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Are facelifts the best treatment of sagging necks and forehead wrinkles?

Stuart A. Linder, MD
Plastic Surgery
A facelift or rhytidectomy is most useful for facial jowls, midface laxity and reduction of the nasolabial fold lines. Forehead wrinkles can be addressed with Botox and and a browlift. A neck lift may be required to tighten the submental (chin) skin and remove fat under the neck with plication of the medial neck muscle called the platysmal tighetening procedure. 
Erik A. Hoy, MD
Plastic Surgery
Traditional face lift techniques focus on the middle-third of the face, also known as the midface. They rejuvenate the lower eyelid, the lid-cheek junction, cheek, and jaw line. But, the forehead and neck are usually not well addressed through the traditional facelift incision. To better rejuvenate these two areas, plastic surgeons developed the brow- and necklifts, which often use separate incisions to tighten and suspend the tissues. A browlift is usually performed for transverse forehead wrinkles and sagging eyebrows, and involves incisions at or within the hairline. Through these incisions the tissues are suspended with sutures or anchored in a more appropriate position, the skin redraped, and any excess skin is excised.

For the necklift, the soft-tissues beneath the jaw line are tightened with sutures, with or without the removal of excess fat. This is done directly, or with a fine liposuction cannula. Sometimes a small, transverse incision is made in a crease under the chin to help access and suture the muscles in the front or anterior portion of the neck. These techniques can help restore the correct angles to the junction of the chin, jaw line, and neck, and correct the turkey-gobbler appearance that sometimes accompanies the aging neck.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.