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When considering cosmetic surgery, there is plenty of research to be done. You’ll want to look into types of procedures, quality of results, and expertise of providers (to name a few). Another facet of the procedure that’s crucial to keep in mind: [downtime and recovery](https://aedit.com/aedition/how-long-does-it-takes-to-recover-from-cosmetic-surgery-procedures). Surgical procedures tend to have a longer and more involved healing process than non-surgical alternatives. So, what does that actually mean in terms of what you can expect in the days, weeks, and months after treatment?

If you are thinking about getting a [neck lift](https://aedit.com/procedure/neck-lift-lower-rhytidectomy), recovery involves more than just buying a big scarf – though that can be part of it! A neck lift entails anesthesia, spending at least a few days resting comfortably, and blocking out even more time to limit certain activities. Still, the procedure has one of the more lenient recovery processes, which is in part why many [pair it with](https://aedit.com/aedition/pairing-facelift-neck-lift-procedures) the more challenging facelift (the duo can also yield a more comprehensive result). 

Whether you plan to focus specifically on the neck or combine it with another surgery, it’s important to know exactly what to expect when you leave the operating room. Here, top plastic surgeons offer honest insight into what it’s really like to [recover from a neck lift](https://aedit.com/procedure/neck-lift-lower-rhytidectomy/recovery).

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  title={Before & Afters: Neck Lift}
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## **The First 48 Hours After Surgery**
The first few days after virtually any surgery are the most crucial from a recovery standpoint, and the same is true for a neck lift. Depending on the preference of the surgeon and patient, the procedure can be performed under [general anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia) or ‘awake.’ During an [awake neck lift](https://aedit.com/procedure/awake-neck-lift), a so-called conscious sedation or twilight anesthesia with regional or local anesthetics are utilized. 

The type of anesthesia used will impact how you feel immediately after surgery. “If the surgery was fairly lengthy and required general anesthesia, patients may require a day or two to feel recovered from the anesthesia,” says [Thuy-Van Tina Ho, MD](https://aedit.com/provider/thuyvan-ho-md-25248), a double board certified facial plastic and reconstructive surgeon and founder of [Tina Ho MD Facial Plastic Surgery](https://www.drtinaho.com/) in Philadelphia. Those lingering effects include nausea, drowsiness, and general malaise.

Because neck lifts are outpatient procedures, “patients go home the same day,” Dr. Ho shares. She typically places drains at the conclusion of the surgery and has her patients wear a head and neck [compression dressing](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) that is freshened up the next day. “I see patients the following day for drain check and dressing change,” she notes.

A neck lift can be performed to reduce skin laxity, tighten the underlying musculature, remove excess fat, or a combination of the three. Needless to say, some patients require more correction than others, and this plays a role in the healing process. [Swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) and [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) in the face and neck are the two most common side effects of the surgery, and the extent of it depends, in part, on “how deep a dissection occurs,” says [Michele Koo, MD](https://drmichelekoo.com/), a board certified plastic and reconstructive surgeon in St. Louis, MO. The depth “is determined by how much excess skin and fat the patient has,” she adds. Additionally, you may also have a headache that feels similar to a sinus headache. 

Yes, you are going to want to take it very easy for a few days, but surgeons don’t recommend full-on bed rest. “Getting up to go to the bathroom is ok,” says [Smita Ramanadham, MD](https://www.instagram.com/thedrsmita/?hl=en), a board certified plastic and reconstructive surgeon in New Jersey. When you are in bed, avoid laying fully horizontally. “We ask that patients sleep on [two or three pillows](https://aedit.com/aedition/best-pillows-for-plastic-sugery-recovery-healing) or in a recliner, so the neck is above the heart level,” she says. 

Oh, and if you’re curious about how getting a neck lift in tandem with a facelift might affect the recovery process, Dr. Ho says there is usually “not a significant difference” aside from “more swelling and bruising.”

## **Pain Management After Neck Lift Surgery**
“Patients may require [pain medication](https://aedit.com/aedition/opioid-crisis-plastic-surgery-recovery-pain-management) to help control their pain or discomfort,” Dr. Ho says, and your surgeon will prescribe accordingly. In her practice, Dr. Ramanadham typically offers about three days of prescription medication before her patients switch over to over-the-counter options like Tylenol.

Pain is obviously subjective, but it may encourage you to hear that, according to Dr. Koo, “there isn’t that much” of it after a neck lift. It’s common to feel pressure or a dull ache around the head and neck, and you may get hit with twinges of pain when trying to sleep on your side. But, overall, she says the level of discomfort is manageable for most people.

Believe it or not, she finds that patients often feel uncomfortable as a result of the bandages, not the surgery itself. “You can expect to have some type of compression wrap around your full head and underneath your chin,” Dr. Koo explains. “For people who might be a little claustrophobic, that might be a little intimidating.” The wrap will stay on – though your doctor may remove some padding – for the following four to five days, and you should still wear it at home for at least another two weeks. You’ll receive specific instructions from your provider on the timeline. 

## **Resuming Normal Activities After a Neck Lift**
As you’re feeling stronger and ready to resume non-strenuous activities, Dr. Koo says patients should feel comfortable doing so. “My patients will put a headwrap and scarf on and go out in two days,” she shares. “They get their Audrey Hepburn on.” That could mean a walk around the block, tidying up around the house, or any other gentle movement. Not yet on the agenda? Yoga, cardio, or anything that raises blood pressure.

Even if your recovery is relatively pain-free, you still need to be mindful of the healing process and wait for clearance before resuming certain activities. At four days, Dr. Koo tells her patients they can begin a “mall-pace” walk, and a brisk walk is usually safe at the two-week post-op mark. Dr. Ho takes a similar approach. “Two weeks for heavy lifting and strenuous activity,” she says, adding that you may return to work sooner if you’re not self-conscious about swelling and bruising or stitches. She likes to see patients one week, two weeks, and four weeks out to monitor their progress.

For more intense [exercise](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) — bootcamp, pilates, hot yoga — that results in heavy sweating or can raise blood pressure, Dr. Koo recommends waiting four to six weeks. As she explains, non-compliance can “stir up more swelling” and lead to the possibility of “more scar tissue.” Her advice: “It’s just best to wait.”

## **Final Neck Lift Result**
When it comes to recovering from a neck lift, Dr. Ho says you can think about the healing process in phases. The first two to four weeks are the “immediate recovery” period, yet it takes six to 12 months to enjoy the final results. “It takes time for the skin to relax, for all of the swelling to be gone, and for the [scars to mature and fade](https://aedit.com/aedition/scarring-after-facial-plastic-surgery),” Dr. Ramanadham notes. 

Still, you will be able to see progress early on. “Even after four days when you take the wrap off, the neck looks amazing,” Dr. Koo shares. It will, however, be another four to six weeks until you are, as she describes it, “photo-ready.” Depending on their healing progress, Dr. Ho says likes to see her patients every one to three months for the first year. After six months, Dr. Ramanadham tells her patients that their results are “80 to 85 percent” finalized. After a year, the final result is in. 

Aesthetics

You’ve asked questions, looked at pictures, and read stories, but what can you really expect from the neck lift recovery process? We’ve got you covered.

A Plastic Surgeon's Guide To Neck Lift Recovery And Healing

Expectation vs. Reality: Recovering From A Neck Lift

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Hot on the heels of fashion designer [Marc Jacobs chronicling](https://aedit.com/aedition/marc-jacobs-facelift) his facelift recovery and results on social media, the plastic surgery microscope is now starting to narrow in on the men’s facelift. Guys in Hollywood and beyond are no strangers to going under the knife, and many have been electing to get facelifts for years. Sometimes, the results are obvious (and not great) and become front-page fodder. Other times, the results are so stellar you can't quite put your finger on if it is surgery or something else.

Yes, the facelift is a traditionally female-dominated procedure. “Generally, many men are under the impression that it is vain to undergo surgery or that it is only for women,” shares [Jonathan Cabin, MD](https://aedit.com/provider/jonathan-cabin-md-956), a double board certified facial plastic and reconstructive surgeon in Arlington, VA. “This stigma of [male plastic surgery](https://aedit.com/aedition/what-you-need-to-know-about-male-plastic-surgery-trends) or the idea that men should somehow not care about their cosmetic appearance seems to be going away slowly — but it persists.” 

Even so, more men are joining the ranks of [facelift](https://aedit.com/procedure/facelift-rhytidectomy) patients than ever before. The thought is that as neuromodulators, fillers, and supercharged skincare become more routine, they serve as a gateway to more invasive plastic surgery procedures. “Once individuals are comfortable with [injectables](https://aedit.com/aedition/guide-to-injectable-filler-botox-for-men) as a method of enhancing their appearance, they ultimately realize the limitations of those procedures and become comfortable with pursuing more advanced facial surgeries such as facelifts,” says [Oren Friedman, MD](https://aedit.com/provider/oren-friedman-md-1609), a double board certified facial plastic and reconstructive surgeon and director of facial plastic surgery at the University of Pennsylvania.

With that in mind, it’s time to get real about what men can expect from a facelift, from who is a candidate to how to ensure the most natural-looking results. Read on for a complete guide.

## **The Ideal Candidate For a Men’s Facelift**
Let’s face it, everyone wants to look like the best and most rejuvenated version of themselves, and Dr. Friedman says that men and women alike are concerned about how they look as they age. “Our patients mostly all want to look very natural after any surgical intervention,” he notes. 

Generally speaking, women seek a facelift to correct an aging face *and* neck, while men primarily focus on the neck. They are also often concerned with the possibility of resulting scars, says [David Abramson, MD](https://aedit.com/provider/david-abramson-md-137), a board certified plastic and reconstructive surgeon in New York City. Men who ‘need’ a facelift have jowling and heaviness in the lower face and excess skin on the neck. The kicker? They need to have enough hair to hide the ensuing scars. “This is especially the case if the patient wears their hair short,” he shares. “However, if he is completely bald, it’s challenging to hide those scars.”

Those patients are “not an ideal candidate for the procedure,” Dr. Abramson notes, adding that it’s not standard practice to place scars on or inside the ears. For this reason alone, facelifts on men can be more challenging to perform than women. “Of course, there are trade-offs to a facelift, and there are other procedures and treatments we can do, like strictly neck procedures,” he adds. But a [facelift without a neck lift](https://aedit.com/aedition/pairing-facelift-neck-lift-procedures) is like eating a hamburger without a bun — it’s doable but rarely as good as the combination.

As always, [managing expectations](https://aedit.com/aedition/how-plastic-surgeons-balance-patients-cosmetic-surgery-desires-and-safety) about what the surgery can and cannot achieve is an important conversation between surgeon and patient. For example, the goal of a facelift is to address signs of aging on the lower face and neck, but the procedure will not get rid of skin-related concerns that affect men, like [sun damage](https://aedit.com/aedition/cosmetic-procedures-treatments-to-correct-sun-damage) and [acne scars](https://aedit.com/concern/acne-scars).

## **Facelifts for Men vs. Facelifts for Women**
All facelifts, regardless of the gender of the patient, target muscle, fat, tissue, and excess skin. For the most part, the steps involved in facelifts for both men and women are the same, but the incision placement is different. “There are some minor technical differences between male and female facelifts,” Dr. Friedman shares. “But, in general, the goal is natural-looking results without changing the identity of a person and minimal downtime.”

As we touched on, there are also differences in what men are usually looking to address with their surgery. The lower face and neck obviously make the list, but they may also choose to [pair the facelift](https://aedit.com/aedition/best-procedures-to-combine-with-a-facelift) with additional procedures to maximize results:

- **Turkey necks & neck laxity affect men**: Men are usually concerned with the fat that dangles from the front of their neck that may cause them to need a bigger shirt size. “Getting rid of the turkey waddle and naturally tightening the neck is what most men want to achieve with a facelift,” Dr. Friedman shares. 
- **Fat under the chin can be problematic**: Extra fat accumulates under the chin and between the jawline and neck, making the chin appear less defined. [Submental liposuction](https://aedit.com/procedure/submental-liposuction) may be a fix for double chin concerns. To address a weak chin, meanwhile, your surgeon may recommend a [chin implant](https://aedit.com/procedure/alloplastic-chin-implant) — specifically, a square-shaped one — for added dimension.
- **The eyes may need some help, too**: When addressing the eyes, it’s crucial to keep their round and narrow shape. Otherwise, they may appear too feminine. Men naturally have fuller brows and eyelids, which your surgeon should maintain. This is one of the reasons it is so important to find a surgeon who [specializes in men](https://aedit.com/aedition/how-to-find-a-plastic-surgeon-who-specializes-in-cosmetic-procedures-for-men).
- **Don’t forget skin quality & volume loss**: Many men are frustrated by uneven skin tone and texture concerns as a result of sun damage and scarring, which [laser resurfacing](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) can correct. As it relates to restoring lost facial volume, men and women alike often opt for [fat transfer](https://aedit.com/aedition/guide-to-facial-fillers-fat-grafting-after-facelift).

We should also note that men who undergo facelifts are at a higher risk of hematoma. Dr. Cabin says men have more blood vessels and a stronger blood supply in their faces than women. “The body requires additional blood supply for [facial hair](https://aedit.com/aedition/facial-hair-treating-razor-burn-ingrown-hairs-beard-dandruff), and, because of this, there is a slightly higher risk of blood collection (a hematoma) post-operatively,” he explains. “It is usually minor and easy to treat, but I am extra careful during surgery to control bleeding and any potentially problematic blood vessels.”

## **Achieving a Natural Result**
One thing that men stress that they don’t want is a tight, pulled look. “They don’t want to appear like they’ve had surgery, nor do they want to look feminized,” Dr. Cabin says. He says achieving a natural result starts with good surgical technique. “It's about using a combination of a deep plane lift, tension-free skin closure with carefully hidden incisions around the ear and hairline, and repositioning the skin and soft tissue at a natural angle,” Dr. Cabin explains. “Otherwise, the face can look windswept or unnatural.” 

Most men don’t realize that it’s possible to achieve such a natural  — and masculine — result. “By taking all tension off of the skin and lifting the deeper layers of the face, [deep plane facelifts](https://aedit.com/procedure/deep-plane-facelift) achieve more natural results with a reduction in scarring risk,” he adds.

There’s also the [skincare component](https://aedit.com/aedition/guide-to-mens-grooming-skincare-routine) to consider. Not all men care for their skin the same way that women do. “Sure, there are different groups of men who have different skincare habits, but, from my experience, most are not big followers of skincare unless they’ve always been like that,” Dr. Abramson shares. 

Just because a [skincare routine](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-20s) doesn't sit at the top of a man's daily to-do list, however, doesn't mean the surgery results will be affected. Environmental and lifestyle choices, like sunbathing and [smoking](https://aedit.com/aedition/impact-of-cigarette-smoking-vaping-on-skin-hair-teeth-health), impact the results more than forgetting to apply moisturizer or bypassing [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare). The exception? Not wearing [sunscreen](https://aedit.com/aedition/dermatologist-approved-sunscreen-for-face-body). For patients with poor skin quality, your surgeon may suggest a resurfacing laser during the facelift for more comprehensive rejuvenation.

## **A Clean Cut**
Most (though not all) men who get a facelift wear their hair shorter, so, of course, visibility of scars is always a worry. Sideburns also should be factored into the equation so that the [resulting scars](https://aedit.com/aedition/minimizing-scars-after-surgery) don’t interrupt the normal hair growth pattern in that area. But the hair on the head isn’t the only thing to consider. “Changes in [facial hair](https://aedit.com/aedition/facial-hair-care-products-grooming-tools) pattern is another concern, especially in men who like to wear stubble or beards or want the option in the future,” Dr. Cabin explains. 

Dr. Friedman says facelift incisions are hidden differently in men than women because of bearded facial skin. A good plastic surgeon will place the incisions (later scars) in front of and behind the ears and in the hairline. Once healed, the scars should be a barely detectable fine, white line or even look like a tiny wrinkle.

## **The Results**
Nothing is permanent — not even a facelift. “It’s important for facelift patients to understand that the procedure is like a reset button, and you will continue to age,” Dr. Abramson advises. Think of a [facelift](https://aedit.com/aedition/facelift-recovery-healing-process) as a way to undo the signs of aging and as a refresh. After all, once you invest in a facelift, you’ll probably have a new lease on life and your face.

Spoiler alert: women aren’t the only ones getting them.

Facelifts For Men: Candidates, Benefits, Procedure, Results

The Ultimate Guide To Facelifts For Men

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You’ve seen it before: a woman with a gorgeous jawline that is accompanied by a crepey, saggy neck that doesn’t match. This exact look is why many plastic surgeons perform a [facelift](https://aedit.com/procedure/facelift-rhytidectomy) with a [neck lift](https://aedit.com/procedure/neck-lift-lower-rhytidectomy). Together, the two procedures create a harmonious, well-balanced look. But, like everything in life, there are exceptions to the rule — be it few and far between — when one procedure is necessary and the other is not. Below, we’re breaking down everything you need to know about [combining face and neck lift surgeries](https://aedit.com/aedition/best-procedures-to-combine-with-a-facelift).

## **Why Does the Neck Age So Fast?** 
We all age at different rates, but you can count on one thing: the [neck](https://aedit.com/concern/neck-and-jawline-definition) tends to age faster than the face. Here’s why:

### **1. Weight Changes**
Gaining weight in the lower face is just one factor that speeds up aging in the neck. “Weight often shows in the neck, and those that lose weight may not see their skin shrink back down, which results in a ‘turkey neck’ appearance,” says [Peter Vila, MD](https://aedit.com/provider/peter-vila-md-16177), a board certified facial plastic and reconstructive surgeon in San Rafael, CA. However, thinner patients without extra fat in the chin and neck area face their own set of concerns. Dr. Vila reveals that loose skin has a tendency to sink into the most dependent point of the face and neck — the area right under the chin — again resulting in a turkey neck. His advice to patients whose weight fluctuates: try to lose as much weight as possible before surgery. “This way, the skin can be tailored when it is most ‘deflated,’ and I can remove any extra fat via liposuction,” he shares.

### **2. Skin Quality**
But it’s not just fat that accelerates aging. The skin quality — or lack thereof — also affects the appearance of the neck. [Stafford Broumand, MD](https://plasticsurgeonsnyc.com/plastic-surgeon/dr-broumand/), a board certified plastic and reconstructive surgeon in New York City, notes that the neck tends to display early signs of aging because the skin is thinner. Plus, the neck lacks as many oil glands as the face does. Natural oils hydrate the skin, and hydration is essential for skin health, says [David Shafer, MD](https://aedit.com/provider/david-shafer-md-153), an NYC-based board certified plastic and reconstructive surgeon.  

Of course, [collagen](https://aedit.com/aedition/guide-to-collagen-in-skincare-supplements-aesthetic-medicine) plays an essential role in the skin on the neck, too. Thick, healthy collagen equates to plump, taut skin. But since there is less natural collagen in the neck than in the face (or elsewhere on the body), the skin is not nearly as elastic or resilient. For this reason, fine lines and banding surface early on. [Sun exposure](https://aedit.com/aedition/cosmetic-procedures-treatments-to-correct-sun-damage), which destroys collagen fibers, also takes its toll. 

Sadly, for most of us, the neck is not treated with the same TLC as the face, although it is best to treat it as an extension. While we are diligent about applying sunscreen to your visage, most of us are not as good at applying it to our necks. The result? More sun damage, says [Jacob Unger, MD](https://aedit.com/provider/jacob-unger-md-2649), a board certified plastic and reconstructive surgeon in Nashville. It is, however, never too late to take care of the delicate skin on the neck with [sunscreen](https://aedit.com/aedition/best-sunscreens-of-2021), [retinol](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), [moisturizer](https://aedit.com/aedition/best-neck-creams-for-tech-neck-sagging-jowls), and even the occasional radiofrequency-based skin-tightening treatment. 

### **3. Muscle Tone**
Couple loose skin with neck bands and the neck can age you by up to 10 years. Dr. Shafer says that, with age, the platysma (read: neck) muscles loosen and separate in the midline (similar to what can happen with the [abdominal muscles post-pregnancy](https://aedit.com/aedition/diastasis-recti-repair-abdominal-separation-post-pregnancy-weight-loss)). As he explains, the loss of muscle and tissue support from the platysma leads to jowls, low-strung platysmal bands, and a blunted, obtuse neck angle. “Part of the goal of a [neck lift](https://aedit.com/procedure/platysmaplasty) is to sew the platysma back together to define the cervical mental angle,” he shares. “Additionally, in a [SMAS facelift](https://aedit.com/procedure/smas-facelift), the upper portion of the platysma, which extends onto the face, is tightened to restore youthful muscle position.”

### **4. Technology**
And then there is the fact that we are all glued to our phones. So-called [tech neck](https://aedit.com/aedition/how-to-treat-prevent-tech-neck) causes pain and wrinkling from bending our heads to look at computers, tablets, and smartphones, says [Mark M. Hamilton, MD](https://www.hamiltonfps.com/), a board certified facial plastic and reconstructive surgeon in Indianapolis. “This downward tilt of the face and neck leads to early and excess wrinkling in the lower neck and chest,” he adds. 

But that’s not the only way technology is affecting the area below the jaw. The '[Zoom effect](https://aedit.com/aedition/how-to-treat-prevent-tech-neck)' is alive and well, says [Adam Kolker, MD](https://www.drkolker.com/), a board certified plastic and reconstructive surgeon in NYC. People have spent the last 18 months seeing themselves on-screen with jowls, neck folds, and creases they may not have noticed IRL. “With cameras positioned too low, this often prompts emergency calls to a plastic surgeon, but these effects are not permanent,” he explains. So perhaps limiting screen time isn’t such a bad idea after all, especially if it has an anti-aging benefit. 

## **Combination Procedures: A One-Two Punch**
When rejuvenating the face and neck area, it’s hard to treat both features with just one procedure, especially if the face and the neck show evidence of loose skin, displaced or excess fat, and poor muscle and tissue support. On their own, a facelift surgically corrects signs of aging on the face from the jawline up to the lower or midface. A neck lift, meanwhile, tightens skin from the jawline down, while removing redundant fat and tissue.

Hands down, a neck lift is a tried-and-true method for achieving a super tight, smooth neck. Most surgeons incorporate a neck lift into every facelift they do. “The vast majority of patients that need neck correction also need lower facial rejuvenation,” Dr. Hamilton shares. “Thus it is rare for a surgeon to recommend for a patient to select a neck lift alone.”

Yet, the decision to pair a facelift into a neck lift comes down to the best approach for you and your concerns. “We often perform facelifts and neck lifts contemporaneously as the face and neck are married by the aging jawline," Dr. Kolker says. Whether the face and neck are aging at the same or different paces, addressing one without the other will distort the outcome. “If one area slightly outpaces the other but both areas show signs of aging, lifting only one can be like painting one room in an old house,” he cautions. “The room right next to it will look like it needs a fresh coat even more.”

Simply put, correcting just the face and not the neck (or vice versa) highlights any imperfections, and the signs of aging will start to become more noticeable than before. “For most patients, addressing the neck without addressing aging in the lower face creates a notable difference between the appearance of the two, which is why most surgeons typically recommend rejuvenating both the face and the neck,” states Dr. Hamilton.

The criteria for considering a neck lift with a facelift:

- Your neck and face both make you feel and look older than you are
- The neck doesn’t match the face in terms of tautness or vice versa
- You don’t want to undergo multiple procedures in the future
- There is sagging in the lower face, under the chin, and on the neck

Excess fullness and skin in the area under the chin and jaw is what Dr. Vila looks for in a neck lift patient. In the case of a facelift, “the signs are jowling and a deflated look to the face,” he adds. A lack of distinction between the jawline, chin, and neck area is usually the final determining factor to perform both procedures. “Though patients may consider the two procedures to be completely separate, I view them on the same spectrum,” he shares. “It’s just that different patients require different components, and some patients require all of them.”

Rarely are there instances when only a facelift is necessary — though they do exist. “If there is facial laxity and soft tissue descent to the jawline region with minimal cervical laxity or deformity, no neck lift is required,” Dr. Kolker explains. “Most often, by resuspending the SMAS and platysma, the muscle that covers the lower two-thirds of the face and most of the anterior neck, mild neck contour issues and laxity are often corrected.” But, if moderate or severe laxity is not corrected, chances are you'll be back in the operating room to fix the now more prominently aging neck.

Sometimes, a preventative approach to aging uses [Botox® to diminish](https://aedit.com/aedition/where-to-use-botox-from-head-to-toe) prevalent neck bands or [filler along the jawline](https://aedit.com/aedition/non-surgical-procedures-for-jawline-definition) to create definition (i.e. add more distinction between it and the neck). Even so, these areas still tend to require surgical intervention, albeit at a later date. “After a facelift, [Botox® and filler](https://aedit.com/aedition/guide-to-facial-fillers-fat-grafting-after-facelift) are useful in maintaining the surgical results,”  Dr. Shafer shares.

Like other surgical procedures, the facelift-neck lift combo has evolved. “Over the years, we have learned to do two important things,” Dr. Unger says. The first involves [facial volume](https://aedit.com/aedition/best-procedures-to-restore-facial-volume). “One is almost always to [add fat to the face](https://aedit.com/aedition/guide-to-facial-fillers-fat-grafting-after-facelift) to replace areas that have lost volume due to the aging process,” he explains. “By adding volume, we can re-elevate areas of the face that have fallen for a more balanced and harmonious look.” 

The second lesson has to do with technique. Surgeons now take what Dr. Unger calls “a more anatomic approach” to facial rejuvenation. “Instead of just pulling on the skin and trying to make things tighter, we now focus on re-creating the natural contours of a more useful face by rearranging the anatomy on a deeper level than the skin,” he explains. “This creates a more natural appearance for longer-lasting results.”

## **The Takeaway**
Chances are, if you are seeking surgery to [correct your aging face](https://aedit.com/procedure/facial-skin-firming-and-lifting-solutions), you’re going to want to [address your neck](https://aedit.com/procedure/neck-and-jawline-definition-solutions), too. Rarely do plastic surgeons restore one without the other (though that doesn’t mean it can’t happen). “If only the face is corrected and not the neck, then the patient can look older because the neck skin will continue to sag,” Dr. Shafer says. There will also be an evident disconnect between the neck and face. “If the neck is corrected and not the face, the patient can get a bobblehead appearance with a tight neck and a fat face,” he adds.


You'd be hard-pressed to find a plastic surgeon who performs a facelift without a neck lift. The reason: The combo creates a seamless look. Here’s what the experts have to say about the pairing.

Benefits Of Pairing A Facelift With A Neck Lift

Do You Need To Combine A Neck Lift With A Facelift?

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Before the advent of non-surgical treatments, the only reliable options for contouring the jawline for a more perfect profile were [facelifts](https://aedit.com/procedure/facelift-rhytidectomy) and [neck lifts](https://aedit.com/procedure/neck-lift-lower-rhytidectomy). Today, [thread lifts](https://aedit.com/aedition/pdo-thread-lift-for-facial-rejuvenation), energy-based tightening tools, and the [off-label use](https://aedit.com/aedition/where-to-use-botox-from-head-to-toe) of injectables (think: Botox® and filler) are just a few of the minimally invasive ways providers can address [aesthetic jaw concerns](https://aedit.com/concern/neck-and-jawline-definition). “Rather than undergo invasive procedures that require general anesthesia and prolonged recovery times, non-surgical cosmetic procedures can temporarily sculpt the jawline with local anesthesia and limited recovery time,” says [Brendan Camp, MD](https://aedit.com/provider/brendan-camp-md-34645), a board certified dermatologist in New York City.

So, if you're looking for the best ways to tighten your jawline and [shape your face](https://aedit.com/aedition/how-to-reshape-your-face-with-filler-botox-injectables), we've found the best [non-surgical solutions](https://aedit.com/procedure/neck-and-jawline-definition-solutions) — from A to Z — that will help you achieve a sculpted, chiseled look without going under the knife.

## **Understanding the Aging Jawline**
[Clinical research](https://pubmed.ncbi.nlm.nih.gov/29224033/) proves how bothersome a poorly defined chin-neck area can be. Social media and even the [rise of video calls](https://aedit.com/aedition/aedit-survey-reveals-how-2020-altered-aesthetic-landscape) play a role in the desire to obtain a sharper jawline. “Undoubtedly, influenced perceptions about the importance of a structured jawline creates the desire to make the often-masked bottom half of the face as presentable as the top half,” Dr. Camp notes.

Even so, the jawline is a rather tricky area to treat because of the surrounding features (i.e. the [chin](https://aedit.com/concern/chin-shape-and-size) and the neck) that affect its look. “A weak chin or bony support needs different treatment than extra fat under the chin,” says [Yael Halaas, MD](https://aedit.com/provider/yael-halaas-md-236), a double board certified facial plastic and reconstructive surgeon in NYC. So, even if a weak jawline is a primary concern, fat, muscle, loose skin, and bonyness must be considered since they all influence the outcome.

An angular jawline with just the right amount of definition is what both men and women are constantly chasing, says [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), a board certified dermatologist in West Hollywood. “Men want a more square, masculine look, and women desire that chiseled, heart-shaped face,” he shares. But it can be hard to achieve that if the underlying structure is not naturally there. “Fillers are the only way to create structure in the jawline short of [implants](https://aedit.com/procedure/jaw-implant) or [jaw surgery](https://aedit.com/procedure/orthognathic-surgery),” he notes.

With that in mind, below are seven of the best at-home and in-office ways to achieve a [more sculpted jawline](https://aedit.com/aedition/8-ways-to-get-a-more-defined-jawline) — sans surgery:

## **1. The Magic of Makeup**
Makeup is the quickest and cheapest option to define the jawline, and the best way to add definition to the jawline is by placing a [contouring product](https://aedit.com/aedition/contouring-tips-from-celebrity-makeup-artist-patrick-ta) directly on the jaw and behind the ears, says celebrity makeup artist [Nydia Figueroa](https://www.instagram.com/nydiafigueroamua/). “This will create the illusion of a stronger, more defined jawline by creating a shadow that pulls back the areas that you want to appear more sculpted,” she explains. As a general rule of thumb, dark colors recede and lighter shades (including highlighter) push features forward. So, the idea is to mimic as much of a natural shadow as possible.

When contouring the jawline, stick with either cream, powders, or liquids (we like the new [KVD Beauty ModCon Liquid-Gel Contour](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.kvdveganbeauty.com%2Fface%2Fcontour%2Fmodcon-liquid-gel-contour%2F20054.html)) and always go two to three shades darker than your natural skin tone. “Matte powders create soft contours, and creams are best for achieving a more dramatic, defined look,” Figueroa explains. She recommends setting the contour with a matte finishing powder. Another pro tip? Blend with a soft brush. “If the product is not well blended in with the skin, it can look dirty or create the appearance of harsh lines on your face,” she cautions.

## **2. The DIY Techy — and Not So Techy — Treatments**
You don’t need to be dealing with jaw pain or [temporomandibular joint (TMJ) disorder](https://aedit.com/aedition/botox-to-treat-tmj-disorders-and-jaw-slimming) to know that we hold a tremendous amount of tension in the lower portion of the face. This stress can affect the alignment of the jaw, says [Elizabeth Trattner, AP](https://elizabethtrattner.com/), a board certified acupuncturist and doctor of Chinese and integrative medicine in North Miami Beach, FL. “Techniques like gua sha, cupping, and even manual massage help to release the fascia and connective tissue and soften the muscles in the jaw, neck, and face,” she explains. They also promote blood and lymphatic circulation, which can reduce pain and swelling in the area. 

- **Massage**: For starters, [daily massage](https://aedit.com/aedition/beauty-massage-for-face-body) can help reduce puffiness in the area along the neck and under the chin, and the applied pressure can help release and sculpt the jawline. Try using a tool like [Malaya Organics 3D Sculpting Facial Rolle](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fmalayaorganics.com%2Fcollections%2Faccessories%2Fproducts%2Fy-shaped-facial-sculpting-roller)r, which creates a kneading motion to make massaging a bit easier.
- **Cupping**: At-home cupping, like the [WTHN Face Cupping Kit](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwthn.com%2Fproducts%2Fface-cupping-kit), can be a quick, easy, and painless way to get one step closer to a more defined jawline. “Cupping is negative pressure that stretches the skin and underlying tissue to dilate the capillaries,” Dr. Trattner explains. “Facial cupping does not leave marks like body cupping does because the cups are always moving.” In addition, cupping helps stimulate the draining of lymph in the face for less puffiness and better definition. Pairing cupping with [acupuncture](https://aedit.com/aedition/cosmetic-facial-acupuncture-for-aging-skin-rejuvenation) provides even greater efficacy, she says.
- **Gua Sha**: Another traditional Chinese medicine option, [gua sha](https://aedit.com/aedition/everything-you-need-to-know-about-gua-sha) employs a smooth stone to increase blood and lymphatic circulation. “It has been used for over 5,000 years to release muscle adhesions and is easier to perform on yourself, whereas cupping involves more professional skill,” Dr. Trattner notes. Using a scraping or pressing technique, the gua sha is manually rubbed across points of the face — including the jawline — to gently and safely decrease puffiness for a more contoured effect.
- **Devices**: There are also some higher tech at-home options that mimic in-office treatments. [Microcurrent devices](https://aedit.com/aedition/difference-between-professional-at-home-microcurrent-facials), such as the [ZIIP OX](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fziipbeauty.com%2Fproducts%2Fziip-ox), can be used to lift and sculpt the skin, while [LED light therapy tools](https://aedit.com/aedition/difference-between-professional-at-home-led-therapy), like the [LAB=LIFE+BEAUTY Jawline Definer](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fus.currentbody.com%2Fproducts%2Flab-life-beauty-jawline-definer), use light waves to stimulate collagen production and increase skin cell activity. 
- **Skincare**: Or, you can always go with a [topical firming cream](https://aedit.com/aedition/best-neck-creams-for-tech-neck-sagging-jowls), like [Payot Supreme Jeunesse Cou & Décolleté](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.payot.com%2FSG%2Fen%2Fproducts%2Fface-care%2Fsupreme-jeunesse-cou-decollete). The formula helps smooth skin with [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) and contains firming agents like wakame and oat extract for improved contour. 

## **3. Do a Shot (of Neurotoxins) for the Right Angles**
It’s pretty standard for the muscles in the neck and jaw to become overactive with age, or you may have just been born with a prominent jaw. Either way, meticulously placed [injections of neurotoxins](https://aedit.com/procedure/jawline-slimming-with-botox) (read: Botox®, Dysport®, Jeuveau®, and Xeomin®) can temporarily slim the lower face. “Botox® and other toxins can slenderize an overly round face, which can result from overdeveloped masseter muscles,” Dr. Halaas says.

Botox® can also be used to [improve the platysma (neck) muscle](https://aedit.com/aedition/where-to-use-botox-from-head-to-toe), which hangs like a curtain from the jaw to the clavicle (collarbone), Dr. Camp adds. “Treating this muscle can affect how it rests along the jaw to provide more shape in the appearance of the bone,” he explains. The muscles’ inability to pull down on the jawline creates tightness and more space between the neck and the jaw. While the results aren't as immediate as some other options — it can take upwards of one week to be noticeable — the smoother visage lasts about three to four months. 

## **4. For a Super Sharp Jawline, Filler Up**
Both [hyaluronic acid-based fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) (hi, [Juvéderm® Voluma](https://aedit.com/procedure/juvederm) and [Restylane® Lyft](https://aedit.com/procedure/restylane)) and biostimulatory injectables (like [Radiesse®](https://aedit.com/procedure/radiesse) and [Sculptra®](https://aedit.com/procedure/sculptra)) can build up a weak jawline and create the appearance of a strong bone. “The filler gives the jaw more of a squared-off look and a 90-degree angle at the back of the jawline,” Dr. Emer says.

Injecting filler on top of the bony portion of the jawline adds balance and support for better definition between the face and neck. However, the line between a desirable and undesirable result is thin, cautions [Neil Sadick, MD](https://sadickdermatology.com/our-team-2__trashed/neil-sadick/), a board certified dermatologist in NYC. Too much product in the area can lead to a saggy appearance, but, on the flip side, “not enough product may not give the adequate correction in terms of contour,” he says. As such, it’s necessary for the provider to understand the patient’s aesthetic goals. “It’s important to relay if you want a square jawline or a more tapered, rounded jawline,” Dr. Saddick notes.

But it's not just the jawline that requires attention. In some cases, surrounding features require added definition, too, in order to create a [harmonious result](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine). Two ‘tricks’ are to inject filler into the [cheeks and temples](https://aedit.com/aedition/cosmetic-procedures-to-define-cheekbones) and [in front of the ear](https://aedit.com/aedition/dermal-filler-for-stretched-out-earlobes-piercings), which will help add balance and symmetry throughout the face.

## **5. Goodbye, Double Chin. Hello, Jawline.**
Fat plays an integral role in a snatched jawline. When there is a bit too much of it [under the chin](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures), it can obscure the jaw’s sharp lines. “I’m seeing more patients at a younger age with double chins and skin sagging, which detracts from the jawline,” Dr. Emer notes. “They want these really chiseled jaws and chins — which is what everyone sees on celebrities and all over social media — so, usually, fat reduction needs to be a part of the plan.”

Fat under the chin occurs from a combination of genetics, aging, and diet. “As the face descends with gravity and age, the facial fat drops to lower positions along the jawline, which creates jowls,” Dr. Halaas says. “Additionally, aging and [sun damage](https://aedit.com/aedition/cosmetic-procedures-treatments-to-correct-sun-damage) cause the skin to lose elasticity and droop, both of which are bad for the jawline.”

For a small amount of fat under the chin and along the jawline, [Kybella®](https://aedit.com/procedure/kybella) injections and [CoolSculpting®](https://aedit.com/procedure/cool-sculpting) permanently destroy unwanted fat cells from bulky areas. There’s also [truSculpt®](https://cutera.com/trusculpt3D), a quick radiofrequency-based treatment that helps stubborn fat, too. “truSculpt® has no downtime and it contours the skin — almost like its shrink wrapping it,” Dr. Emer says. 

## **6. To Tighten & Tone**
When the skin is loose and lacks strong collagen and elastin, laser treatments may be able to help. “They can be beneficial in [more aggressive laser resurfacing](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) and can tighten the skin and tissue in the jawline area,” Dr. Sadick says. By delivering heat deep within the dermis to prompt new collagen, lasers cause a gradual tightening over time.” As he explains, the stronger the laser, the more pronounced the effect. 

Dr. Halaas says that some devices can also decrease the fatty pockets of jowls and stimulate collagen and elastin for good contraction and tightening. “Radiofrequency, in particular, can be used in different ways, like under the surface of the skin as with AccuTite or FaceTite,” says Dr. Halaas. Unlike externally applied treatments, the procedure sits somewhere between non-invasive therapies and surgery. However, because it works internally and under the skin to melt fat and chisel the jaw and neck, it does require a few days of downtime and healing. 

External treatments, like [microneedling with radiofrequency](https://aedit.com/procedure/microneedling-with-radiofrequency), can also correct mild skin laxity. Of course, the treatment doesn’t address the muscle like surgery does, but it’s a way to gently resurface the superficial layers of skin and get some tightening with next to no pain or downtime. “These types of energy-based devices can be helpful when treating patients with jowls that drape over the jawline and obscure it,” Dr. Camp says.

Other noninvasive skin-tightening treatments that can tighten loose skin include [Ultherapy®](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy) and Thermage®. In the former, Dr. Camp says ultrasound energy employed at specific depths tightens the skin by stimulating collagen production for a more well-defined jawline with sharper angles. “They can be helpful because they act by contracting collagen and then inducing new upregulation of growth factors associated with collagen remodeling and tightening,” Dr. Sadick explains. And then, of course, there’s the OG skin tightener, Thermage®, which providers still love for its collagen-stimulating capabilities — especially when used in conjunction with Ultherapy® to tighten the muscles along the jawline. 

## **7. Lift With Threads**
A popular procedure on social media, a [thread lift](https://aedit.com/procedure/thread-lift) uses dissolvable surgical threads that lift a saggy jawline back into place. Ideal for those who want maximum tightening and lift without going under the knife, threads can give a dramatic effect. “Threads also have mechanical and volumetric lifting capabilities and are usually implanted from the nasolabial or lower melolabial folds to the lateral face and ear zone, which gives a mechanical volumetric lifting to the jawline area,” Dr. Sadick shares.

With different types of threads available, doctors are able to customize the treatment. Dr. Emer, for instance, prefers Instalift threads to [PDO threads](https://aedit.com/procedure/pdo-thread-lift) because “they last longer, they help build collagen in the area, and they are steadier.” Dr. Halaas concurs. She uses [Silhouette Instalift](https://aedit.com/procedure/silhouette-instalift) on her patients who want an immediate lift with minimal downtime. “The PLLA (poly-L-lactic acid) presents a well-studied, long-lasting, collagen-stimulating instantly and safely,” she says. “In addition, we can combine it with all of the other procedures to maximize the nonsurgical effect."

## **The Takeaway**
If you want a tighter and more sculpted jawline without surgery, there are not a lack of options. Regardless of the route you take, always consult with a board certified dermatologist or plastic surgeon first to make sure you’re setting yourself up for success. Keep in mind that, in some cases, non-surgical methods work best in conjunction with other treatments. And remember: These treatments may not have as robust of an effect as surgery, but they are a worthy solution for certain patients all the same. 

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Tight, sculpted, defined, chiseled, snatched — whatever adjectives you choose to describe a perfectly taut jawline, you may be able to achieve it without succumbing to surgery.

The Best Non-Surgical Jawline Procedures To Tighten And Sculpt The Jaw

7 Ways To Define Your Jawline Without Going Under The Knife

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We spend a large amount of time thinking about a relatively small patch of skin — that is — our facial skin. And, despite all of the attention our visage receives, how much do we give to the skin right below it? With a year spent crouched over computer screens and staring at Zoom, perhaps it’s time to shift some of the focus to the area just south of the face (read: the neck). 

No matter how dedicated we are to taking care of our complexions, [the neck](https://aedit.com/concern/neck-and-jawline-definition) is often neglected. The delicate area below the jawline tends to be one of the first to show signs of aging (i.e. wrinkles, laxity, hyperpigmentation) thanks to a lack of sebaceous glands and that pesky little thing called gravity. As we age, collagen and elastin production also slow, which naturally leads to volume loss and sagging. 

Constantly craning over electronic devices, however, has led to a younger generation prematurely experiencing said symptoms. Enter: tech neck. ‘Tech neck’ refers to the “effects of our posture on our body due to technology,” explains [David Isaacs, MD](https://aedit.com/provider/david-isaacs-md-912), a board certified oculofacial plastic surgeon in Beverly Hills. Here, we’re breaking down everything you need to know about preventing and correcting it.

## **What Is Tech Neck?** 
We spend so much time with our eyes on our smartphones, tablets, and other devices. As such, we also spend so much time in what Dr. Isaacs calls “a chin to chest position.” Perhaps unsurprisingly, that unfortunate posture can “affect different areas of our body, including our neck, back, spine, and shoulders, as well as the cosmetic aging appearance of our face and neck,” he continues. From an aesthetic perspective, that often results in “a double chin, jowls, sagging skin, marionette lines, and other signs of aging,” Dr. Isaacs notes. 

But it’s not just about the impact of our physical positions when our faces are fixated on screens. These devices emit [blue light](https://aedit.com/aedition/how-your-phone-might-be-aging-you), and, as double board certified facial plastic and reconstructive surgeon [Lesley Rabach, MD](https://lmmedicalnyc.com/), explains, that exposure can lead to additional skin damage (think: hyperpigmentation and crepiness).

## **How to Treat Tech Neck**
It goes without saying that the best methods of tech neck prevention are to [wear sunscreen](https://aedit.com/aedition/best-neck-creams-for-tech-neck-sagging-jowls) with blue light protection to spare the skin and to [be aware of your posture](https://aedit.com/aedition/how-to-improve-your-posture) when using your devices — or, even better — spend less time on them altogether. But, if the damage is already done, there are both [surgical and non-surgical treatment options](https://aedit.com/procedure/neck-and-jawline-definition-solutions) to address the skin laxity and uneven tone and texture concerns that accompany tech neck:

### **Non-Surgical Tech Neck Treatments**
If you are looking to minimize recovery and avoid going under the knife, “microneedling, fillers, and chemical peels have zero downtime,” Dr. Rabach says. In fact, “many people come during lunch break and go straight back to work,” she shares. It should be noted, however, that a series of treatments (usually spaced four to six weeks apart) are often needed to see results. 

1. **[Kybella®](https://aedit.com/procedure/kybella)**: This injectable treatment is approved by the United States Food and Drug Administration (FDA) to reduce submental fat. Over several sessions, deoxycholic acid breaks down stubborn fat deposits that cause the appearance of a double chin.
2. **[Fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers)**: Not just for your face, fillers can be used for both short and long-term gain to volumize hollow areas, fill in fine lines and creases, and boost collagen.
3. **[Microneedling](https://aedit.com/procedure/microneedling)**: Performed alone or with extras like [platelet-rich plasma (PRP)](https://aedit.com/procedure/microneedling-with-prp) microneedling can target the horizontal wrinkles (and neck in general) to improve skin texture concerns.
4. **[Chemical Peels](https://aedit.com/procedure/superficial-chemical-peels)**: Dealing with uneven skin tone or pigmentation as a result of blue light exposure? Dr. Rabach recommends chemical peels ([at varying strengths](https://aedit.com/aedition/guide-to-superficial-medium-deep-chemical-peels)) to lighten, brighten, and resurface the area. 

### **Neck Lift for Tech Neck**
Yes, surgical procedures usually come with a bit more downtime, but they also usually provide more dramatic results. While these procedures do have a longer recovery period than their non-surgical counterparts, Dr. Rabach says many of her patients shorten that window by wearing a scarf to conceal the treatment area.

1. **Submental Liposuction**: Liposuction is another option for permanent fat reduction and neck contouring. Small incisions are made behind the ears and under the chin, with patients experiencing about a week of post-op [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) and [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery).
2. **[Neck Lift](https://aedit.com/procedure/direct-neck-lift)**: The most comprehensive treatment of the bunch, a surgical neck lift can eliminate excess skin, tighten underlying muscles, and improve the appearance of banding. 

Surgeons have increasingly refined [neck lift techniques](https://aedit.com/aedition/mini-neck-lift-procedure-results-side-effects) to accomplish more with less invasiveness. Dr. Isaacs, for one, performs a minimally invasive modified neck lift with light sedation and without incisions around the ears or in the hairline. The procedure “addresses the vertical and horizontal neck bands, improves the jawline, improves the neckline, and addresses the fat underneath the platysma, a muscle in the neck,” he explains. It is ideal for patients who want more than what Kybella®, fillers, and lipo have to offer but aren’t ready for an entire neck lift. By focusing on the fat under the platysma (rather than above it), Dr. Isaacs says this procedure gives a better aesthetic result.

Constantly craning over electronic devices has led to people experiencing signs of aging on the neck at a younger and younger age. Here’s what you need to know about preventing and treating tech neck.

Tech Neck: Causes, Symptoms, Treatment, Prevention

The Truth About Tech Neck — And How To Treat It

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My grandmother always used to say that you can tell a person’s real age by taking a good look at their neck. One of the most delicate areas of the body, [the neck has thinner skin](https://aedit.com/aedition/best-neck-creams-for-tech-neck-sagging-jowls) than the rest of the body, causing the area to reveal signs of aging earlier and quicker than the face. These changes in skin quality, often visible in our early to mid-thirties, are notoriously difficult to reverse without surgical intervention in the form of a [neck lift](https://aedit.com/concern/neck-and-jawline-definition) … and all of its baggage, including a three to four month healing period. 

So, when a ‘mini’ neck lift started gaining traction in doctors’ offices, it sounded incredible: a mini solution to a maxi problem. It’s said to be less invasive with a shorter recovery and fewer risks, yet it yields similar results to its more serious sister. But things that sound too good to be true often are, and many plastic surgeons are calling the ‘mini’ neck lift a misnomer.

## **What Is a ‘Mini’ Neck Lift?**
“The shortest answer I can give you is there really is no such thing as a mini neck lift, per se,” says [Adam Kolker, MD](https://www.drkolker.com/), a New York City-based board certified plastic surgeon. “You will not go to a plastic surgery textbook of any kind and find the chapter on mini neck lifts. It does not exist.” But that’s not to say there aren’t procedural stepping stones on your way to a full blown neck lift. “On the flip side, you can now establish a hierarchy — or a treatment ladder — that will address one, several, or all of the issues,” he notes. 

Moving from the lowest rungs of a ladder (i.e. the suite of non-surgical options to reverse signs of aging in the neck), Dr. Kolker explains that each step signifies a more invasive solution until reaching the pinnacle: a full, [traditional neck lift](https://aedit.com/procedure/direct-neck-lift). “Rather than calling it a mini neck lift, there are minimal access points or minimally invasive corrections for neck laxity,” he offers. 

## **The Pros and Cons of a Mini Neck Lift**
Considering this [sliding scale of neck procedures](https://aedit.com/aedition/8-ways-to-get-a-younger-looking-neck) that a mini neck lift could entail, we asked three renowned plastic surgeons to explain everything someone can expect with a ‘mini’ neck lift, from the goals to the limitations — and everything in between. 

### **1. It CAN’T be performed on everyone**
“With the neck in particular, you have to be very careful to do a complete history and physical examination,” says Dr. Kolker, who explains that the clinical examination will reveal key factors about a patient’s viability, including the elasticity or inelasticity of the skin, the amount of extra fat underneath the chin, and the visibility of the platysma muscle (i.e. the vertical band connecting the jaw to the collarbone that’s also visible when someone flexes their jaw). 

“It depends on the individual’s anatomy and desires and to choose the most minimally invasive approach that will satisfy their needs over the term they’re hoping to achieve the durability of the result,” he says. In some cases, the exam will reveal that an alternative procedure can satisfy their goals better. “Is everyone who is 40 to 45 years old with early signs of excess skin in the neck a candidate for a neck lift,” Dr. Kolker asks. “The answer is no — they don’t necessarily need to do that yet.”

### **2. The procedure CAN vary from patient to patient** 
“There’s kind of a spectrum of addressing the neck,” explains [Thuy-Van Tina Ho, MD](https://aedit.com/provider/thuyvan-ho-md-25248), a double board certified facial plastic and reconstructive surgeon who runs a private practice in Philadelphia. “It’s all about phrasing too, right? How I would define the mini neck lift could be very different than other surgeons out there.” 

For Dr. Ho, a mini neck lift is a “step down” from a neck lift. She defines it as a procedure where “less skin is elevated,” but the surgery specifics will vary from patient to patient. “One particular procedure never works for all people,” Dr. Kolker adds. “It’s got to be very uniquely tailored to the individual.” 

According to Dr. Ho, in a mini, the “muscle layer may not be addressed or a limited [platysmaplasty](https://aedit.com/procedure/platysmaplasty) may be pursued, just some simple suturing, but no major undermining,” in patients whose neck bands are showing some slack. A “limited SMAS suspension could be performed as well,” she says, depending upon the extent of sagging along the jawline. 

### **3. It CAN be effective for mild jowling and sagging skin**
Realistic expectations are crucial to any successful aesthetic surgery, and, with mini neck lifts in particular, all parties need to carefully align on what is a reasonable outcome. “You do achieve definitive results, but not as dramatic or drastic compared to a traditional neck lift,” Dr. Ho notes. “Patients who have mild neck issues and aging neck issues — like mild skin laxity or fullness in the chin or neck area or platysmal banding issues — could be a good candidate.”

But the procedure, however customizable, has its limits. “If someone has heavy or even moderate skin laxity, this isn’t the procedure for them,” she shares. “It’s not going to fix it.”

### **4. It CAN be done in tandem with other modalities** 
“None of these surgical procedures do anything for skin quality,” says NYC-based board certified plastic surgeon [Steven M. Levine, MD](https://www.stevenlevinemd.com/). But there are energy-based treatments that can support neck rejuvenation, particularly crepey-looking skin, which is notoriously difficult to neutralize. “I think there’s a role for general neck resurfacing and anything you can do to improve skin quality,” he says. [Fraxel®](https://aedit.com/aedition/guide-to-fraxel-laser-skin-resurfacing-treatments), [fractional ablative laser](https://aedit.com/procedure/ablative-fractional-lasers), [radiofrequency microneedling](https://aedit.com/procedure/microneedling-with-radiofrequency), and [chemical peels](https://aedit.com/aedition/guide-to-superficial-medium-deep-chemical-peels) can all “improve skin quality,” he adds.

### **5. It CAN’T tighten or fix fine lines or wrinkles on the neck**
“The crepiness and fine lines in the neck are probably the hardest things to manage,” Dr. Kolker says. So, while you can improve tone on the neck with a mini lift, the lack of collagen and elastin in that area means you “can’t really tighten that area up that much, unless you move to the more surgical end of the spectrum,” he explains. Even at the most aggressive end of the mini neck lift spectrum — which typically involves traditional liposuction or a [liposuction with radiofrequency assisted lipectomy (RFAL)](https://aedit.com/procedure/radiofrequency-assisted-liposuction) — is “not going to tremendously improve the quality of the skin if you’ve got a significant amount of excess,” he cautions, because the sagging skin is not removed.

### **6. It CAN have unpredictable results**
There’s no such thing as a sure thing, especially in plastic surgery. That rings even truer when there is not one codified, board-approved definition of what a mini neck lift entails and, thus, no established optimal outcome. “For the average woman, we’re talking about a tiny incision underneath the skin with radiofrequency and suction-assisted lipectomy, which is going to give you a small improvement,” Dr. Kolker explains. “Sometimes the improvement is as small as 10 or 15 percent. Sometimes it’s as much as 30 or 40 percent.”

An ideal candidate for a “limited incision procedure” (Dr. Kolker’s preferred term for the more serious end of the mini neck lift spectrum) is someone with good skin elasticity. With only small incisions under the chin and without removing any excess skin, the procedure’s success is entirely reliant upon the skin’s ability to bounce back, meaning that outcomes and results will vary based on how well skin constricts and reshapes during recovery. For this reason, such procedures are “appropriate only for very, very mild excess,” he warns. 

### **7. It CAN’T correct significant neck sagging**
Not sure if a small incision neck lift is right for you? According to Dr. Levine, it’s quite simple to determine. “If you have a lot of loose skin and poor skin elasticity, then you need a procedure that will also remove and tighten loose skin, which is a more traditional neck lift,” he says.

Deep neck contouring may also be necessary. “It addresses deep fat, which is a very different kind of fat than regular liposuction,” he says. He describes deep neck contouring as a limited incision procedure to remove the fat and glands beneath the platysma muscle in order to “create extra space in the neck for the neck skin to contract over and give a more chiseled jawline.” This procedure can be performed independently as a smaller-scale neck procedure or added onto a full neck lift or facelift.

### **8. It CAN include a chin implant**
Surprisingly, a [chin implant](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures) is on the medical list of neck enhancement procedures. “Sometimes people have neck laxity because they have a diminutive or underprojected chin,” Dr. Kolker shares. In these cases, “some combination of either suction or radiofrequency with a small chin implant has a very powerful effect on the neck skin because you’re using an implant to tighten the skin of the neck up by pulling that neck skin forward without making bigger incisions,” he explains. At the same time, you can also address excess fat. “By changing the architecture of the neck, you’re also improving the appearance of the neck and the jawline for a more contoured look,” he says.

### **9. Patients CAN age out of eligibility**
According to Dr. Levine, the restrictions for the more invasive end of minimal incision neck lift procedures — like superficial liposuction and deep neck contouring — are tied to the more advanced signs of aging. “The limitations of these liposuction procedures are based on how elastic someone’s skin is because you’re relying on contraction and the skin’s contractility,” he says. “The more elastic the skin is, the better result you’ll get.” As such, he says it’s generally a “great option” for someone in their [thirties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-30s), [forties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-40s), and even [fifties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-50s-60s-70s). “Some people can have great elasticity in their sixties,” he says. “But, as you get older, you have to evaluate based on the specific patient.”

### **10. Results CAN’T offset the effects of an unhealthy lifestyle**
“Once you hit the [recovery room](https://aedit.com/aedition/preparing-for-a-smooth-recovery-from-plastic-surgery), the aging process resumes that moment,” Dr. Kolker notes. “If people are predisposed to change or if their lifestyle predisposes them, like sun exposure or [smoking](https://aedit.com/aedition/impact-of-cigarette-smoking-vaping-on-skin-hair-teeth-health), then obviously you’re going to see a little bit less durability than someone who [eats clean](https://aedit.com/aedition/meal-plans-diet-before-after-cosmetic-surgery), is fit, and takes care of their skin and weight.” At the end of the day, he says any elective surgery is a “small piece of the puzzle” and healthy lifestyle choices are “the most important to make the results last longer.”

### **11. You CAN’T expect zero side effects**
The term ‘mini’ is often thought to imply less downtime and invasiveness, but don’t let the word fool you. “I’ve even heard it called a ‘weekend procedure,’ which is wrong,” Dr. Ho cautions. “It’s still a surgery and the risks are similar, if not the same, as a traditional neck lift.” To heal properly and correctly, “you need to take it seriously,” she adds. 

Although each patient’s recovery will look a bit different, Dr. Ho says that it’s safe to expect [bruising and swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) for the first few days post-op. In some cases, it can last for as long as two weeks. [Exercise](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) is also off limits for 14 days, and Dr. Ho gives her patients strict instructions for how and when to wear the post-op [compression garment](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery). “These precautions are going to be the same, regardless of whether it’s a full or mini,” she says.

### **12. It CAN exacerbate other neck concerns**
A superficial liposuction — that is, the removal of fat that covers the platysma muscle bands — can successfully address a full-bodied neck in patients who are candidates, but it isn’t as simple as it sounds. “You have to be so careful with necks,” warns Dr. Levine, who recommends booking a neck procedure with a [board certified](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) plastic surgeon who specializes in treating the face and neck. If superficial lipo isn’t carefully performed, there may be negative consequences down the road because “you’ve removed the layer of fat that camouflages the platysma muscle, and the visible bands are what people don’t like” he says. 

So, while you’ve addressed one concern, you may have exacerbated another. “As we age, we lose fat in the neck and the platysma becomes more obvious,” he notes. “You’ve improved the neck contour at the expense of making the neck bands more visible.” 

### **13. It CAN’T provide long-lasting results**
For neck procedures that remove fat via superficial liposuction, RFAL, or deep neck contouring, Dr. Kolker says a patient can expect the results to last somewhere in the neighborhood of five to 10 years, depending on lifestyle factors — though the removal of the fat cells is permanent. 

Dr. Ho adds that many of her patients seeking a mini neck lift are looking for a smaller-scale solution, not the dramatic improvement or neck contour of a traditional neck lift. As such, the results are “definitely not going to last as long” as a full neck lift because it requires less surgical intervention, she says.

Here are the possibilities, limitations, and misconceptions you should know before booking a ‘mini’ neck lift, according to top plastic surgeons.

Mini Neck Lift: Procedure, Ideal Candidate, Results, Side Effects

The Truth About ‘Mini’ Neck Lifts

elizaveta-strelkova-gUPznplBsLI-unsplash

No matter how committed we are to taking care of our complexions, the area below the jawline — specifically, the [neck and décolletage](https://aedit.com/aedition/8-ways-to-get-a-younger-looking-neck) — are oft neglected. The delicate area is one of the first to show signs of aging (think: wrinkles, sagging, hyperpigmentation, dryness) thanks to a lack of sebaceous glands and that fun little thing called gravity. As we age, the skin naturally loses collagen and elastin, which leads to volume loss and sagging. Constantly craning over smartphones, meanwhile, has led younger people to experience 'tech neck' — or premature laxity and fine lines as a result of looking down.

Because the skin on the neck and décolleté is thinner and more sensitive than the face, your normal skincare routine might be too aggressive for it. Ingredients that improve cell turnover ([retinol and retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare)), brighten the skin ([vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare)), boost moisture retention ([hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler)), and encourage repair ([peptides](https://aedit.com/aedition/guide-to-topical-peptides-in-skincare)) are all beneficial to treat the area, and they can be found in a variety of forms ranging from serums and sheet masks to creams. 

Here, we round up the best lotions and potions to care for the skin between the chin and the chest.

### **The Multitasker**: Kiehl’s Super Multi-Corrective Anti-Aging Face and Neck Cream
![AEDIT-Kiehls](//images.ctfassets.net/zw35sfestf1t/5Vd0VCZDIjUH7pYpUu6tKi/29130bce10d42f8b4bd1e9a92f187073/AEDIT-Kiehls.png)
Formulated to treat the face and neck, this fast-absorbing moisturizer features a botanically sourced phyto-mimetic vitamin A, chaga mushroom, and hyaluronic acid to improve the appearance of wrinkles, tone, and texture. $68, [ulta.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fsuper-multi-corrective-anti-aging-face-neck-cream%3FproductId%3Dpimprod2018365) 

### **The Heavy Lifter**: Alchimie Forever Firming Gel for Neck and Bust
![AEDIt-AlchimieFroever](//images.ctfassets.net/zw35sfestf1t/3dsgodDBDTce0mGZMH8VaN/d469f40b4714b178649862d67a35e02c/AEDIt-AlchimieFroever.png)
If you are looking for an alternative to heavy creams, this antioxidant-rich gel does a lot of heavy lifting without, well, the heaviness. The lightweight formula features green tea to protect against free radical damage and rosemary to tighten sagging skin and increase cell turnover. $49, [dermstore.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.dermstore.com%2Fproduct_Firming%2BGel%2Bfor%2BNeck%2Band%2BBust_14959.htm)

### **The Strengthener**: SkinCeuticals Tripeptide-R Neck Repair
![AEDIT-SkinCeuticals](//images.ctfassets.net/zw35sfestf1t/4DAqES7SgiuBrZvxv5fq7/28bb9c20085800f66cabd9dc74aa339b/AEDIT-SkinCeuticals.png)
You've heard us wax poetic about the age defying benefits of retinol, but facial formulas can be too potent for the delicate skin of the neck and décolleté. In this moisturizer, pure retinol (0.2 percent) is paired with a tripeptide concentrate and glaucine complex to smooth and strengthen skin. $120, [dermstore.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.dermstore.com%2Fproduct_TripeptideR%2BNeck%2BRepair_84152.htm) 

### **The Quick Fix**: Skyn Iceland Hydro Cool Neck Gel
![AEDIT-SkynIceland](//images.ctfassets.net/zw35sfestf1t/4ODN0WwOptPEcbO8v5uJIq/c6eca64290dce21b4944047ef891eaff/AEDIT-SkynIceland.png)
Looking for a quick fix before a night out or your next Zoom meeting? These single-use patches are infused with niacinamide to tighten and brighten sagging skin. One 10-minute treatment is all you need to see results, but the benefits build with consistent use. $35 for 4, [ulta.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fhydro-cool-firming-neck-gels%3FproductId%3DxlsImpprod15571125)

### **The Bestseller**: PRAI Ageless Throat & Décolletage Creme
![AEDIT-Prai](//images.ctfassets.net/zw35sfestf1t/1sEWd6yUqSagcyclnQ7T3w/01e30d8c1aeea7d9f9972dab94a7dd03/AEDIT-Prai.png)
There is a reason one of these creams sells every 60 seconds worldwide. It is a budget-friendly formula packed with hyaluronic acid and vitamins A, E, and F to restore elasticity and firmness from the jawline to the bustline. $30, [praibeauty.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fpraibeauty.com%2Fproducts%2Fthroat-decolletage-creme) 

### **The Exfoliator**: Dr. Dennis Gross Ferulic + Retinol Fortifying Neck Emulsion
![AEDIT-DrDennisGross](//images.ctfassets.net/zw35sfestf1t/4f21eJuVNrDuXhw0S1nkjE/5524159dcd31c93a20a269cc24f178c0/AEDIT-DrDennisGross.png)
Lactic and ferulic acids combine with retinol and a proprietary ECG complex to boost cell turnover, which, in turn, helps to minimize the appearance of fine lines and wrinkles and improve skin tone and texture. $75, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fferulic-retinol-fortifying-neck-emulsion-P403457) 

### **The Skin Soother**: Doctor Babor Cleanformance Phyto CBD Cream
![AEDIT-Babor](//images.ctfassets.net/zw35sfestf1t/4dILxgf1Em6THnD40ihKoz/6b0eebd014822f6eaa686c7ae7e59f16/AEDIT-Babor.png)
Calm and protect sensitive skin on the face, neck, and décolletage with this lightweight formula that features a phyto CBD blend of hemp seed oil and cosmeceutical-grade [cannabidiol](https://aedit.com/aedition/cannabidiol-cbd-in-skincare-products-face-body) (a.k.a. CBD). Pre- and probiotics, squalane, and ceramides offer additional nourishing and anti-inflammatory benefits. $65, [skinstore.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.skinstore.com%2Fbabor-doctor-babor-cleanformance-phyto-cbd-24h-cream-50ml%2F12639073.html) 

### **The Drugstore Find**: Freeman Beauty Lovely Neck Sheet Mask
![AEDIT-Freeman](//images.ctfassets.net/zw35sfestf1t/4PJZ2aFqrvQY59ymdRBT5f/983155c3a23af194aaad31cc253de521/AEDIT-Freeman.png)
Sheet masks aren’t just for the face. This sheet is designed for the neck and chest includes a blend of grape seed and peach extract to instantly tone and hydrate skin for less than the cost of a latte. $3, [walmart.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.walmart.com%2Fip%2FFreeman-Lovely-Neck-Sheet-Mask%2F895902643) 

### **The Smoothing Serum**: StriVectin Tightening Neck Serum Roller
![AEDIT-StriVectin](//images.ctfassets.net/zw35sfestf1t/6NqnAkW7m541EARFBj4zez/418066e7c574e483e93c647e15db8a2d/AEDIT-StriVectin.png)
This non-greasy serum is great for daytime wear and offers a spa-like experience thanks to its massaging applicator. Polymers and the brand's NIA-114 niacinamide technology visibly lift the neck and strengthen the skin barrier to reveal smoother (i.e. less crepey) skin. $89, [ulta.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Ftightening-neck-serum-roller%3FproductId%3DxlsImpprod11661007)

### **The Gentle Alternative**: Dr. Zenovia Peptide + Ceramide Repairing Moisturizer
![AEDIT-DrZenovia](//images.ctfassets.net/zw35sfestf1t/5b9BEjVOoAstktJSG5tBLT/cf72a1fe3b7c197cdc11e60fa4f123d1/AEDIT-DrZenovia.png)
Bakuchiol (a plant-based [retinol swap](https://aedit.com/aedition/skincare-ingredient-alternatives-for-retinol-retinoids)), aloe vera, peptides, ceramides, and antioxidants enhance tone and radiance, while plumping and strengthening skin on the face and neck. $79, [drzenovia.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fdrzenovia.com%2Fproducts%2Fpeptide-ceramide-repairing-moisturizer) 

### **The Protector**: RoC Multi Correxion 5-in-1 Chest, Neck & Face Cream with SPF 30
![AEDIT-RoC](//images.ctfassets.net/zw35sfestf1t/7KgbV1wdISM75UuavUBVSp/858abf8400fae728ade194848ea8a51e/AEDIT-RoC.png)
Many neck creams are too rich to use during the day, but you won’t mind slathering on this lightweight option in the A.M. It is clinically proven to reduce discoloration, fine lines, and wrinkles, while protecting against future damage thanks to its SPF 30. $24, [walmart.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.walmart.com%2Fip%2FRoC-Multi-Correxion-5-In-1-Chest-Neck-Face-Cream-With-SPF-30%2F47431333) 

### **The Treatment**: Dr. Brandt Needles No More Neck Sculpting Cream
![AEDIT-NeedlesNoMore](//images.ctfassets.net/zw35sfestf1t/hpOTPjB1BPkTofDd6rfYf/7b622b31d04fd4ef0c9310f236043da1/AEDIT-NeedlesNoMore.png)
Boost the uplifting benefits of your [gua sha practice](https://aedit.com/aedition/everything-you-need-to-know-about-gua-sha) with this rejuvenating cream that blends caffeine, soy isoflavones, spirulina, guarana extract, hyaluronic acid, glycerin, and more to improve the contour of the neck and jaw. $95, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fneedles-no-more-neck-sculpting-cream-P440302) 

### **The Multivitamin**: Phyto-C Skin Firming Cream
![AEDIT-Phyto-C](//images.ctfassets.net/zw35sfestf1t/7EUu7SiUPYryc3tHTePpMc/a6cf9704702b50ac0a61398dc093b987/AEDIT-Phyto-C.png)
Consider this firming and brightening cream a multivitamin for your face and neck. A potent 15 percent L-Ascorbic acid (read: vitamin C) improves skin tone and texture, while vitamins B5 and E offer additional antioxidant protection. $120, [phyto-c.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.phyto-c.com%2Fproducts%2Fskin-firming-cream%3Fvariant%3D13027889152070) 

### **The Wrinkle Reducer**: It Cosmetics Confidence in a Neck Cream Moisturizer 
![AEDIT-ItCoemstics](//images.ctfassets.net/zw35sfestf1t/5E56RjAL7YRpS3dSMb5Jk2/478aae3e4d77d5ea2d0b368f4179cfe9/AEDIT-ItCoemstics.png)
Fucoidan seaweed, ceramides, niacin, and shea butter are just a few of the actives in this smoothing and moisturizing cream that reduces the appearance of horizontal neck lines. $52, [macys.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.macys.com%2Fshop%2Fproduct%2Fit-cosmetics-confidence-in-a-neck-cream%3FID%3D10437278) 

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Beauty

From tech neck to crepey skin, we’re rounding up the best lotions and potions to care for the skin between the chin and the chest.

Best Neck Creams To Treat Tech Neck, Sagging, Crepey Skin

14 Neck Creams For A Younger-Looking Neck And Décolletage

shutterstock 244228729

When invited into the Sperling Dermatology’s new [Sperling Spectacular Spa](https://www.sperlingdermatology.com/body/) in Red Bank, NJ, I jumped at the chance to check it out, meet the staff, and try a non-invasive treatment. As a beauty editor who focuses on skincare and aesthetics, this place can easily become my new home ‘office.’ I met with board certified physician assistant [Christinna Del Genio, MS, PA-C](https://www.sperlingdermatology.com/about/about-office-staff/), who gave me a tour space before recommending I try [InMode’s Evoke](https://inmodemd.com/workstation/evoke/), one of their newest treatment offerings. The device uses radiofrequency (RF) heat technology to stimulate collagen and lift and tighten the skin around the cheeks, jawline, and jowls.  

Once I saw the before and after pictures, I was sold. The Evoke “workspace” comes with two offerings — Evoke Face and Evoke Neck. Both applicators are hands-free and employ RF energy to reshape facial tissue, but the former is specifically designed to treat [cheeks and jowls](https://aedit.com/aedition/cosmetic-procedures-to-define-cheekbones) while the latter addresses the [neck and submental areas](https://aedit.com/aedition/8-ways-to-get-a-younger-looking-neck). We decided to focus on my [jawline](https://aedit.com/aedition/8-ways-to-get-a-more-defined-jawline) since I’d love for that skin to be a bit tighter (I’m in my late thirties, after all), and I wasn’t a candidate for the neck portion. As Del Genio and her team set me up in a comfy chair for my first 30-minute treatment, I began taking notes and interviewing her about the technology.  

## **Evoke Technology**
“The goal of radiofrequency skin remodeling is to heat collagen at deep and superficial levels to 40 to 43 degrees Celsius,” Del Genio explains. “In doing so, the formation of new collagen begins and the skin tightening effect takes place.” Unlike other tightening devices that promise similar benefits, Evoke is hands-free and contains temperature monitoring and control. As a result, it has the ability to deliver uniform, controlled heat energy without being dependent on the technician. If the skin reaches a threshold level the radiofrequency energy, it’s temporarily suspended to protect the skin from discomfort and possible burn. Other devices have a hand-held applicator, which requires the person giving the treatment to continually move it around at a fast speed to prevent that from happening.  

### **Evoke Treatment & Protocol**
Thirty minutes flew by, and, as promised, it didn’t hurt at all. It was as if I was wearing warm Bose headphones that were positioned tightly on my cheeks. After each treatment my face *felt* tighter. I didn’t even have to touch it to feel the difference. I saw results after my first treatment, but I followed the protocol and continued to do a series of four sessions spaced about one week apart for the best results. While I noticed incremental changes throughout, final results will be visible eight weeks after my fourth treatment. Skin tightening results are supposed to last one year, with one yearly maintenance session encouraged thereafter.  

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/4fmqyCx0dCYvafTtH93Is2/94bbaef19d6a6dd816c74d86180c2756/evoke-b_as-oct-15-800x300.png}>
  The writer's jawline before Evoke (left), immediately after her first treatment (middle), and immediately after her fourth treatment (right). The red marks on her cheeks are from the device and faded quickly. Her final result will be visible eight weeks after her last session.
</CaptionImg>

### **The Ideal Candidate for Evoke**
Anyone who experiences skin laxity in the lower face and neck can benefit from Evoke, but the treatment isn’t for everyone. Skip it if you…

- Have a pacemaker or defibrillator
- Have a history of cancer
- Are [pregnant or nursing](https://aedit.com/aedition/safety-of-cosmetic-procedures-during-pregnancy-breastfeeding)
- Have cardiac disorders, sensory disturbances, epilepsy, uncontrolled hypertension, and liver or kidney disease
- Have an impaired immune system due to AIDS or HIV

### **The Cost of Evoke**
I feel very fortunate that I have the opportunity to try these treatments for work at no cost because they are pricey. A series of four in one area (jawline or neck) will run you about $2,000. If you want to treat both areas, a series costs about $3,000. Pricing depends on the practitioner and where you get it done, but these prices are average.  

## **The Takeaway**
The lift is real! I am beyond impressed with my results week after week and am excited to have a more sculpted jawline — I never had one before! I’m anxious to see my full results eight weeks from now and am optimistically curious as to whether this is really going to last 12 months like it claims. Time will tell.

Patient Perspective

Skeptical but excited to try Evoke, one writer can honestly say her jawline has never been tighter.

Evoke Radiofrequency For Jawline And Neck Skin Tightening

This Skin Tightening Device Really Firmed My Jawline

shutterstock 1210951966-min

You have your anti-aging skincare routine down to a science, you never leave the house without wearing vitamin C serum and sunscreen, and at night you refuse to let your face touch the pillow without applying under-eye treatment and moisturizer. But what are you doing about your neck?

Americans spend so much effort preventing signs of aging like creasing and wrinkling in the space between their chins and foreheads. In reality, the neck often starts to look older long before crow’s feet enter the picture. The skin on our necks is thinner than the skin on our faces and it’s exposed to the same wear and tear. Unfortunately, it also tends to get a lot less TLC, if any at all.

“Over time, skin loses collagen and elastin,” says New York City board certified plastic surgeon [Benjamin Paul, MD](https://aedit.com/provider/benjamin-paul-md-392). Dr. Paul explains smoking and sun damage can also further accelerate aging of the skin on the neck. Those aren't the only causes of neck aging. As we get older, laxity in the neck occurs due to a loss of support from connective tissue and muscle. This leads to what we commonly call a “waddle” or “turkey neck" and looks like loose skin under our chin.

The appearance of sagging skin on the neck can affect everyone. Repeated pulling of the platysma muscle, which is the muscle men often flex while shaving, tugs on the overlying skin and causes it to wrinkle over time. According to Dr. Paul, thyroid or neck surgery also loosens the neck and can contribute to an older appearance.

While there’s not much we can do about getting older, it is possible to slow down the physical signs of aging. Here are some ways you can prevent future sagging skin and promote a younger-looking neck.

## **1. Protect Your Skin From the Sun**
It’s common knowledge that [sun exposure](https://aedit.com/aedition/7-things-youre-not-doing-for-your-skin-but-should) causes major damage to your skin. This includes the delicate skin on your neck, which is one of the first places the signs of aging can take hold. According to Dr. Paul, the single best thing you can do to preserve a youthful neck and prevent sagging skin, age spots, and fine lines is to wear sunscreen.

The American Academy of Dermatology (AAD) recommends an SPF of at least 30 because it blocks 97 percent of the sun’s damaging UVB rays. Apply sunscreen to your face and neck every morning before putting on your makeup, whether you’re spending the day indoors or outside. Remember to reapply every few hours to make sure your skin is always protected.

## **2. Add a Retinoid To Your Skincare Routine**

If you’re an anti-aging veteran, your medicine cabinet is likely stocked with skincare products that promise to reduce wrinkles and give you a smooth, tight complexion. There is a huge variety of creams, for instance, that help moisturize the neck. Do they actually work? “In my experience,” says Dr. Paul, “the benefit of neck creams is quite limited.” Unless it contains a retinoid.

Retinoids, a class of ingredients that includes retinol, retinyl palmitate, and retinoic acid, can repair sun damage by reducing the appearance of fine lines and wrinkles, smoothing the skin texture, and evening the skin tone. They do it by boosting collagen production and stimulating cell turnover deep within the skin.

“Retinoids are potent, but they may be irritating,” says Dr. Paul. To minimize irritation, apply a retinoid to clean skin at night and wait a few minutes before layering on moisturizer. Because the skin on the neck is thinner than it is on the face, start with a small amount of retinoid and build up slowly. If you've never used one, a dermatologist can guide you in selecting the right product.

## **3. Shrink Your Double Chin** 
If you’re worried about a double chin, a non-invasive treatment called [Kybella®](https://aedit.com/procedure/kybella) could help restore the youthful neck you desire. Kybella® is a non-surgical treatment that involves a series of deoxycholic acid injections that target and destroy fat cells in the chin. There are no incisions with Kybella® and most patients experience minimal downtime.

While the acid in Kybella® does destroy fat cells, which are metabolized and eliminated by the body naturally, it won’t help with turkey neck. “Kybella® does not change the skin of the neck or laxity that may be present in the platysma,” Dr. Paul explains. To remove sagging skin after Kybella® treatment, a skin-tightening or surgical procedure may be necessary.

## **4. Reduce Wrinkles Caused By Aging and Sun Damage**
We know Botox® works to reduce lines and wrinkles on the face. Similarly, [Botox®](https://aedit.com/procedure/botox-facial) can be injected into the submental area and [jawline to give a “lift”](https://aedit.com/procedure/jawline-slimming-with-botox) to an aging neck. “Botox® may reduce vertical cording or banding on the neck that is caused by the platysma muscle contraction,” says Dr. Paul. The treatment promotes a more youthful neck by relaxing the muscles that pull on the overlying skin and create wrinkles. The results of Botox® last between four and six months, and the treatment can be performed in as little as 15 minutes. It's best on vertical lines, though. Botox® will have little, if any, effect on horizontal lines which are formed on the neck through skin creasing.

## **5. Embrace Technology to Improve Sagging Skin**
It can be challenging to [treat sagging skin](https://aedit.com/procedure/direct-neck-lift) with topical products alone. At the same time, many patients are hesitant to go under the knife to correct loose neck skin. Luckily there are several professional skin tightening options that can give them the results they desire without surgery.

“Radiofrequency and ultrasound devices aim to tighten the neck with energy,” says Dr. Paul. The treatments have been shown to tighten loose neck skin by using energy to heat the skin and boost the production of collagen and important proteins. However, Dr. Paul cautions that the effects of these devices are limited and patients may need multiple treatments to see results.

## **6. Go Under the Laser, Not the Knife**
We know lasers can reduce unwanted hair and remove tattoos, but these incredible devices can also be used to rejuvenate the skin and promote a more youthful look. [Laser resurfacing](https://aedit.com/procedure/nonablative-fractional-lasers) involves directing short, concentrated, pulsating beams of light at the face or neck to remove damaged skin layer by layer.

With laser resurfacing, “the goal is to improve lines, texture, and surface irregularities,” says Dr. Paul. There are two types of lasers commonly used in skin resurfacing: ablative [CO2 lasers](https://aedit.com/procedure/ablative-co2-laser) and [non-ablative (fraxel) lasers](https://aedit.com/procedure/fraxel-repair). “There is more tightening with ablative lasers, though there is a higher risk of neck scarring,” Dr. Paul cautions. “Choose your laser doctor carefully.”

## **7. Try Intense Pulsed Light Therapy For Dark Spots**
If you have dark spots on your neck, you’re looking at the results of sun damage. Luckily, you don’t have to live with age spots forever. [Intense pulsed light therapy (IPL)](https://aedit.com/procedure/ipl) is similar to laser treatment in that it uses energy to treat wrinkles, dark spots, and sun damage. But it’s different because it releases many different wavelengths of light, so it is more scattered and less targeted. During an IPL treatment, pigment in the skin absorbs the light, which is converted to heat. The heat then destroys the unwanted pigment to fade the appearance of red and brown spots. According to Dr. Paul, it may take between three and five IPL treatments to see results.

## **8. When Surgery is The Best Option**
Non-invasive treatments can dramatically improve the appearance of a double chin,wrinkles, age spots, and fine lines on the neck. If you have loose or sagging skin, however, this might be best treated with surgery. Options for cosmetic neck surgery include [liposuction](https://aedit.com/procedure/laser-assisted-liposuction) of the neck to reduce fat or a [neck lift](https://aedit.com/procedure/platysmaplasty) to tighten the skin and muscle.

According to Dr. Paul, a neck lift in conjunction with a deep plane facelift are the gold standard in restoring a youthful neck and jawline. In this procedure, the deep tissues of the neck are dissected and supported to lift sagging skin on the neck and jowls. A deep plane face and neck lift is performed under general anesthesia in an operating room. The results are natural-looking and can last up to 10 to 12 years.

The skin on our necks is thinner than the skin on our faces and it’s exposed to the same wear and tear. What are you doing about your neck?

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