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Neck Lift, also known as Lower Rhytidectomy, is a surgical procedure that improves visible signs of aging in the jawline and neck.


The neck is one of the first places where we show our age. Fatty jowls, a “turkey wattle,” vertical banding and horizontal creases all work together to make us look older than we feel. A neck lift enhances the appearance of the neck by tightening the skin and underlying neck muscles and improving the contour of the jawline. This procedure is often performed in conjunction with a facelift, but may also be done as a stand-alone procedure.

Neck lift is a relatively straightforward procedure but as with any operation, there are risks and possible complications with surgery which will be discussed during your consultation.

If you are considering neck lift surgery, the following information will give you a basic understanding of the procedure: when it can help, how it’s performed and what results you can expect.

The loss of youthful contours in the face and neck can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress. Some people feel they are not ready for a full facelift because the upper face is still pleasing. However, many patients will note excess wrinkling of the neck skin, a double chin or "turkey wattle" and jowl lines.


As a restorative surgery, a neck lift does not change your fundamental appearance and cannot stop the aging process. A neck lift can only be performed surgically; non-surgical rejuvenation treatments cannot achieve the same results but may help delay the time at which a neck lift becomes appropriate and complement the results of surgery.

During your initial consultation, your surgeon will evaluate your health and explain which surgical techniques are most appropriate for you. You will have the opportunity to ask questions and discuss your expectations. Neck lift surgery are performed at the Centurion Day Hospital under general anaesthesia. Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. We advise that you need to stop smoking two weeks before surgery and two weeks after surgery. This will help to expedite your recovery period and encourage better healing on cellular level and to avoid unforeseen complications.


After your consultation, you will be provided with a personalised quotation based on the recommendation of your surgeon. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days after.

Neck lift procedures can take between two to three hours in theatre and is fairly simple and straightforward. Depending on the degree of change you'd like to see, your neck lift choices include a traditional neck lift incision or a limited incision neck lift.


A traditional neck lift incision often begins in the hairline at the level of the sideburn, continues down and around the ear, and ends in the posterior hair. Fat may be sculpted or redistributed from the jowls and neck. The tissue underlying the neck skin is repositioned, and commonly the platysma muscle is tightened. Skin is re-draped over the uplifted contours and excess skin is trimmed away. A separate incision under the chin is often necessary for liposuction of this area and for the repair of the muscle. Sutures or skin adhesives close the incisions.


A limited incision neck lift may involve incisions only around the ear. While the incisions are shorter, the results may be more limited. Sutures may be self-dissolving or may need to be removed after a few days. Once healed, the incision lines from a neck lift are usually well concealed within the hairline and in the natural contours of the ear.


The visible improvements of a neck lift appear as swelling and bruising subside. Your final neck lift result should not only restore a more youthful and rested appearance but also help you feel more confident about yourself.

Immediately after surgery, your neck will be bruised and it will feel tight and numb, but you will be able to mobilise post-operatively. You should expect to be back to work in about one to two weeks after a neck lift procedure, depending on the level of activity required. The first follow-up appointment usually takes place seven days after surgery with a second to follow after six weeks. Prescribed medication can control most of your discomfort. You will need to keep your neck still for at least a week following the surgery, although you must also get up and walk around in order to boost your circulation. After the first week, you can gradually and gently begin to move your neck.


Swelling and bruising is common after surgery but should start to disappear after a few days. Itching is normal and will diminish over time. Your scars may take a full year to recover, however, be sure to follow your surgeon’s instructions on scar-healing treatments. You will notice some tightness in your neck from the way your face moves. This stiffness will subside after about a week and continue to feel totally normal over the next few months. More strenuous activity, such as exercise, can be started again four to six weeks after the surgery.


Results of a neck lift are permanent, and results are typically noticeable immediately after surgery is completed. However, patients should know that it may take several weeks or even months after surgery for swelling, bruising, or other symptoms to fully subside. As the side effects begin to fade, the results of this surgery will become more noticeable. Bear in mind that your results may be affected by the natural aging of the skin.

“Put yourself at the top of your to do list.”



Centurion Cosmetic Clinic, understand that getting a plastic surgery procedure is one of your biggest life decisions.
It takes time, planning, and resources. We want you to know that our Plastic Reconstructive Surgeons and the Centurion Cosmetic Clinic team are here to help you every step of the way.



Contact us for free phone consultation with one of our knowledgeable surgical consultants who are trained by our Plastic Reconstructive Surgeons. They will answer many of your questions, provide you with additional information on procedures of your interest and pro-forma quotations. You can decide if you are ready for your consultation with one of our Plastic Reconstructive Surgeons.

Consultation with Dr Paul Pienaar or Dr Liana Volkwyn

Meet your Plastic Reconstructive Surgeon during your one-on-one consultation. During the consultation the surgeon will discuss the procedure, preparations, after care and answer all additional questions. You will be provided with a personalised quotation after your consultation. The consultation fee is R 900.

Preparations & Surgery Day

After you reserve your surgery date, Centurion Cosmetic Clinic will need a 30 % deposit to secure your theatre booking at the Centurion Day Hospital. The surgeon and the Centurion Cosmetic Clinic team will make sure you are well informed and prepared for your big day. Preparation and After care are very important parts of your plastic surgery journey.

Enjoy Results

The post-op phase is an important time. The Centurion Cosmetic Clinic team will make sure you are well informed with post-op information and will arrange your first follow up appointment on the day of your surgery. You will have to visit the Centurion Cosmetic Clinic for your first follow up appointment 7 to 10 days after surgery and then again on 6 weeks after surgery. Healing and recovering are of great importance so you can enjoy your amazing results and your improved quality of life that you have envisioned.

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