A sharp, defined jawline and a smooth neck are hallmarks of a youthful profile. However, as we age, gravity, genetics, and changes in weight can lead to sagging skin, vertical muscle bands, or excess fat under the chin. If you find yourself wearing scarves or turtlenecks more often than you'd like, neck contouring surgery can make a profound difference.

Two of the most effective procedures for this are the central neck lift and the full neck lift. But what exactly sets them apart, and which one is right for you? Let’s explore both options, their benefits, and what you need to consider before making a decision.

What Is a Central Neck Lift?

A central neck lift (sometimes called a corset platysmaplasty or submentoplasty) is a highly targeted surgical procedure. As the name suggests, it focuses purely on the centre of the neck, right beneath the chin.

During this procedure, the surgeon makes a single, small incision discreetly hidden in the natural crease under the chin. Through this, they can remove stubborn fat and tighten the platysma muscle edges—the culprits behind those prominent, vertical "turkey neck" bands. It essentially acts like an internal corset, pulling the central neck muscles back together to create a smooth, tight angle.

Benefits of a Central Neck Lift:

• Highly effective at eliminating vertical neck bands and under-chin fullness

• Less invasive with a shorter, more comfortable recovery time

• Involves only one small, well-hidden incision

• Excellent for younger patients or those with good skin elasticity

Considerations:

• It is highly specific; it does not address jowls or loose skin on the sides of the neck

• It relies on the skin shrinking back naturally, so it is not suitable if you have a significant amount of excess, hanging skin

What Is a Full Neck Lift?

A full neck lift (lower rhytidectomy) is a more comprehensive procedure designed to rejuvenate the entire neck and jawline. While a central lift only addresses the middle, a full neck lift pulls everything smoothly outwards and upwards.

For this procedure, the surgeon uses the incision under the chin, but also makes incisions that trace around the natural curves of the ears and into the hairline. This allows them to not only tighten the central muscles but also lift the underlying tissues of the lower face, eliminate jowls, and permanently remove large amounts of stretched, excess skin.

Benefits of a Full Neck Lift:

• Provides a dramatic, comprehensive rejuvenation of the entire neck and jawline

• Effectively removes significant amounts of loose, sagging skin

• Smooths out deep creases and completely eliminates jowls

• Delivers long-lasting, transformative results

Considerations:

• It is a more extensive surgery, requiring a longer recovery period

• Involves longer incisions (though they are carefully hidden within the natural contours of the ears and hairline)

• Generally requires a larger upfront financial investment compared to a central lift

Which One Is Right for You?

Deciding between a central neck lift and a full neck lift ultimately depends on your unique anatomy, the quality of your skin, and your aesthetic goals.

Consider a Central Neck Lift If:

• Your main concerns are isolated to the centre of your neck, such as vertical muscle bands or a "double chin"

• Your skin still has good elasticity and will naturally shrink back after the underlying muscles are tightened

• You are looking for a less invasive option with a quicker return to work and social activities

• You do not have prominent jowls or loose skin stretching towards your ears

Consider a Full Neck Lift If:

• You have noticeable, loose, and hanging skin across the entire neck

• You want to get rid of heavy jowls and completely redefine a soft, ageing jawline

• Your skin has lost its natural elasticity due to age or significant weight loss

• You are seeking a complete, "all-in-one" rejuvenation of your lower face and neck

Conclusion

Both the central neck lift and the full neck lift offer remarkable ways to turn back the clock, but they serve different anatomical needs. A central neck lift is an ideal, targeted fix for muscle bands and under-chin fullness in patients with good skin quality. Meanwhile, a full neck lift is the gold standard for comprehensively addressing loose skin, jowls, and advanced signs of ageing across the entire lower face and neck. Before making your decision, it is vital to consult with a qualified, experienced surgeon who can carefully assess your skin and facial structure.

Ready to Redefine Your Profile?

If you are considering neck contouring surgery and want expert advice tailored to your unique features, book a consultation with our experienced cosmetic specialists today. We’ll help you explore your options and create a customised plan to achieve the crisp, youthful neckline you desire.

Contact us now to schedule your appointment and take the first step towards a more confident you!