Dr. Forrest S. Roth finds that ideal neck lift candidates are patients — typically in their 40s to 60s — who have noticeable platysmal banding (neck cords), submental fat that persists despite diet, loose or crepey neck skin, or significant loss of jawline definition. These concerns are often genetic and not tied to body weight. Candidates should be in good health, non-smokers (or willing to stop before surgery), and at a stable weight.

Dr. Roth uses incisions placed behind the ears in the natural crease and, when addressing submental fat or muscle banding, a small additional incision under the chin. The platysma muscle is tightened (platysmaplasty) to smooth neck cords, submental liposuction removes excess fat, and the overlying skin is carefully re-draped to restore a clean jawline and neck angle.

Most patients treated by Dr. Forrest S. Roth, MD, FACS return to light desk work within 7–10 days. A compression garment is worn for the first 1–2 weeks. Bruising and swelling are most pronounced in the first week and typically resolve over 3–4 weeks. The majority of patients are comfortable appearing in public — with makeup and normal hair — within approximately two weeks.

Dr. Roth places neck lift incisions in concealed locations: behind the ears in the natural crease and, when needed, in the natural crease under the chin. Both are well-hidden once healed. Scars are initially pink and slightly textured, then fade over 12–18 months to become difficult to detect. Sun protection and silicone scar treatment support optimal healing.

Improved neck definition and reduced banding are apparent once early swelling resolves, typically within 3–4 weeks. Dr. Forrest S. Roth advises patients that the fully refined result — with completely settled tissues and the most natural contour — appears at approximately 3–6 months post-surgery. Results are durable with stable weight and healthy lifestyle.

Yes — Dr. Forrest S. Roth frequently performs neck lift as part of facelift surgery, since the neck and lower face are anatomically continuous and age together. Combining both in a single procedure produces a more harmonious, natural rejuvenation than treating them separately. For patients whose primary concern is the neck and jawline — with minimal facial laxity — a standalone neck lift is appropriate and yields long-lasting improvement on its own.