Restoring a youthful neck is often part of facial rejuvenation where signs of aging lead to a loss in the tight contours of the neck and jaw line. Loss of elasticity in the skin and deposition of fat with aging contribute to sagging skin in this area and interrupt a crisp jaw line. Non-surgical technologies and surgical techniques can improve signs of aging in the neck. 

Modern advancements in non-surgical technologies offer effective interventions to improve mild to moderate skin laxity. Various non-surgical technologies incorporate the delivery of radiofrequency energy to the skin. Radiofrequency energy temprorarily heats the skin, boosting the production of collagen, elastin, and new skin cells for an overall improvement in the tone, texture, and quality of the skin. Radiofrequency treatments are often performed in successive treatments for optimal improvements in skin tightening to reduce wrinkles and sagging skin. Radiofrequency skin treatments have become an increasing popular treatment as it offers minimal down time and is a less invasive alternative. 

The most effective way to restore a youthful neck and reverse the anatomic changes of aging is through neck lift surgery. Neck lift surgery improves neck architecture for a tight contour in the neck and jawline. It is important to be accostumed to the anatomy of the neck to understand how a neck lift works. Immediatley under the skin of the neck is a fatty layer of tissue which varies with the individual in thickness. Deep to this layer of tissue is a thin muscle called the platysma that extends from the collar bone to the jaw. More fat, important nerves, blood vessels and glands lie underneath the platysma muscle. 

Correcting and tighening the platysma muscle is essential in effective neck lift surgery. Incisions underneath the chin and in front and behind the ears allow the skin to be elevated from the platysma and offer the an opportunity for removal of excess fatty tissue, including under the chin. The platysma is tightened much like a corset with stitches. Additionally, “lifting” stitches in the muscle below the ear enhances results. Skin is redraped with the removal of excess skin. Advanced surgical techniques aim to conceal the closure along and around the ear where the scars are well concealed. 

Recovery from neck lift is well tolerated. Neck lift surgery often requires the placement of a temporary drain and a dressing to the head and neck. Patients are closely monitored with follow up visits to ensure optimal care and recovery. 

Modern advanced non-surgical technologies utilizing radiofrequency energy offer skin tightening to the lower face and neck. The most effective strategy to restore a youthful contour to the neck and jaw line is through neck lift surgery with a skilled aesthetic plastic surgeon.