As we get older, it’s natural for our facial appearance to change. Wrinkles settle in, skin starts to sag, and the once-sharp lines of your jawline and neck soften. While a facelift or neck lift alone can address certain signs of aging, combining both in a single face and neck lift often delivers the most dramatic and natural-looking results.
Let’s explore what each procedure involves, and why you may want to consider doing them together for a more dramatic rejuvenation and youthful appearance.
Facelift Overview
A facelift is a facial plastic surgery procedure that focuses on the lower two-thirds of your face. It addresses sagging facial skin, deep wrinkles, and jowls by lifting and tightening the underlying muscles and removing excess skin.
Through carefully placed incisions around the ears and hairline, your facial plastic surgeon repositions facial tissue to restore a more youthful contour.
Your options range from a full facelift surgery to a mid-facelift depending on your needs, facial structure, and the degree of facial aging.
What Is a Neck Lift?
A neck lift targets the area beneath your chin and jawline. This neck lift procedure tightens loose neck skin, reduces the appearance of neck bands, and enhances your chin and jawline definition. In cases where fat is a concern, neck liposuction may be added to remove fat deposits causing a double chin.
For more advanced aging signs like turkey neck or sagging neck musculature (loose neck muscles), a traditional neck lift offers a deeper level of correction by tightening the underlying muscles.
Why Combined Face and Neck Lift Surgery Makes Sense

Your face and neck age together, so treating only one area may leave you with results that don’t look cohesive. For example, lifting the face without addressing the neck might highlight sagging below the chin even more. That’s why combining a facelift and neck lift during one surgical procedure offers better harmony.
Here’s why doing both can be more effective:
- It addresses both vertical (neck bands, skin laxity) and horizontal (nasolabial folds, jawline) signs of aging.
- Your jawline becomes more sculpted, and your neck gains smoother contours.
- It avoids a mismatch between a refreshed face and an aging neck.
- You undergo one surgery, one recovery time, and enjoy longer-lasting, more comprehensive results.
When you opt for a facelift and neck lift together, you’re enhancing your overall facial appearance, not just treating isolated areas.
Ideal Candidates for a Face and Neck Lift in Houston

You may be an ideal candidate for this procedure if you’re noticing:
- Sagging skin along the lower face and neck
- A soft, undefined jawline
- Deep wrinkles or folds around the mouth and chin
- Loose neck skin or vertical neck bands
- A double chin caused by fat or weak neck muscles
Patients typically range from their 40s to 70s, but age alone doesn’t determine eligibility. Good candidates are generally in good health, have realistic expectations, and want to improve their facial appearance in a natural-looking way.
If your facial skin has lost elasticity and your underlying muscles need tightening, a combined facelift and neck lift can restore firmness and shape.
What the Procedure Involves

Your face and neck lift is typically done as a single surgical procedure under anesthesia. The facelift portion begins with incisions around the ears or hairline to access facial tissue and tighten underlying muscles.
The neck lift follows, often through a small incision under the chin, allowing the surgeon to address neck bands, tighten neck muscles, and remove excess skin. Sutures close the incisions, and dressings support the skin during early healing.
Your Surgeon May Also Recommend Neck Liposuction
Sometimes fat beneath the chin is the main issue, especially if you’re dealing with a double chin or fullness in the neck area. In such cases, neck liposuction alone might offer a noticeable improvement.
If the skin has lost elasticity, however, or there’s underlying muscle laxity, liposuction alone won’t tighten those structures. That’s where combining neck liposuction with a neck lift becomes essential.
Liposuction removes fat, while the lift reshapes the neck musculature and trims away excess skin. This dual approach improves the contour of the neck and enhances the jawline.
Pairing With Other Procedures
A combined facelift and neck lift can be paired with other facial plastic surgery procedures to enhance your results even more. Popular options include:
- Eyelid Surgery: Known as blepharoplasty, it removes sagging skin or puffiness from the upper and lower eyelids
- Endoscopic Brow Lift (forehead lift): To smooth forehead wrinkles, creases and lift drooping brows
- Skin Resurfacing: To improve facial skin tone and texture
These additional procedures can be scheduled during your face and neck lift for a full facial rejuvenation experience.
Recovery and Downtime

Recovery is a crucial part of the process and varies depending on the surgical technique and your individual response. Here’s what you can typically expect:
- Initial swelling, bruising, and tightness in the chin and neck area
- Mild discomfort that can be managed with medication
- Dressings or compression garments to support your skin
- Keeping your head elevated to reduce swelling
- Management of scars to minimize long-term visible scarring
Recovery time is usually about 2–3 weeks, though you may feel ready for light activities sooner. Most patients see major improvements within one month and continue to see subtle enhancements as swelling fully subsides.
One of the biggest advantages of combining procedures is going through just one recovery period instead of two separate ones.
Results You Can Expect

The results of a facelift and neck lift are long-lasting, often maintaining a youthful look for 10 years or more. You’ll notice a smoother neckline, more sculpted jawline, fewer wrinkles, and tighter facial skin. Your facial appearance will look refreshed—not pulled or artificial.
The improvements also help slow down the visible effects of future aging. Whether you’re seeing your reflection, hopping on a video call, or attending an event, the boost in confidence can be significant. Our patients in the Houston area often report feeling that their appearance better matches how young and energetic they feel on the inside.
Final Thoughts
A face and neck lift can result in life-changing benefits by restoring a more youthful and refreshed look. Whether you’re dealing with sagging skin, wrinkles, a double chin, or neck bands, combining these procedures allows you to treat the entire lower face and neck as one cohesive unit.
The result is natural, balanced, and long-lasting. Therefore, if you’re considering facial plastic surgery, a combined facelift and neck lift could be the key to achieving your aesthetic goals in a single, well-planned surgical procedure.

