At a Glance
A lower and neck lift is a cosmetic surgery that helps improve the appearance of your jawline and neck. The procedure removes those loose skin, tightens your muscles underneath, and gives you a firmer, more youthful look.
It can help reduce:
- The sagging skin around your lower face
- Jowls along your jawline
- Marionette lines (those lines that run from the corner of your mouth down to your chin)
- Loose or hanging skin on your neck
If you get this procedure, it will give you long-lasting results and more noticeable improvements than many non-surgical treatments.
What You’ll Learn In This Guide
By the end of this guide, you’ll understand:
- What happens during your lower and neck lift procedure
- How the treatment improves the shape of your jawline and neck
- If the procedure is suitable for you
- What to expect during your recovery
- How a lower face and neck lift compares with other facial rejuvenation treatments
- The typical cost of treatment in the UK
What Is a Lower Face and Neck Lift?
As you get older, your lower face and neck are often among the first areas to show signs of ageing. Your jawline may become less defined, jowls can appear, lines around your mouth may deepen, and the skin on your neck start to sag.
These changes happen naturally over time as your skin produces less collagen and loses its elasticity. The gravity and changes in your facial fat can also lead to a looser, older-looking appearance
While those non-surgical treatments may help improve your mild signs of ageing, they often cannot achieve the same results as what the surgery can if your skin laxity is more significant.
A lower face and neck lift is a surgical procedure that tightens your underlying tissues and removes your excess skin to improve the appearance of your jawline and neck. The goal is to give you a smoother contours and a more youthful, refreshed look.
Many people choose to have a lower face lift and neck lift together because treating both areas at the same time can give them more natural and balanced results.
Defining a Lower Face and Neck Lift
A lower face and neck lift is a cosmetic surgery that combines two procedures:
- A lower facelift
- A neck lift
Together, these treatments improve the appearance of your jawline, lower face, and neck by tightening your loose skin and lifting those sagging tissues.
A lower and neck lift can help improve your:
- Sagging skin along your jawline
- Jowls
- Marionette lines (lines that run from the corners of your mouth down to your chin)
- Loose or hanging skin on your neck
- The appearance of a double chin
- Neck bands caused by the platysma muscles
You may also hear about a lower facelift called lower rhytidectomy. It is simply the medical term for a procedure that lifts and tightens your lower face to give you a more youthful appearance.
Unlike a full facelift, which treats both of your midface and lower face, a lower face and neck lift is specifically focused on improving your jawline and neck area.
Why Facial Ageing Occurs in the Lower Face
Loss of Collagen and Elastin
Collagen and elastin are proteins that help keep your skin firm, smooth, and flexible. As we age, our body produces less of these proteins. Because of that, our skin becomes thinner and less elastic.
As a result, your skin may begin to sag and lose its firmness.
The Effects of Gravity
Gravity affects our facial tissues every day. Over time, it slowly pulls your skin and underlying tissues downward.
This can lead to:
- Jowls
- A less defined jawline
- Loose skin around your neck
- Deeper lines and folds on your face
Changes in Facial Fat
The fat that helps give your face a youthful shape can change and move downward with age.
This can cause:
- Hollow areas in some parts of your face
- Extra fullness in others
- Less definition of your face
- More noticeable marionette lines
Neck Muscle Changes
The platysma is a thin muscle that runs down the front of your neck. As you age, this muscle can become more visible and create vertical bands or cords in your neck.
Lifestyle and Environmental Factors
There are some lifestyle habits and environmental factors that can speed up your ageing process. These may include:
- Sun exposure
- Smoking
- Poor skincare habits
- Stress
- Weight changes
- Pollution
These factors can damage the collagen and reduce the elasticity of your skin, giving you a more noticeable sagging and wrinkles over time.
The Procedure: Step-by-Step Overview
Consultation and planning
The process will start with a consultation with your surgeon.
During this appointment, they will assess:
- Your facial structure
- The quality and elasticity of your skin
- The amount of sagging in your face and neck
- Your medical history
- Your goals and expectations
They may also take some photographs of you to help plan your procedure.
Based on this assessment, your surgeon will create a personalised treatment plan designed to give you natural-looking results.
Surgical Technique
Before the day of surgery, you may advised to:
- Stop smoking
- Adjust any medications you are taking
- Avoid supplements that can increase your bleeding
- Arrange for someone to help you during your recovery
So what happens during the procedure:
Anaesthesia
Your doctor will put you under general anaesthesia or sedation with local anaesthetic. This ensures that you remain comfortable throughout the surgery.
Making the incisions
Your doctor will usually make your incisions:
- Around your ears
- Behind your ears
- Sometimes underneath your chin
These areas are often chosen so that any scars are well hidden within your natural skin folds or hairlines.
Tightening the Underlying Tissues
The surgeons will tighten the deeper tissues of your face and neck to create better support and improve the contour of your face.
In some cases, your neck muscle (platysma) is also tightened to improve your neck definition and reduce your neck bands visibility.
Removing or Reshaping Fat
If needed, the excess fat under your chin or along your jawline may be:
- Removed
- Reshaped
- Repositioned
A liposuction may also be used to help give you a smoother, more defined neck and jawline.
Repositioning the Skin
Your skin will be lifted gently and repositioned over your newly tightened tissues. Your surgeon will remove any excess skin you have in the area and will carefully close the incision.
Techniques Used in Lower Face and Neck Lifts
SMAS Facelift Techniques
One of the most common techniques involves the SMAS layer. It is a layer of tissue located under your skin.
Instead of only tightening your skin, your surgeon will also lift and reposition this deeper layer to provide:
- Better support for your face
- More natural-looking results
- Longer-lasting improvements
- Natural facial movement
Deep Plane Facelift
A deep plane facelift works on the deeper tissues and muscles of your face before your doctor repositions them.
This technique may give you:
- A more noticeable lift
- Less tension on your skin
- Longer-lasting results
- A natural appearance
It is often recommended if you have more significant signs of ageing, although it is not necessary for everyone.
Traditional Facelift
Many people still choose the traditional facelift methods because it can be very effective.
These procedures focus on:
- Tightening your deeper facial tissues
- Removing your excess skin
- Improving your facial contours while maintaining a natural look
The traditional facelift methods are still are still widely used
Liposuction For The Neck & Jawline
If you have excess fat under your chin or around your jawline, your doctor may recommend combining a liposuction with your surgery. This will help:
- Remove your unwanted fat
- Improve the definition of your jawline
- Gives you a more contoured neck profile
Skin Tightening Technologies
Some clinics may recommend skin-tightening treatments before or after your surgery to help improve the quality of your skin.
These treatments can support your overall results and help your skin look firmer and smoother.
Benefits of a Lower Face and Neck Lift
Reduction of Marionette Lines
Marionette lines are the lines that run from the corners of your mouth down to your chin.
By lifting and tightening the underlying tissues, a lower face and neck lift can make these lines less noticeable and improve your facial contours.
Jawline Contouring & Definition
One of the main benefits you can get from the procedure is a more defined jawline.
You may notice:
- Less sagging around your jawline
- Reduced jowls
- A sharper, more youthful shape of your face.
Smoother, Firmer Neck
The procedure can improve the appearance of your neck by addressing:
- Your loose or sagging skin
- Excess fat under your chin
- Visible neck bands
This will give you a firmer and more defined neck profile.
Long-Lasting Facial Rejuvenation
Unlike those non-surgical treatments that need regular maintenance, the results from your lower face and neck lift can last for many years.
Many patients experience:
- A more youthful appearance
- Improved facial balance and definition
- Greater self-confidence
- Natural-looking results
Lower Face Lift vs. Neck Lift vs Mini Facelift
| Procedure | Main Area Treated | Best For |
| Lower Face Lift |
|
People with moderate signs of ageing in their lower face |
| Neck Lift |
|
Specific concerns affecting their neck |
| Mini Facelift |
|
If you have some early signs of ageing |
Which Procedure is Right for You?
A mini facelift may be a good option for those younger patients or those with only mild sagging.
A neck lift alone may be suitable if your main concerns are loose skin, excess fat, or visible bands in your neck area.
However, if you are experiencing ageing in both your jawline and neck at the same time, you may consider a lower face and neck lift. It can provide you the most balanced and natural-looking results by treating both areas together.
Who Is An Ideal Candidate?
Age & Skin Quality
Most people who choose to have a lower face and neck lift are between their 40s and 70s. But your age is not the only factor that matters.
You may be a good candidate if you have:
- Visible sagging in your lower face or neck
- Reasonably good skin quality
- A desire for long-lasting improvement
Health & Lifestyle Factors
Good general health is important for both your surgery and recovery.
You can be a good candidate for the surgery if you are:
- In good overall health
- Non-smokers, or willing to stop smoking before and after your surgery
- At or close to a stable weight
Having Realistic Expectations
The signs of ageing you have can significantly improve with a lower face and neck lift. But it cannot completely stop the ageing process.
The goal is to give you a fresher, more youthful appearance while maintaining your natural-looking results.
During your consultation, your surgeon will discuss your goals, explain what the procedure can achieve, and help you understand what results you can realistically expect.
Recovery & Post-Operative Care
What to Expect After Your Surgery
After your lower face and neck lift procedure, it is normal to have some temporary side effects. This may include:
- Swelling
- Bruising
- Tightness in the treated areas
- Mild discomfort
Your surgeon may give you a compression garment or supportive dressing to help reduce your swelling and support your healing.
Recovery Timeline
Recovery experience may be different for each person, but you can definitely expect the following:
First Week
- You’ll experience swelling and bruising and are usually at their worst
- It’s very important that you take a rest
- You should follow all the aftercare instructions from your surgeon
Second Week
- You’ll notice that the swelling and bruising are improving
- You may now feel comfortable going out and seeing your family or friends
Weeks 2–3
- Most people feel more confident while they are socialising
- You may resume to some of your normal daily activities
Weeks 4 to 6
- Your healing continues
- Most of the swelling you have has settled
- Your results at this time are more visible
Maintaining Your Results
Although a lower face and neck lift can give you long-lasting results, healthy habits can help you maintain them for longer.
These include:
- Wearing your sunscreen (SPF) everyday
- Following a good skincare routine
- Maintaining your healthy lifestyle
- Considering some non-surgical treatments (if your practitioner recommends them)
These steps can help keep your skin looking healthy and support your results over time.
Risks and Safety Considerations
Because a lower face and neck lift is a surgical procedure, it comes with risks just like the other. Although the complications are uncommon, it is important that you understand the possible side effects you can get before deciding on your surgery.
The possible risks are:
- Infection
- Bleeding
- Scarring
- Slower-than-expected healing
- Temporary numbness or changes in your skin sensation
- Nerve injury
- Uneven or asymmetrical results
The best way to reduce your risks is to choose an experienced and qualified surgeon who regularly performs the facelift and neck lift procedures.
During your consultation, your surgeon should explain what are the benefits, recovery process, and expected results so you can make an informed decision about your treatment.
Cost of a Lower Face and Neck Lift (UK)
Average Price Range
In the UK, you can typically get a lower face and neck lift at the cost of £8,000 to £15,000 or more.
The exact price depends on your unique needs and how complex the procedure is.
What Can Affect The Cost
- The experience of your surgeon
- The location of the clinic: if you choose to be treated in areas like Harley Street in London, you may pay a higher cost.
- Additional procedures that you want to combine, such as:
- Liposuction
- Fat grafting
- Eyelid surgery
- Hospital and anaesthesia fees: this can also make your total price high.
- Anaesthetic service
- Hospital or clinic facilities
- Nursing care
- Post-operative appointments
Financing Options
Many clinics that do cosmetic surgeries usually offer financing plans to help their patients do the monthly payments.
Different providers have different available options, so it would be helpful if you discuss your payment plans with them during your consultation.
What to Expect with Your Results
The results from your lower face and neck lift will slowly appear as your body heals.
You may see your improvements clearly after two to three months.
And after 6 months and beyond, you may start to heal completely and your final results are now more noticeable as your tissues are fully settled into their new position.
How Long Do the Results Last?
Although your ageing process continues naturally, the results of your lower face and neck lift can often last 5 to 10 years or longer. But it still depends on your:
- Genetics
- Lifestyle habits
- Sun exposure
- Skincare routine
- Smoking status
Summary
A lower face and neck lift can be a good option if you want a more defined jawline, a firmer neck, and long-lasting improvement in your lower face.
The procedure works by tightening your deeper tissues, reducing sagging, removing your excess skin, and improving your facial contours. Because it addresses the underlying causes of your facial ageing, it can often give you results that cannot be provided by those non-surgical treatments.
Although you need some time for recovery and you might have some financial commitment, this treatment can really make you feel worthwhile because of the long-lasting improvements it can give you in your appearance.
If you want to know whether a lower face and neck lift is the right option for you, you need to book a consultation with an experienced surgeon.
FAQs
- What does a lower face and neck lift do?
It tightens your loose skin, improves the definition of your jawline, reduces your jowls and wrinkles, and gives you a firmer looking neck.
- How long do the results last?
It still depends on some factors like your age, lifestyle, and skin quality. But you may enjoy it for 5 to 10 years.
- How long is the recovery period?
You may comfortably return to your social activities within 2 to 3 weeks, but your healing may still continue for several months.
- Is a lower facelift better than a full facelift?
It depends on your goals. A lower facelift focuses on your jawline and lower face, while a full facelift treats a larger area of your face.
- How much does a lower face and neck lift cost in the UK?
It depends on your surgeon, clinic, and treatment plan. But the prices of the treatment in the UK typically range from 8,000 to 15,000+.
- Will the results look natural?
Yes. When an experienced surgeon performs your procedure, the goal is to give you a refreshed and natural appearance.
- What are the risks?
The possible risks you can get are: infection, bleeding, scarring, temporary numbness, delayed healing, and uneven results.
- Can non-surgical treatments replace a neck lift?
Non-surgical treatments may help if you have mild skin sagging, but they cannot give you the same level of improvement just like what a surgery can if you have more advanced ageing concerns.
Reserve a Lower Face and Neck Lift appointment
One of our experts will be more than happy to answer any questions you have.
Book AppointmentJessica Evans
★★★★★
Great clinic! Would absolutely recommend. Everyone was very friendly and quick to resolve a booking mix up (my fault) Thank you
25th July 2026
Yara Yad
★★★★★
Always happy to go to my appointments. Everything is straight forward and my dermatologist is super friendly and helpful. I am currently on accutane and I have never been this confident in myself :)
24th July 2026
Amelia P
★★★★★
Had a great consultation and received lots of advice and felt my concerns were listened to and explained. Definitely recommend.
27th July 2026


