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How do you choose a neck lift?

Dr. Philip Miller

July 10, 2020

Nobody wants a neck lift. Seriously. If we had our druthers, our swan necks would be lithe and tight until death do we part. 

Unfortunately, Mother Nature, time, and the sun all conspire to create loose, crepey, and sagging skin on your neck that makes you look 10-20 years older than your energy and your otherwise glowing skin would suggest. In fact, if you have a turkey neck and only have the budget for one type of plastic surgery or procedure, a neck lift should be your first choice. A neck lift is so essential to a convincing rejuvenation, in fact, that almost all surgical face lift procedures also include a neck lift. 

If you’ve been researching neck lifts, you’ve probably realized that there are a couple of different options. How do you choose a neck lift? The answer depends on what you need. 

Phillip J. Miller, MD, FACS, an expert facial plastic surgeon in New York with an artist’s eye and touch is one of the most skilled practitioners of neck lifts in the country. Not only has he written neck lift chapters for medical textbooks, he also developed the innovative Neck-Tite™ nonsurgical neck lift. With Neck-Tite, Dr. Miller removes excess chin fat and jowls using BodyTite™’s patented radiofrequency assisted lipolysis (RFAL) technology combined with a specialized applicator, which also tightens and contours the neck and chin area.

Benefits of a Neck Lift necklift surgery before and after in new york, resulting in smoother skin and sharper jawline.

Both a surgical neck lift and Neck-Tite resolve a “turkey neck” by tightening sagging skin under your chin or on your jowls that look aged and unflattering. The benefits you can expect with either procedure include:

  • Tighter, smoother neck
  • No more double chin
  • No more jowls
  • Sharper jawline
  • Turns back clock 8-10 years 

If you opt for a surgical neck lift, Dr. Miller also tightens the platysma muscle that underlies your neck skin. Tightening the platysma muscle makes a surgical neck lift a very long-lasting procedure. You can expect for your neck to look younger than your non-treated peers for 10 years or more. 

Candidates for a Neck lift necklift to rejuvenate the neck and reduce loose skin in new york

If you’ve noticed sagging skin under your chin or a softer jawline, you may be a candidate for Neck-Tite or a surgical neck lift. Signs that you could benefit from a neck lift include:

  • Double chin
  • Jowls
  • Crepey neck skin
  • Sagging skin under the chin
  • Sagging on neck
  • Neckbands
  • Soft, saggy profile
  • Soft or diffuse jawline

While you can choose whichever procedure you prefer, if you have significant sagging or if your skin has lost elasticity, Dr. Miller may recommend a surgical neck lift. With surgery, he also removes excess fat from your lower face and neck with liposuction.

If you have just a small pouch of skin and fat under your chin, Dr. Miller may recommend a liposuction-only treatment. Liposuction removes double-chin fat, plus slightly tightens your neck skin in the treatment area.

How to Prepare for a Neck lift

If you want to tighten your neck with liposuction alone or with a Neck-Tite procedure, you can relax: You don’t need to do any preparation at all. Dr. Miller and his staff may recommend that you quit smoking and avoid blood-thinning medications for a few weeks before your neck lift.

On the day of your treatment, you simply come to our New York City office. The entire procedure is conducted under IV anesthesia. If you choose twilight anesthesia, you’ll need to take a cab home or have a friend pick you up, because you’ll be sleepy afterward.

If you’re having surgery, Dr. Miller and his staff will provide you with a full list of substances to avoid before your procedure, including cigarettes and blood thinners. You should arrange for someone to help you take a cab home. You should also arrange for household help and take off from work for at least a week while you heal.

Also, be prepared for a few double-takes and long, lingering looks after your neck lift has healed. You’ll look:

  • Younger
  • Fresher
  • More vibrant

If you don’t want anyone to know that you’ve had “work” done, you might want to create a “beard” for your rejuvenation by taking a mini spa vacation or trying a new hairstyle. Your friends and colleagues will envy your new, vibrant look — without any visible, telltale scars to tell them how you achieved it. To learn more about how to prevent an aging neck with a necklift, visit

Adding on to your neck lift

facelift before and after in new york

Of course, if you need a neck lift, chances are your face could use a boost, too. Depending on the degree you want to improve and rejuvenate the contours of your face, you might opt for non-surgical procedures, such as lasers and dermal fillers, or a type of liquid facelift called The Miller Lift that uses Botox® and fillers to lift and re-contour the planes and curves of your face.

 If you’re having a surgical neck lift, that’s a great time to add in a surgical facelift, too. Choose from:

  • Micro-Lift — skin-only lift for slight aging; also called the “ponytail lift” because it mimics the lift you get when you pull your hair back in a ponytail or bun
  • Mini-Facelift — a mini-lift uses shorter incisions to fix moderate lower-face drooping.
  • Facelift — a full facelift, also known as a rhytidectomy, lifts the entire lower face, including the underlying SMAS layer, for long-lasting improvement. Philip MIller, MD almost always recommends a surgical neck lift when you opt for a facelift.

Schedule Your Neck Treatment Today

Instantly refresh your look with Neck-Tite, a surgical neck lift, or other rejuvenating procedures. today.  Call our New York office at 646.791.3025 or book an appointment online.

Dr. Philip Miller

Focusing exclusively on the face for more than two decades, double-board certified facial plastic surgeon Dr. Philip Miller blends art and science with innovation and skill to provide thousands of patients with impeccable results. He is known for pioneering the NatraLook methodology for rhinoplasty, facelifts, neck lifts, and other cosmetic procedures for the face.

Settle for Nothing But the Best Facial Plastic Surgery

Facial Plastic Surgery

Dr. Philip Miller and his team of New York's top rated facial plastic surgery experts provide custom cosmetic treatment plans that include a combination of minimally-invasive techniques and advanced procedures, to help each patient achieve the Aesthetic Confidence® they desire. Our unique NatraFace™ approach to facial rejuvenation includes the following effective procedures:

Eyelid Plastic Surgery

Dr. Miller provides patients with Manhattan's #1 customized care and treatment for smooth, supple skin that brightens the eyes and revitalizes the face. With our NatraFace™ approach, we utilize a combination of effective aesthetic techniques tailored to suit each patient’s needs. We offer:

Rhinoplasty (Nose Jobs)

Dr. Miller and his staff of NYC's best aesthetic specialists offer the NatraNose® process, which is a comprehensive range of minimally-invasive and advanced techniques to achieve natural-looking rhinoplasty results, improve nasal function, and meet the patient’s aesthetic goals. Dr. Miller specializes in nose jobs, nose reductions, non-surgical nose jobs, and more: Adjust the links in these sections as follows:

Skin Care Treatments

Widely acclaimed for our broad range of flawless skincare solutions, Philip J. Miller, MD, FACS and his team of aesthetic specialists offer customized skincare treatment plans to achieve healthy, natural-looking results. As part of our NatraLook™ process, the following procedures may be performed individually or in combination with more advanced surgical treatments for optimal rejuvenation.

Male Plastic Surgery

Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon with over 20 years of experience working with male and female patients. He specializes in facial plastic surgery and is recognized as an expert in facial rejuvenation procedures. Utilizing the most advanced surgical techniques, Dr. Miller can maintain or enhance masculine features while producing the most natural-looking results.

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The Plastic Surgery Podcast with Dr. Philip Miller

Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.

The Plastic Surgery Podcast

  • Episode 44: My First Time

    8 min
  • Episode 43: Top 10 Reasons Not To Get A Rhinoplasty ( Plastic Surgery)

    20 min
  • Episode 42: Osteomas & Lipomas

    11 min
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Plastic Surgery w/ Dr. Miller

Plastic Surgery w/ Dr. Miller

If you're thinking about getting a lift, nip, or tuck, this app is for you. It's the most comprehensive pocket encyclopedia of plastic surgery terms, before and after photos, and visualization tools to help you really know what to expect from a procedure, including seeing potential results on your own photo. This app is only available on the App Store for iOS devices.

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facts about male facelifts

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