Dr. Dirk Lazarus

Plastic, Reconstructive & Cosmetic Surgeon

MBChB (UCT), FCS (SA) Plast & Recon Surg

Neck Rejuvenation

The aged neck may exhibit some or all of the following features:

  • Skin descent resulting in excess, loose skin and creating a sloppy neck or jowls
  • Fat excess of the neck and lower face
  • Muscle banding in the neck, which created abnormal contours

This may result in excess wrinkling of the neck skin, a “turkey wattle” or double chin, and jowl lines.

Surgery is usually the most effective way to improve the neck. Excess fat can be removed with liposuction which also provides some skin tightening. While this is okay in younger patients and patients who mainly have excess fat, usually further skin tightening and muscle suspension is required as well. An incision around the ear and behind the ear will provide the additional skin tightening and allow the muscles to be suspended and improved. The procedure then becomes a facelift which is modified according to your individual anatomy. The neck is therefore lifted from above and attention needs to be given to all the tissue layers: skin, fat and muscle.

Suture suspension of the neck alone, without skin removal, usually provides only a short-lived solution and is not one that I usually recommend. Some forms of resurfacing can help the skin of the neck and sometime prominent bands can be helped by relaxing the muscles with neurotoxins like Botox or Dysport.

Surgical neck rejuvenation, usually with facial rejuvenation, can provide a satisfactory outcome and an improved neck appearance.

Before and After Surgical Neck Rejuvenation


Hi Anneli, Just have to share this…today I walked through the foyer of our company and an oldish German lady who passed through took my arm, looked at me and said in english :’ So elegant, so chic”. Anneli, it was NOT my clothes or hair or even my eye-lift, it was the confidence I exuded because I felt good about myself for the first time in many years. Kiss Dirk for me and tell him how wonderful it made me feel.