Platysmaplasty (Neck Lift)

Platysmaplasty, or a neck lift, improves the contour of the neck by addressing loose skin, excess fat, or muscle banding. Ms Tzafetta may perform a neck lift on its own or alongside a facelift, depending on what will create the most balanced and natural result.
Many people notice changes in the neck earlier than in the face. Loose skin under the chin, vertical muscle bands or a heavy neck contour can affect how youthful or defined the face appears overall. A neck lift focuses on restoring a smoother, more refined neckline that sits comfortably with the rest of the face.
Neck lift surgery does not suit only one age group. People consider this procedure whenever changes in the neck begin to affect their confidence or comfort with their appearance.
When a neck lift may help
You may consider a neck lift if you feel concerned about:
- loose or sagging skin beneath the chin
- vertical platysmal bands (often called neck bands or “turkey neck”)
- a heavy or poorly defined neck contour
- fullness caused by localised fat deposits
Surgery aims to improve contour and definition in a way that looks natural and proportionate, rather than tight or over-altered.
A considered approach to neck surgery
A neck lift reshapes skin, muscle and sometimes fat to improve contour. Because the neck plays an important role in overall facial balance, careful planning matters.
Ms Tzafetta approaches neck lift surgery with close attention to anatomy, skin quality and how results will age over time. Decisions focus on long-term balance rather than short-term tightening.
Neck lift techniques
Ms Tzafetta selects techniques based on your anatomy and the concerns identified during assessment. Not every neck lift involves the same steps.
Elements of neck lift surgery may include:
- platysmaplasty (neck muscle tightening) to address muscle banding
- cervicoplasty (skin tightening of the neck) to remove or reposition loose skin
- liposuction (fat removal) to refine the contour beneath the chin or jawline
Each treatment plan reflects individual anatomy rather than a fixed formula.
Neck lift surgery
When vertical muscle bands affect neck contour, Ms Tzafetta may perform a platysmaplasty (neck muscle tightening). This involves small incisions beneath the chin or behind the ears to access and reposition the neck muscles.
When loose or sagging skin requires correction, Ms Tzafetta may perform a cervicoplasty (neck skin tightening). Excess skin is trimmed and repositioned to restore a smoother neckline.
When excess fat contributes to fullness, Ms Tzafetta may use liposuction (fat removal) to refine contour. Thin cannulas remove fat carefully through small incisions, often beneath the chin.
Neck lift surgery usually takes between two and three hours, depending on the extent of treatment.
Your neck lift consultation
Your consultation with Kalliroi Tzafetta lays the foundation for safe, thoughtful neck surgery.
During this appointment, you can talk openly about what concerns you about your neck and what changes you hope surgery might achieve. Ms Tzafetta will:
- Assess your neck structure, skin quality and muscle tone
- Review your medical history and any previous surgery
- Discuss realistic outcomes and limitations
- Explain risks, recovery and long-term expectations
Some people find it helpful to bring a photograph from a time when their neck looked its best, as this can support discussion of goals.
Recovery and expectations
Recovery depends on the techniques used and the extent of surgery. Swelling, bruising and tightness are common in the early stages and usually improve over the first 2 weeks.
Many people feel comfortable returning to desk-based work within 7 to 10 days, although some residual swelling may persist. Those with more physically demanding roles may need additional time. Ms Tzafetta will advise you on the right timing based on your surgery and lifestyle.
Ms Tzafetta may recommend a supportive compression garment for a short period after surgery to help reduce swelling and support healing. She will also guide you on when to resume exercise and normal daily activities, usually after 2 to 4 weeks.
A neck lift aims to create a refreshed, natural neckline rather than an obvious surgical result. Many people notice improved confidence, particularly when wearing open-neck clothing or fitted collars.
Understanding limitations
Neck lift surgery addresses the neck only. It does not treat facial lines, wrinkles or sagging elsewhere.
If concerns extend beyond the neck, Ms Tzafetta will discuss whether other procedures, such as a facelift or eyelid surgery, may help achieve overall balance. Each treatment plan reflects individual anatomy, goals, and the quality of the long-term outcome.
A specialist, measured approach
Under the care of Ms Tzafetta, neck lift surgery centres on facial balance, anatomical precision and durability of results.
Her background in reconstructive and facial surgery supports an anatomy-led approach, with patient safety, realism and long-term satisfaction guiding every stage of care.
Before and After Images
These images show examples of patient outcomes following treatment with Ms Tzafetta. Every patient is different, and results depend on individual anatomy, the procedure performed, healing, and clinical circumstances. During consultation, Ms Tzafetta will discuss what may be realistic and appropriate for you.
Case 1
Procedure: Platysmaplasty (Neck Lift) and Rhytidectomy (Facelift Surgery)
Timing: 5 months after surgery
Notes: This 72-year-old patient had experienced significant weight loss following Mounjaro treatment, which had affected skin elasticity around the lower face and neck. The after images were taken five months following a deep plane face and neck lift. They show a considerable improvement in the lower face and neck contour, with a mild degree of tissue relaxation. Images are shared with patient consent.

Case 2
Procedure: Platysmaplasty (Neck Lift) and Rhytidectomy (Facelift Surgery)
Timing: 7 months after surgery
Notes: This 59-year-old patient kindly gave permission for her images to be shared. The after images were taken seven months following a deep plane face and neck lift. They show her progress after surgery, with results that reflect her individual anatomy, skin quality and healing process. Individual results vary. Images are shared with patient consent.

Neck Lift FAQs
How long does neck lift surgery take?
Neck lift surgery usually takes between 2 and 3 hours, depending on the techniques used and whether it is combined with other procedures. Ms Tzafetta will explain the expected duration during your consultation.
Will I need a general anaesthetic?
Neck lift surgery is often performed under general anaesthetic, particularly when muscle tightening or skin repositioning is involved. In selected cases, other anaesthetic options may be appropriate. Ms Tzafetta will discuss the safest choice for you during consultation.
How long will I need off work?
Many people feel ready to return to desk-based work within 10 to 14 days, although some swelling or bruising may still be visible.
If your role involves physical activity, lifting or prolonged standing, you may need 2 to 3 weeks or more before returning comfortably. Ms Tzafetta will tailor advice to your surgery and occupation.
When can I exercise again?
Light activity such as walking can usually resume after the first week. More strenuous exercise and gym-based activity typically wait 3 to 4 weeks, once early healing has progressed. Ms Tzafetta will guide you on a safe return to exercise.
Is neck lift surgery painful?
Most people describe neck lift recovery as uncomfortable rather than painful. Tightness, stiffness and soreness usually peak in the first few days and improve steadily. Pain relief medication helps manage early discomfort.
Will a neck lift leave visible scars?
Incisions usually sit beneath the chin or behind the ears and fade gradually over time. Ms Tzafetta places incisions carefully to minimise scarring. Healing and scar appearance vary from person to person.
When will I see the results?
Early improvements become evident once swelling subsides, typically within 2 to 3 weeks. Final contour continues to refine over several months as tissues soften and settle.
Will my neck look tight or unnatural?
A neck lift aims to restore definition without creating an over-tight or artificial appearance. Ms Tzafetta focuses on balance, proportion and how results will age over time.
Can a neck lift be combined with other procedures?
Yes. Ms Tzafetta often combines a neck lift with a facelift (rhytidectomy) or other facial procedures when this will improve overall balance. She will discuss suitable options during consultation.
Who performs neck lift surgery?
Ms Tzafetta performs neck lift surgery with a focus on anatomical precision, facial balance and long-term stability. Her background in facial and reconstructive surgery supports careful planning and durable outcomes.
When should I consider a neck lift?
You may consider a neck lift if changes in your neck affect how you feel about your appearance or clothing choices. Surgery tends to work best when decisions feel unhurried and personal. A consultation with Ms Tzafetta can help clarify whether a neck lift suits your goals.
Patient Experiences
Many people find it helpful to hear from others who have been through a similar experience. The reflections below share individual patient perspectives, offered to help you understand what care and recovery can feel like in practice.
Would definately recommend this surgeon.
I recently had a septorhinoplasty under the care of Ms Tzafetta at Broomfield hospital and found her to be very caring and helpful and would certainly recommend her as a surgeon. My my surgery was for both breathing difficulties and cosmetic. And I am very pleased with both outcomes six months down the line. She took on board what I wanted but at the same time keeping it natural.
100% satisfaction and more!
From start to finish the whole experience was 100% professional and the end results far exceeded my expectations, minimal scarring and I was super impressed with the care provided by the whole team. I felt happy entrusting this very important (to me!) task to Ms Tzafetta and am so very impressed with the results
A Faultless Experience
From my first consultation right through to my after care I cannot express enough how happy I was with everything about my surgery. I found the whole experience faultless, I felt st ease throughout my care. I thought long and hard about wether to have a neck lift and I’m so glad I decided to go ahead. All my questions we’re answered and my mind was put at ease. The result was amazing. I can not recommend Kallirroi Tzafetta enough and will most definitely use her again if I decide to have any further surgery .
Further Reading:
British Association of Plastic Reconstructive and Aesthetic Surgeons
