Neck Lifts (NLT)
Neck Lifts (NLT): Procedure, Benefits, and Risks
What is a Neck Lift?
Neck lifts (NLT), also known as lower rhytidectomy, is a cosmetic surgical procedure designed to improve visible signs of aging in the neck area, including excess skin, fat, and muscle laxity. It aims to create a smoother, firmer, and more youthful neck contour, often performed in conjunction with a facelift for comprehensive facial rejuvenation.
Benefits of a Neck Lift
- Reduction of sagging skin and fat deposits
- Improved jawline and neck definition
- Elimination of neck bands and excess skin
- Long-lasting aesthetic improvements
- Rejuvenates the appearance of the lower face and neck, boosting confidence
Risks and Potential Complications
Like any invasive procedures, neck lifts carry some risks, which include:
- Bleeding and hematoma (fluid/blood collection)
- Infection
- Nerve injury resulting in numbness or muscle weakness, which is often temporary but can be permanent in rare cases
- Scarring – typically hidden within natural skin creases but may be visible
- Skin irregularities or pigmentation changes
- Poor wound healing and skin loss
- Swelling and bruising that may persist temporarily
- Asymmetry between two sides of the face or neck
- Unfavorable results prompting potential revision surgery
How to Minimize Risks
- Choose an experienced, board-certified facial plastic surgeon.
- Follow pre-operative instructions, including avoiding smoking, certain medications, and maintaining good health.
- Ensure proper post-operative care to facilitate healing.
Recovery Expectations
Recovery typically involves a few days to weeks of swelling, bruising, and discomfort, with most patients returning to daily activities within 10–14 days. Complete healing and optimal results may take several months.
Final Note
A neck lift can provide a more youthful appearance when performed by a skilled surgeon, but it involves carefully weighing risks and benefits. Consultation with a qualified plastic surgeon is essential for determining individual candidacy and optimal surgical approach.
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References:
- Rohrich RJ, Pessa JE. Revision Facelift and Neck Lift: Techniques and Outcomes. Plast Reconstr Surg Glob Open. 2021 Jun 7;9(6):e3614. doi:10.1097/GOX.0000000000003614. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186989/
- American Society of Plastic Surgeons. Neck Lift: Procedure, Benefits, and Risks. 2024. Available at: https://www.plasticsurgery.org/cosmetic-procedures/neck-lift/safety
- Baker D, et al. Current Trends in Deep Plane Neck Lifting: A Systematic Review. Aesthetic Plast Surg. 2025 Jan;49(1):1-13. doi:10.1007/s00266-024-03271-5. Available at: https://pubmed.ncbi.nlm.nih.gov/39652837/
- Millard Plastics Surgery. Neck Lift Surgery Benefits & Risks. 2023 Jan 24. Available at: https://millardplasticsurgery.com/plastic-surgery-denver/face/neck-lift/
- Cleveland Clinic. Neck Lift (Platysmaplasty): What to Expect. 2025. Available at: https://my.clevelandclinic.org/health/treatments/23364-neck-lift-platysmaplasty
