It is possible to perform a neck lift without a facelift at the same time. Variations of neck lifts can be performed with either a) an incision under the chin, b) an incision that runs along the lower part of the front of the ear, extending behind the ear and into the hairline, or c) a combination of both types of incisions. Depending on the incision used and the technique employed, the muscles of the neck may be tightened at the center or at both sides. In addition, some extra skin may be removed if needed.
While most patients would benefit from having a facelift performed at the same time as a neck lift, there is a population of people who can achieve a nice result with a neck lift alone. Patients who benefit from an isolated neck lift are those who have sagging of the muscles of the neck, especially in the midline, but do not have any significant jowls.