When considering facial rejuvenation, two popular procedures often come up: the facelift and the neck lift. These surgeries restore a youthful appearance by addressing signs of aging, but they target different areas and offer distinct results. Understanding the differences between a facelift and a neck lift will help you determine which one best suits your needs.
What Is a Facelift?
A facelift, medically known as rhytidectomy, is a cosmetic surgery that reduces visible signs of aging in the face and neck. This procedure lifts sagging skin, tightens muscles, and removes excess fat, resulting in a smoother, firmer, and more youthful appearance. Facelifts primarily address the lower two-thirds of the face, including the cheeks, jawline, and neck.
Facelift surgery is often sought by individuals who experience the loss of skin elasticity due to aging, genetics, or environmental factors. This procedure can help combat sagging cheeks, deep nasolabial folds (smile lines), and a drooping jawline, which are common signs of aging.
Types of Facelift Procedures
There are several types of facelift procedures, each varying in the extent of the surgery and the targeted areas:
- Traditional Facelift: This technique involves making an incision around the ears and along the hairline. The surgeon lifts and tightens the skin and muscles, removing excess fat.
- Mini Facelift: A less invasive option with smaller incisions, a mini facelift targets the lower face and jawline. It offers a quicker recovery but provides subtler results.
- SMAS Facelift: The SMAS (Superficial Musculo-Aponeurotic System) facelift focuses on tightening the deeper layers of the skin and muscles, offering longer-lasting results.
- Mid-Facelift: This facelift specifically targets the mid-face area, lifting the cheeks and addressing sagging below the eyes.
What Is a Neck Lift?
A neck lift is a surgical procedure aimed at improving the appearance of the neck area. As we age, the skin and muscles in the neck begin to lose elasticity, leading to sagging, excess fat, and the development of a “turkey wattle” (loose skin). A neck lift addresses these concerns by removing excess skin and fat, tightening the muscles, and improving the contour of the neck.
People who are primarily concerned with signs of aging in the neck and jawline area often seek a neck lift, but do not need a full facelift. Many people consider a neck lift to improve the appearance of a “double chin” or enhance the definition of their jawline.
Types of Neck Lift Procedures
Just like facelifts, there are different types of neck lift procedures depending on the area being treated:
- Cervicoplasty: This procedure involves the removal of excess skin around the neck to smooth and tighten the skin.
- Platysmaplasty: In this procedure, the surgeon tightens the neck muscles (platysma) to reduce the appearance of sagging or banding.
- Liposuction: If excess fat is the primary concern, liposuction can be used to remove fat from under the chin and around the neck.
Facelift vs. Neck Lift: Key Differences
The key difference between facelift vs. neck lift is the area they target. A facelift primarily addresses the face, focusing on sagging cheeks, jawline, and nasolabial folds, while a neck lift targets the neck area, removing excess skin and fat and tightening the muscles. However, it is not uncommon for patients to undergo both procedures at the same time for comprehensive facial rejuvenation.
Here are some other important distinctions between the two:
Target Area
- Facelift: Primarily addresses the lower two-thirds of the face, including the cheeks, jawline, and around the mouth.
- Neck Lift: Focuses specifically on the neck, jawline, and under the chin.
Procedure Complexity
- Facelift: Typically more complex, as it involves the lifting of facial skin, tightening underlying muscles, and fat removal. The incisions are usually made around the hairline and ears.
- Neck Lift: A neck lift is generally a less invasive procedure than a facelift, but it can combine with liposuction or platysmaplasty for enhanced results.
Recovery Time
- Facelift: Recovery time for a facelift typically ranges from two to three weeks, depending on the extent of the surgery. Full recovery may take several months, with swelling and bruising gradually subsiding.
- Neck Lift: Recovery from a neck lift is typically shorter than that of a facelift. Most patients return to normal activities within 1-2 weeks, though it may take longer for full healing.
Aesthetic Goals
- Facelift: Designed to address aging concerns in the face, such as sagging cheeks, deep wrinkles, and jowls.
- Neck Lift: Primarily focuses on eliminating neck sagging, double chin, and improving the contour of the jawline.

Combining a Facelift and Neck Lift
Many individuals choose to combine a facelift vs. neck lift for comprehensive rejuvenation. This combination is particularly popular among those who are experiencing significant signs of aging in both the face and neck. By performing both procedures at once, a surgeon can create a more harmonious and youthful appearance.
While a facelift addresses the sagging and wrinkles on the face, a neck lift enhances the jawline and removes excess skin and fat from the neck area. By undergoing both procedures simultaneously, patients can achieve a more balanced and rejuvenated look.
When Is a Facelift or Neck Lift Necessary?
Deciding between a facelift vs. neck lift depends on your aesthetic goals and the areas of concern. Here are some scenarios in which each procedure might be recommended:
When to Choose a Facelift
- Visible Signs of Aging: If you’re concerned with sagging cheeks, deep lines, and wrinkles on the face, a facelift may be the right solution.
- Loss of Facial Volume: If your face has lost volume due to aging, a facelift can restore youthful contours.
- Jowls and Jawline: If you have drooping jowls or a loss of jawline definition, a facelift can help tighten and lift these areas.
When to Choose a Neck Lift
- Sagging Neck Skin: If the primary concern is sagging skin under the chin or around the neck, a neck lift can provide the best results.
- Double Chin: A neck lift, combined with liposuction, can help eliminate a double chin and improve neck contour.
- Neck Banding: If you have prominent neck bands due to muscle sagging, platysmaplasty (a type of neck lift) can tighten and smooth the area.
What to Expect During the Procedure
Both the facelift vs. neck lift procedures are performed under general anesthesia. The exact process will vary depending on the type of procedure and the surgeon’s approach.
Facelift Procedure
- The surgeon makes incisions around the ears and along the hairline.
- The surgeon lifts the skin and tightens the underlying tissues.
- They remove or redistribute excess fat and trim away any extra skin.
- Afterward, they close the incisions and place the patient in a recovery area.
Neck Lift Procedure
- The surgeon makes incisions under the chin or behind the ears, depending on the approach.
- The surgeon removes excess fat through liposuction or by making small incisions.
- If needed, the surgeon tightens the platysma muscles to reduce sagging.
- The surgeon removes excess skin and carefully closes the incisions.
Risks and Complications
As with any surgery, there are risks associated with both facelift vs. neck lift procedures. These risks include:
- Infection: There is always a risk of infection after surgery.
- Scarring: Both procedures involve incisions, and while scarring is usually minimal, it can be visible.
- Asymmetry: In rare cases, the results may not be perfectly symmetrical.
It’s crucial to choose a qualified, experienced surgeon who specializes in these types of procedures to minimize the risk of complications.
Cost Comparison
The cost of a facelift vs. neck lift can vary significantly depending on the location, surgeon’s experience, and the extent of the procedure.
Combining both procedures in a single surgery can be more cost-effective than having them performed separately. To explore pricing details for these procedures, feel free to visit our pricing page for more information.
Final Thoughts: Which Procedure is Right for You?
When deciding between facelift vs. neck lift, the best choice depends on your specific aesthetic goals. If you’re looking to address facial aging, a facelift is likely the right option. However, if the primary concern is the neck area—whether it’s sagging skin, a double chin, or neck banding—a neck lift may be the better solution.
Many patients find that combining both procedures yields the most satisfying results, as it provides a comprehensive approach to facial rejuvenation. Be sure to consult with a board-certified plastic surgeon to discuss your concerns, evaluate your goals, and determine the best course of action for your individual needs.
Conclusion
In summary, both facelift vs. neck lift procedures offer distinct benefits, depending on the area of concern. A facelift addresses facial aging, while a neck lift targets sagging skin and fat in the neck region. When both areas are affected by aging, combining both procedures can deliver a rejuvenated and balanced result. Always consult with a qualified surgeon to ensure the best possible outcome.