Neck Lift Surgery - Reduce a Double Chin | Dr Geoffrey Barnett
New Patient Enquiries: (03) 8849 1467
Reception: (03) 8849 1400

Neck Lift Surgery

Neck Lift Surgery and Facial Surgery  in Melbourne

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Neck lift surgery – often in conjunction with a facelift surgery – are commonly requested procedures by people who want to look their best for longer. They can have significant impacts on the appearance of facial ageing, often reducing the perceived age appearance of an individual by an average of over 7 to 8 years.


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Neck Surgery for Reducing a Double Chin or Sagging Bands of Skin and Fat around the Neck

The Signs of an Ageing Neck – Platysmal Bands and Rings

What causes an ageing neck?

Plastic Surgeons are adept at understanding facial anatomy in great detail, including knowing how to maximise the effects of altering facial tissues such as skin, muscles and facial fat.

The platysma muscle is a wide, flat muscle. It extends from your chin to your upper chest.   It is the muscle that is responsible for moving your jaw and lower lip, and it helps to maintain the general shape of your neck.

platysma muscle

As you age, your muscles start to weaken or atrophy (become weaker or smaller).

This also happens with the platysma muscle.  In the illustration above, you can visualise that the muscle is firm and strong.  When you’re younger, not only are the muscles of the face and neck strong, the skin has good resiliency and also lies flat against the muscle.  These factors give you a strong neckline or jawline that looks youthful – in other words, the jawline and the neck are distinguishable and you’ll have a pleasing side-view profile – with just one visible chin (unless you have a recessed chin).

But what happens with age is that the skin becomes lax due to reduced collagen and elastin, and the muscles atrophy (weaken), and the neck and jaw start to sag.

This sagging neck and jaw skin is usually noticeable by the late 40’s (sometimes earlier and sometimes later) and can be remedied with facial and neck surgery such as a Round Block Face Lift or a Neck Lift procedure- or a combination of the two for best results.neck lift for a double chin - surgery

What essentially occurs with time is that your platysma muscle will start to weaken as you age.  The neck muscles can also become less flexible or even stiff, making your neck and lower face sag. This can result in your neck appearing noticeably droopy (as illustrated above).

This sign of an ageing neck (platysma bands) is often called a “turkey neck.”

Platysma bands can also contribute to the appearance of a ‘double’ chin (if you have excess fat around the neck as well as ageing neck muscles).

Platysma bands or vertical neck lines – visible indentations in the skin – often become more prominent when you make facial expressions that are commonly used in expressing emotions, such as grimacing.

Aside from these lines on your neck, “necklace lines” – the horizontal lines (rings) that can appear around your neck with increasing age – can also deter you from maintaining a more youthful facial appearance.

An ageing neck or jawline can impact your self-confidence in some social situations, especially if you have long prided yourself on maintaining a youthful appearance and feel your face or neck skin is letting you down.

Fortunately, there are several ways (non-surgical and surgical techniques) to help you get rid of sagging skin and lines around your neck.

Injectables MAY be an option to improve the appearance of an Ageing Neck or Jawline

Muscle Relaxant Cosmetic Injections: Effective Non-Surgical Treatment for Neck Bands

Platysmal bands and ‘necklace rings’ may sometimes be treated using muscle relaxant injections. This involves a minimally invasive procedure or what is known as a ‘non-surgical’ liquid facelift or liquid necklift option.  How it works is that the injections involve a solution that impairs nerve signals going to the platysma muscle.  It can smooth the bands and lines on your skin. If you’re a suitable candidate for this type of non-surgical treatment for an ageing neck, you’ll be glad to know that the technique takes about 10 to 20 minutes.

Most patients can immediately resume their daily routines after getting cosmetic injections. One advantage of muscle relaxant injections over surgical interventions is that it has minimal to zero downtime. However, you may need multiple muscle relaxant injections to achieve your desired result, and often, if the skin is overly lax (as it tends to be with ageing), injections may not get you the desired result. Plus, even non-surgical procedures have risks, and you’ll want to ask about these before undergoing any injectables procedures on your neck or face.

Cosmetic or Plastic Surgery for Reducing Platysmal Bands and Neck Rings

The size and extent of your platysmal neck bands and rings determine the outcome of the surgery. For more permanent results, surgical interventions such as percutaneous platysmotomy, retro-auricular platysma band correction, submental platysma band correction, and neck lift may be considered by your surgeon depending on your skin condition and desired cosmetic goals. Your surgeon can combine two or more surgical procedures to achieve better skin contour and long-lasting results.

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In general, surgical procedures for platysmal neck bands and neck rings are best performed in a fully accredited hospital and make use of general anesthesia.  Expect an overnight stay or possibly two nights if you want additional support during your immediate post-surgical period.

Surgery to Rejuvenate the Neck and Reduce Platysmal Bands and Neck Rings

These procedures may differ in surgical incision techniques, but as surgical options, they have the same aesthetic goals – to reshape and tighten your neck to help you restore a more youthful contour.

Depending on what procedures you get done, you may require several weeks away from your normal activities or working environment in order to recover from your surgery.

Aside from downtime, you should also be aware of the risk of developing certain complications. These would all be communicated to you prior to consenting to surgery, and in general include potential infections, bleeding, pain, sleep disturbances or ‘pins and needles’ sensations as you heal, along with other potential risks that are incurred whenever you undertake a cosmetic or plastic surgery procedure.

However, surgical interventions for platysmal neckbands and rings are considered safe and effective for neck rejuvenation and are often best performed by a qualified and highly-experienced Plastic Surgeon such as Dr Geoff Barnett.

Seeking Professional Surgical Help to reduce ‘Platysmal Neck Bands and Rings’

Your neckline is highly visible in most types of clothing, especially in summer.

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If platysmal neck bands and rings are affecting your self-confidence or impeding your ability to wear the fashions you’d prefer, send a confidential enquiry form today and ask to meet with Plastic Surgeon Dr Geoff Barnett.

Dr Barnett will provide you with a detailed neck evaluation while taking into account your lifestyle and cosmetic needs, giving you honest opinions on what surgery will get you the best results for rejuvenating the appearance of your neck, jawline, chin and face.

What to do next?

Our Patient coordinators can assist with any questions you may have when considering a procedure. You can send in an enquiry form below or call our Melbourne Clinic between 8am-6pm, Monday – Friday.

Phone (03) 8849 1444Email us or Book a FREE 15-minute Phone Chat with our Patient Liaison Coordinator.


  1. Murad Alam; Hayes B. Gladstone; Rebecca C. Tung (2009). Cosmetic Dermatology. Elsevier Health Sciences. pp. 248–. ISBN 0-7020-3143-7.
Medical Disclaimer
This web site is not intended as a substitute for your own independent health professional’s advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider within your country or place of residency with any questions you may have regarding a medical condition. Additionally, this information is of a general nature and surgery results vary from patient to patient.
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