A neck lift (cervicoplasty or lower rhytidectomy) is a surgical procedure designed to create a smoother, more defined contour between the chin and the neck. It addresses common signs of aging, such as loose, sagging skin, excess fat, and visible vertical bands formed by the platysma muscle. Strategic incision placement allows the surgeon to access and reposition underlying tissues, achieving a rejuvenated jawline while minimizing visible evidence of the surgery.
Incisions Around the Ear and Hairline
The primary incisions for a neck lift are placed around the outer ear and extend into the hairline, allowing the skin to be lifted and redraped toward the back of the neck. This path is chosen to conceal the resulting fine scars within the natural folds and contours of the ear structure. The incision often begins discreetly within the temporal hairline or along the natural crease defining the sideburn area.
From the hairline, the incision continues downward, following the pre-tragal crease (the fold immediately in front of the ear canal) or sometimes placed just inside the tragus cartilage. This placement ensures the scar is hidden from direct view. The line then wraps beneath the earlobe, following the natural junction where the ear meets the skin of the neck.
The incision continues upward into the deep crease behind the ear, known as the post-auricular sulcus. Finally, it extends into the posterior hairline, terminating within the occipital scalp. This entire length serves as the access point for tightening deeper tissues, including the superficial muscular aponeurotic system (SMAS). The surgeon lifts the neck skin and trims any excess before closing the wound.
The Submental Incision
A secondary, shorter incision is frequently required to address the central neck area, known as the submental region. This small, linear cut is placed in the natural crease just beneath the chin. The incision is discreet, often measuring only a few centimeters, and is positioned so the shadow cast by the chin helps camouflage it.
The submental opening provides direct access to the center of the neck for internal structural work. Through this small window, the surgeon can perform liposuction to remove excess fat deposits. It also allows for platysmaplasty, the process of tightening the inner edges of the platysma muscle.
This central muscle tightening helps eliminate the vertical “bands” that run toward the collarbone, creating a smoother angle between the neck and the jawline. The submental incision is important for achieving a well-defined neck contour, especially when muscle laxity or central fat deposits are present.
Scar Healing and Minimization
Modern surgical techniques focus on minimizing scar visibility through meticulous closure and strategic placement. Immediately following the procedure, incision lines appear red and slightly raised as the body initiates healing. Over the first few months, this initial redness fades, and the scars soften as collagen fibers realign.
Scars typically take six to twelve months to fully mature and reach their final, most inconspicuous appearance. The surgeon’s technique, including gentle tissue handling and layered, tension-free suturing, plays a large role in ensuring a fine, flat scar. Patient adherence to post-operative care instructions significantly influences the final outcome.
Practical care involves avoiding direct sun exposure on healing scars, as ultraviolet light can cause permanent hyperpigmentation. Surgeons commonly recommend topical treatments, such as silicone sheets or gel, to hydrate the scar tissue and promote a flatter texture. Gentle massage techniques, once approved, can also be used to increase blood flow and encourage softening.