Platysmaplasty (Neck Lift)

what is a neck lift ...

Over time, factors such as gravity, genetics, sun exposure, and weight fluctuations can contribute to skin laxity, excess fat, and banding in the neck. These changes may lead to a less defined appearance. A Neck Lift aims to reshape this area, increase definition, and reduce excess skin. More often than not, it is performed alongside a facelift, but it can be performed on its own.

A Neck Lift, also known as a Platysmaplasty or Lower Rhytidectomy. It is a surgical procedure designed to reduce visible signs of ageing in the jawline and neck. This procedure focuses on tightening neck muscles (platysma), removing excess skin, and reducing fat deposits in the area, leading to a more defined neck and jaw appearance.

While a Neck Lift cannot stop the ageing process, it may help address age-related and structural concerns such as excess skin, reduced jawline definition, and visible neck banding. While outcomes vary for each individual, Neck Lift surgery is often chosen to increase definition and balance the neck and jawline appearance. Individuals may consider this procedure for various reasons, including:

  • Reducing excess or lax skin on the neck and jawline.
  • Addressing localised fat deposits beneath the chin or in the neck area.
  • Increasing jawline definition.
  • Reducing the appearance of neck banding (platysmal bands).
  • Reducing excess skin and tissue laxity caused by: Significant weight loss, age-related changes, genetic predisposition to early or noticeable neck ageing, and a personal desire to refresh one’s overall facial appearance.

types of neck lifts ...

The term “neck lift” can refer to several surgical techniques. These include:

Skin-Only Neck Lift

  • Suitable for patients with excess skin but not much fat or muscle involvement.
  • Excess skin is trimmed and redraped to alter the neck’s appearance.
  • Often performed for those with significant weight loss or mild age-related skin laxity.
  • It can result in a more toned and refreshed neckline when skin is the main concern.

Neck Liposuction Only Comprehensive Neck Lift with Platysma Plication

  • It may be suitable for patients with multiple concerns, including skin laxity, excess fat, and visible muscle bands.
  • Involves tightening of the platysma muscle through internal sutures, as well as fat removal and skin redraping.
  • Our surgeons use a refined platysma plication technique, based on their extensive experience and surgical training.
  • This method helps address deeper structural ageing while maintaining movement and avoiding an overdone appearance.

Neck/Chin Liposuction Only (Submental Liposuction)

  • Suitable for patients with excess fat but firm skin, often individuals in their 20s to 40s.
  • Fat is removed using a small cannula and suction technique.
  • No skin is removed, so the skin needs to have suitable elasticity in order to retract after fat removal.

am I a suitable candidate ...

A Neck Lift may be considered by individuals who are concerned about visible signs of ageing in the neck area, such as skin laxity, neck banding, or excess fat. While each patient is assessed individually, there are several factors that may make someone a suitable candidate for this procedure. You may be considered a suitable candidate for Neck Lift surgery if you:

  • Are bothered by excess skin, muscle banding, or localised fat deposits around the neck and jawline.
  • Are at a suitable and stable weight.
  • Have realistic expectations about the outcomes of surgery.
  • Are in overall good physical health, with no medical conditions that may impair healing.
  • Are you a non-smoker, or are you willing to cease smoking well before and after surgery.
  • Have skin that has reasonable elasticity, which can help optimise results.
  • Have taken the time to understand the procedure, including the potential risks, potential benefits, and the recovery process.

Neck Lift surgery is typically performed under general anaesthesia; however, local anaesthesia with sedation may be suitable in select cases, depending on the extent of the procedure.

Incisions are carefully planned to reduce visibility. In most cases, they are placed behind the ears and may extend slightly into the hairline. In select situations, an additional small incision may be made under the chin to allow access to deeper tissue structures.

Once the incisions are made, your surgeon will tighten the underlying muscles and reposition soft tissue to increase definition and support the new appearance of the neck. Excess fat may be removed or redistributed, and the excess will be removed.

The remaining skin will then be redraped for a smoother, more defined appearance. The incisions are then meticulously closed using sutures or skin adhesives.

In some cases, temporary drainage tubes may be placed to reduce the risk of fluid build-up during the early stages of healing.

Yes, you will require a GP referral. As of 1 July 2023, AHPRA (Australian Health Practitioner Regulation Agency) requires all patients to obtain a referral from a GP (General Practitioner).

Each person’s recovery will be slightly different, depending on the surgical approach and individual healing response. However, most people experience a steady and manageable healing process with proper care.

First few days post-surgery:

  • Swelling, bruising, and tightness are expected, particularly within the first 48 to 72 hours.
  • Discomfort can typically be managed with prescribed pain relief.
  • Cold compresses may help reduce swelling.
  • Elevating the head and avoiding neck movements helps support healing.
  • A compression garment is not used after Neck Lift surgery.

Wound care and activity:

You’ll receive detailed instructions on how to care for your incision sites, use medications, and recognise signs of potential complications.

  • Light activity can usually resume after the first week.
  • More strenuous exercise or heavy lifting should be avoided for at least 2–4 weeks.
  • Many patients return to work within 10–14 days, depending on job requirements.

Long-term recovery

Most swelling subsides within a month, although it may take several months for all residual swelling to resolve. Final results often become fully apparent over time, as incisions mature and skin settles.

Scar care, including sun protection and recommended products, may help support optimal healing and appearance.

As with any surgical procedure, a Neck Lift involves potential risks. Your surgeon will discuss potential risks and complications during your consultation as part of the informed consent process. Visit our Risks and Complications page for more information. Risks and complications can include, but are not limited to:

  • Infection
  • Bleeding or haematoma
  • Poor Scarring
  • Seroma (fluid accumulation)
  • Delayed wound healing
  • Asymmetry
  • Nerve damage
  • Anaesthetic risks 

The total cost of Neck Lift surgery depends on factors such as the procedure’s complexity, length of hospital stay, anaesthetist fees, and whether the surgery is performed in conjunction with others, like a Facelift or Liposuction.

After a consultation with your surgeon, you’ll receive a personalised quote that outlines the total expected cost for your procedure.

In some cases, Medicare or private health insurance may provide partial rebates if the procedure meets certain medical criteria.

Neck Lift surgery is considered cosmetic and, therefore, not covered by Medicare. However, exceptions may apply when the procedure addresses a functional or medical concern, such as:

  • Excess skin after significant weight loss can cause hygiene issues or discomfort.
  • Skin folds that interfere with movement or daily function.
  • Neck tissue changes related to trauma or medical treatment.

If your case meets Medicare criteria, a partial rebate may apply. Private health insurance may also contribute if your policy covers hospital procedures related to medically indicated plastic surgery. Your surgeon cannot guarantee Medicare approval; eligibility is determined by Medicare or your health fund.

FAQs ...

While results vary from person to person, many patients find the results long-lasting. The procedure addresses structural changes in the neck, such as muscle laxity and excess skin. Maintaining a stable weight, sun protection, and a good skincare routine may help prolong your results.

Most patients report mild to moderate discomfort, particularly in the first few days following surgery. This is typically managed with pain relief as prescribed by your surgeon. Sensations of tightness, swelling, or numbness may occur initially but usually settle over time.

Light activities can typically resume within 10–14 days, while more strenuous physical activity should be avoided for a few weeks. Your surgeon will provide individualised guidance based on your healing progress. Full recovery and optimal results often take several months.

Neck lift incisions are placed in discreet locations — usually behind the ears and under the chin — and tend to heal well over time. With proper care, scars typically fade and become less noticeable. Our surgeons use meticulous suturing techniques to support healing outcomes.

why choose me clinic ...

With over 35 years of experience in plastic surgery, aesthetic cosmetic medicine, and skin rejuvenation, Me Clinic is built around a simple priority: patient-first care.

We take time to understand you as an individual and curate an approach that feels meaningful and appropriate for your needs. We listen, we care, and we support you through your journey — from consultation through to aftercare.

Our team of Specialist Plastic Surgeons can advise on suitable options to address your concerns. In an ever-evolving field, we focus on evidence-informed care and contemporary treatment options, with suitability always assessed on an individual basis.

Surgeons who perform Neck Lift procedures at Me Clinic …

Book your neck lift consultation ...

If you are considering Neck Lift surgery, a consultation with a Specialist Plastic Surgeon is your opportunity to discuss your concerns, learn about suitable options, and understand what your personalised plan may involve.

For all surgical procedures, you will need a valid GP Medical Referral to have a medical or cosmetic consultation with Me Clinic’s Specialist Plastic Surgeons. To begin your journey, call 1300 852 050 or enquire via our contact form.

We look forward to hearing from you soon and answering any further questions you may have.

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