehead to your neck.

How is lower face and neck lift surgery performed?

Depending on your desired result, your neck lift surgery can be performed through a traditional complete neck lift incision, or a limited-incision neck lift.
A limited-incision neck lift uses incisions only around the ears. While the scars are less visible and the incisions are shorter, the results of this approach can be more limited.

If you have excess skin below the jawline, on the neck or have small deposits of fat accumulated under your chin, a neck lift procedure may also be required. Liposuction can be used to remove excess fat in some cases while slim patients will only have the platysma muscle tightened and excess skin removed. The neck lift incision is made across the front of the neck.

Most lower face and neck lift surgeries take between 4 to 5 hours. For your comfort and safety you will need to stay in hospital for a couple of days. Most patients experience only minor pain that can be easily relieved with pain medication. You will have some bruising and swelling of the face and that neck that usually decreases within 3 weeks.

Key facts about lower face and neck lift surgery

  • Choosing to have lower face and neck lift surgery is a big decision. It usually involves up to a month of recovery time.
    After lower face and neck lift surgery your face should look younger. Most people who have this surgery are more comfortable and confident with their appearance.
  • All patients having these types of procedures where the skin is undermined become numb in the cheek and temple area, in front of the ears, and sometimes in the upper neck. This may last for weeks or months and can feel strange. It will generally improve over time.
  • Driving can be resumed once you are comfortable, can react quickly if necessary, are not taking strong painkillers and can see normally. After facelift or eyelid surgery, you can usually resume driving after seven to 14 days. Heavy exercise is to be avoided for at least three to six weeks following surgery.
  • A period of psychological adjustment is common after lower face and neck lifts. Patients often go through a variety of moods postoperatively. Once the postoperative period of swelling, fresh wounds and bruising passes, most patients feel positive.

What’s the recovery time after lower face and neck lift surgery?

After lower face and neck lift surgery, your face will look bruised and feel swollen. It may take from 2 to 3 weeks for this swelling to settle. Most facial procedures result in discomfort, rather than pain. To limit pain and nausea, you will be given medication. You may experience numbness in your lower face and neck as a result of the local anaesthetic that was used.

Driving can be resumed once you are comfortable, can react quickly if necessary, are not taking strong painkillers and can see normally. It is recommended that you avoid heavy exercise for at least 3 to 6 weeks following surgery.

Patients should allow around 3 to 4 weeks before resuming work and social activities. Scars are initially pink and unless you have olive, brown or Asian skin they should fade to white in about 12 to 18 months. Makeup can be used to camouflage the scars.

What results can I expect from lower face and neck lift surgery?

It is important to have realistic expectations before you have lower face and neck lift surgery. Your Cosmetic Surgeon will discuss whether your expectations are realistic or not. After your face has been rejuvenated with lower face and neck lift surgery, you will look better for your age. Lower face and neck lift surgery will not make you appear 15 to 20 years younger.

Are there risks or complications with lower face and neck lift surgery?

Any surgical operation brings complications of anaesthesia. Your anaesthetist will be able to discuss with you the possible complications of having an anaesthetic.

General complications of every surgery include:

  • Pain. Your healthcare team will give you medication to control the pain. To reduce discomfort and prevent headaches, it’s important that you take the medication.
  • Blood clot in your leg (deep-vein thrombosis – DVT). This can cause pain, swelling or redness in your leg, or the veins near the surface of your leg to appear larger than normal. Your healthcare team will assess your risk. They will encourage you to get out of bed soon after the operation and may give you injections, medication, or special stockings to wear. Let the healthcare team know straightaway if you think you might have a DVT.
  • Blood clot in your lung (pulmonary embolus). If a blood clot moves through your bloodstream to your lungs. If you become short of breath, feel pain in your chest or upper back, or if you cough up blood, let the healthcare team know straightaway. If you are at home, call an ambulance or go immediately to your nearest Emergency department.

What are the specific risks and complications of lower face and neck lift surgery?

Scarring: All surgery leaves scars, some more visible than others. Although good wound healing after a surgical procedure is expected, abnormal scars may occur within the skin and deeper tissues. Scars may be unattractive and of different colour than the surrounding skin tone. Scar appearance may also vary within the same scar and may be asymmetrical). It’s possible to get visible marks in the skin from sutures. In some cases scars may require surgical revision or treatment.

Previous Surgical Scars: The presence of surgical scars from previous facial surgery may limit the amount of skin tightening that can be produced.

Nerve Injury: Motor nerves may be injured during a facelift operation. This is rare, but if it occurs it can cause weakness or loss of facial movements. Nerve injuries may cause temporary or permanent loss of facial movements. These injuries may improve over time.

Healing Issues: Certain medical conditions, dietary supplements and medications may delay and interfere with healing. Patients with diabetes or those taking medications such as steroids on an extended basis may have prolonged healing issues. There are general risks associated with healing such as swelling, bleeding, possibility of additional surgery, prolonged recovery, colour changes, shape changes, and infection.

Bleeding: It is possible, though unusual, to experience a bleeding episode during or after surgery. Increased activity too soon after surgery can lead to increased chance of bleeding and additional surgery. It is important to follow postoperative instructions and limit exercise and strenuous activity for the instructed time. It is important not to take any aspirin for at least 10 days before or after surgery, as this may increase the risk of bleeding. Non-prescription “herbs” and dietary supplements can increase the risk of surgical bleeding.

Infection: Infection is unusual after facelift surgery. Should an infection occur, additional treatment including antibiotics, hospitalization, or additional surgery may be necessary.

Firmness: Excessive firmness can occur after surgery due to internal scarring. The occurrence of this is not predictable.

Change in Skin Sensation: It’s common to experience loss of skin sensation in the areas that have had surgery. This may not totally resolve.

How do I choose a lower face and neck lift Cosmetic Surgeon?

Lower face and neck lift surgery is a cosmetic operation to make your face and neck appear younger. This surgery is usually safe and effective but complications can happen. Your Cosmetic Surgeon will inform you about any risks and complications. You can find the best Facelift Cosmetic Surgeons in Australia here.

Although good results from this type of surgery are expected, there is no guarantee or warranty expressed or implied, on the results that may be obtained. The face is not symmetric and almost everyone has some degree of unevenness, which may not be recognized in advance. One side of the face may be slightly larger, while the other side of the face may be droopier. Some issues with your lower face and neck may not be fully corrected with surgery.

Important to know

So you can make an informed decision, your elected surgeon will discuss the possible risks associated with a lower face and neck lift. Although the majority of patients do not experience these complications, it's important to understand how they can be managed in the event that they occur.

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 Ellis Choy

Ellis Choy

292 Reviews

Plastic Surgeon
New South Wales, Australia

Cheryl June 6th, 2016

For 20 years I have been struggling to improve the appearance of my neck. I have tried numerous creams and lotions to improve the elasticity of my skin and nothing seemed to help. Constantly hiding my neck with scarfs and high neck jumpers I became very self-conscious and decided to research other alternatives. I quickly found there were a number of treatments available and made an appointment for a consultation to find a suitable outcome. I was devastated to learn that as a result of being on blood thinners for most of my life that surgery was not a favourable option. I was referred to Dr Ellis Choy for his professional opinion. We spoke about my blood disorder, the effects surgery would have and possible blood clots were a major concern. Dr Choy was very thorough and after receiving a medical clearance we proceeded to make plans for a combined face & neck lift with upper eyelid surgery to give me the best outcome. After caring for my family and disable brother for years I felt uncomfortable spending money on myself and was hesitant to proceed but my family were very supportive and encouraged me to spoil myself. Dr Choy met with me before surgery to go over the procedures and what to expect when I woke. He was extremely clear and made sure I was relaxed and understood everything. The operation went well, the recovery time was faster than I expected. The stitches were removed 10 days later and I returned to work after 3 weeks. Every staff member at Dr Choy’s clinic were amazing, they made the whole experience personal, warm and caring. This was a huge decision for me but I am so glad I went through with it. The results Dr Choy achieved are natural and I feel refreshed and invigorated. It has been a truly transformational experience in my facial rejuvenation journey with Dr Choy. Thank you So Much!