Neck Lift | Direct Neck Lift

Neck Lift and Direct Neck Lift Surgery in The Woodlands, Texas, with Dr. W. Marshall Guy

While many patients choose a facelift for rejuvenation of the mid-face, a neck lift procedure aims to tighten and lift loose, excess skin and tissues of the lower face and neck. Two surgical procedures, the neck lift and the direct neck lift, are fantastic options for anyone looking to address the signs of aging in this area. These neck lift options aim to give you a sleek contoured jaw and neckline in the most natural way.

 As a double board-certified and fellowship-trained facial plastic surgeon, Dr. W. Marshall Guy has comprehensive training in various surgical and less invasive options for rejuvenating the neck. Partnering with Dr. Guy means you are choosing a specialist who will go out of his way to find the best option for you.

To learn more about neck lifts, direct neck lifts, and non-invasive neck lift options in The Woodlands, TX, contact Dr. Guy Facial Plastic Surgery at (832) 956-1040 or schedule a consultation online today!

Why Should I Consider a Neck Lift?

The neck can be one of the first areas that reveals the signs of aging. With the early signs of aging, you may consider less invasive treatment options such as neck liposuction, EmbraceRF, FaceTite, or Morpheus8. The gold standard for improving the neck, however, is a neck lift.

Some of the most prevalent signs of aging that a necklift address include:

  • The skin loses its elasticity and begins to sag.
  • In more extreme cases, it can form a turkey wattle appearance.
  • Fine lines on the front of the neck which begin to form deeper lines and a crepey appearance.
  • Fat can begin to be deposited in the area, often called a double chin.
  • Vertical bands running up the neck representing a weakening platysma muscle
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View: What to expect after a neck lift

What are the Benefits of Neck Lift Surgery with Dr. Guy?

When you elect to undergo surgery with Dr. Guy, you gain a genuine expert that will go out of his way to make your surgical journey unlike anything else in the area.

The best results start with the right assessment. Dr. Guy will use his aesthetic eye and unparalleled expertise and training to develop the best surgical plan for you.

Dr. Guy understands that patients are sometimes apprehensive about neck or facial surgery, often due to fears of a “windswept” appearance. Dr. Guy’s comprehensive knowledge of human anatomy allows him to manipulate patients’ features for the most natural results.

Because neck lifts are invasive, their results are there to stay. Other than the natural aging process or significant weight gain, patients enjoy their results for many years.

Neck lifts and direct neck lifts both grant patients a natural, tighter, and more youthful appearance, targeting wrinkles, lines, and sagging tissues in the lower face and neck.

Ready to Look Your Best?


Direct Neck Lift

While most consider the true facelift to be the “gold standard” option, Dr. Guy also offers other less-invasive options. In addition to non-surgical treatments like Botox®, Dysport®, FaceTite, Embrace RF, and Morpheus8, the direct neck lift can give you incredible results without undergoing a full surgical procedure.

A direct neck lift with Dr. Guy offers several distinct advantages, in that:

  • Guy performs the procedure in the office under local anesthesia.
  • It only takes about an hour to an hour and a half.
  • When compared to a traditional neck lift, it offers much less downtime with much fewer limitations.

The direct neck lift involves removing skin directly from the mid-portion of the neck. Dr. Guy frequently uses the “Grecian Urn” technique, named because the shape of the removed portion has that appearance. This method involves an incision below the chin and another one connected to it down the middle of the neck. This allows Dr. Guy to directly remove extra neck skin and fat and tighten the platysma muscle. As it does involve an incision in the middle of the neck, Dr. Guy frequently reserves this method for older males, as the skin’s quality and the hair-bearing skin tend to make the scar almost imperceptible.

Your Neck Lift Consultation with Dr. W. Marshall Guy

If you believe that a neck lift may benefit you, we invite you to come in for a friendly meeting with Dr. Guy and our team. Dr. Guy will discuss your options with you, listen to your reasons for surgery, and answer any questions you may have.

Dr. Guy loves working with people and will take the time to inform you on all of your options. If you choose to move forward with your procedure, Dr. Guy ensures that you will be taken care of along every step of your surgical journey. Learn more about why patients in The Woodlands, Spring, and Kingwood areas of Texas choose Dr. Guy for their neck lift surgeries by calling (832) 956-1040 or schedule a consultation today!

Neck Lift FAQs

A traditional neck lift involves resuspending the sagging tissues back into their more youthful position. The keyword there is resuspension. Unfortunately, everyone has seen the “windblown” or “operated” look, which is created by “pulling” the face. Gravity did not pull the face and neck forward; it pulled them downwards. As one of the best neck lift surgeons in The Woodlands, Dr. Guy’s understanding of human anatomy allows him to create a natural, rejuvenated look.

You’ll meet with Dr. Guy and have a friendly conversation about your concerns. He will offer a professional opinion about what can realistically be done to address your concerns and explain the techniques available for your neck lift. He will provide details on neck lift incision placement and anesthesia options most appropriate for you, as well as the risks and costs associated with your neck lift.

As for many cosmetic surgeries, a neck lift is usually performed as an outpatient procedure under local anesthesia and light sleep sedation or general anesthesia. In the case of a “skin-only” neck lift, Dr. Guy will make two incisions under or behind the ear, loosen and re-drape the skin, and remove any excess. In a platysmaplasty that includes a skin lift, an additional incision is made under the chin.

You will most likely experience bruising and swelling in your lower face and neck that will peak on day three before it begins to dissipate. Dr. Guy will advise you to take it easy for a couple of weeks or more as you recuperate from your double chin removal in The Woodlands, TX.

Depending on your healing process and Dr. Guy’s preference, your stitches will most likely remain in place for seven to 10 days.

There will be some swelling for several weeks after your surgery, and the results of your neck lift will emerge within a week or so.

Surgery cannot stop aging—nothing can—which means your neck lift results will not last forever. However, it should be several years before you start to see loose skin forming in the same area again. It should be noted that a significant weight gain could cause neck fullness and sagging. Your best chance at enjoying long-lasting results is to partner with Dr. Guy, one of the leading experts for neck lifts in The Woodlands, TX.

All surgery carries risk and the possibility of complications, and a neck lift is no exception. Potential risks include allergic reaction to the anesthesia, infection, seroma or hematoma, lumpiness, numbness, blotching of the skin, cording, asymmetry, and dissatisfaction with the results.

To further understand the treatment, it is essential to understand anatomy. The platysma muscle encircles the front of the neck, and in our youth, the leading edges of the muscle are held together by a tight membrane. As time passes and gravity kicks in, this muscle begins to weaken, as does the membrane holding together the front edges, resulting in neckbands that extend from the chin to the breast bone/clavicle. When these bands first appear, Dr. Guy can correct them with a neuromodulator like Botox or Dysport. As time goes on and as the sagging worsens, another option is the Embrace RF system that uses FaceTite and Morpheus8. The most effective treatment is through surgery with more advanced signs of aging. 

Neck lift surgery can be performed at almost any age, although people between the ages of 30 and 70 usually seek it out.

Any neck lift operation will address these bands in some manner. For widely spaced bands, these are sometimes trimmed called a platysmal myectomy. As the bands get closer together, these can either be trimmed, or the leading edges can be sewn together called a platysmaplasty. The other part of the neck lift operation is suturing the back end of the platysma muscle to another muscle farther back in the neck. This is what really lifts the neck and involves incisions behind the ear into the hairline.

It's Your Time to Look Your Best!

Dr. Guy is a specialist in all areas of rejuvenation and reconstruction for the face and neck. As a double board-certified and fellowship-trained facial plastic surgeon, Dr. Guy knows that everyone ages differently and that there is no one size fits all when it comes to restoring a youthful appearance. From surgical options like a facelift to non-surgical options like Botox® and dermal fillers, there’s never a better time to look your best.