Neck Lift in Las Vegas
A neck lift restores a defined jawline and youthful neck contour by tightening the underlying platysma muscle and removing excess skin — addressing jowling, "turkey neck," and platysmal banding that cosmetic injections alone cannot correct.
What Is a Neck Lift?
A neck lift addresses age-related changes in the lower face and neck that no non-surgical treatment can match. As we age, the platysma muscle (the broad sheet of muscle in the neck) can split into visible bands, the skin loses elasticity, and fat redistributes around the jawline — creating jowls, "turkey neck," and platysmal banding.
Neck lift surgery typically combines two components: cervicoplasty (skin tightening and excess removal) and platysmaplasty (muscle repair and tightening). Often performed alongside facelift for comprehensive lower-face rejuvenation, but can also be performed as a standalone procedure.
Performed by Dr. Robert Troell — board-certified facial plastic surgeon (ABFPRS) with 30+ years of cosmetic experience — under general anesthesia in our AAAASF-accredited Las Vegas surgical facility. For selected patients, Dr. Troell also offers awake conscious sedation in place of general anesthesia.
Facelift & Neck Lift Technique
Dr. Troell explains the VASER-assisted facelift and neck-lift surgical approach — addressing jowls, platysmal banding, and lower-face contour.
Neck Lift Techniques
Cervicoplasty
Skin-tightening component. Excess neck skin is removed and the remaining skin is redraped for a smoother contour.
Platysmaplasty
Muscle-tightening component. The platysma muscle is tightened (often via a small submental incision) to correct visible bands and define the jawline.
Submental Liposuction
Direct fat removal under the chin and along the jawline via small punctate incisions. Often performed with neck lift but can be standalone.
Are You a Neck Lift Candidate?
Strong candidates for a neck lift typically have:
- Visible "turkey neck" or platysmal banding. Vertical bands of muscle visible in the neck at rest or with movement.
- Jowling. Loss of definition along the jawline; sagging at the lower face.
- Excess submental fat. Localized fat under the chin that resists diet and exercise.
- Skin laxity in the neck. Excess, loose skin that no non-surgical treatment can address.
- Realistic expectations. Understanding that neck lift produces dramatic, surgical-level rejuvenation — not a subtle non-surgical effect.
Patients with discrete submental fat or jowls but only mild-to-moderate skin laxity may not need a full neck lift. A minimally invasive alternative exists: VASER + Renuvion combines ultrasound liposuction with helium-plasma skin tightening, an in-office procedure with about one week of social downtime — documented in Dr. Troell's 58-patient published study.
Dr. Troell will evaluate your goals and anatomy at your consultation to determine the right approach for you.
Why Patients Choose Neck Lift
- Restored jawline definition. Sharp, youthful jaw-to-neck angle.
- Smooth neck contour. Elimination of platysmal bands and "turkey neck" appearance.
- Reduced submental fullness. Sleeker profile from any angle.
- Long-lasting results. Neck lift outcomes typically last 10-15+ years.
- Combinable with facelift. Comprehensive lower-face + neck rejuvenation in a single procedure.
Meet Dr. Robert J. Troell
Dr. Robert J. Troell is a facial plastic and cosmetic surgeon practicing in Las Vegas with more than 30 years of surgical experience and six board certifications. Every neck lift at Troell Cosmetic Surgery is performed by Dr. Troell personally.
- FACS — Fellow, American College of Surgeons (since 1997)
- ABFPRS — American Board of Facial Plastic & Reconstructive Surgery
- ABFCS — American Board of Facial Cosmetic Surgery
- 30+ years performing facial and body cosmetic procedures
- Stanford-affiliated Clinical Professor (1995-2013)
Who Examines Your Neck, and Who Operates
At Troell Cosmetic Surgery in Las Vegas, Dr. Robert J. Troell does the neck lift consultation himself, free of charge. He examines the platysma bands, the fat under the chin and the loose skin, plans the operation with you, performs the neck lift himself, and sees you at every follow-up visit in the same South Fort Apache Road office where you had your consultation.
See real Neck Lift results. Browse before-and-after photographs from Dr. Troell's Neck Lift patients in the gallery: Neck Lift Before & After Gallery.
What to Expect After Neck Lift
- Days 1-3. Drains may be in place. Compression garment worn continuously. Limited movement of head/neck.
- Week 1. Drains and sutures removed. Bruising and swelling peak. Most patients comfortable enough for light activity at home.
- Weeks 2-3. Return to desk work. Continued compression garment use. Most visible bruising resolved.
- Weeks 4-6. Light exercise resumes. Final swelling continues to resolve.
- Months 2-3. Final neck contour settles. Scars (if any) are pink; fade progressively.
- Month 6-12. Scars mature; final result fully settled.
You will receive detailed post-operative instructions covering wound care, activity restrictions, and the timeline for resuming exercise and other activities.
Neck Lift Cost in Las Vegas
Neck lift cost varies based on whether it's combined with facelift, individual anatomy, and the techniques used. At Troell Cosmetic Surgery, neck lift is a self-pay procedure — we do not bill insurance for any cosmetic procedure.
Pricing is provided in detail at your consultation. Financing options through CareCredit and Alphaeon are available for qualifying patients.
Most patients consider neck lift in combination with facelift for comprehensive lower-face rejuvenation; combined surgery typically reduces total cost compared to staged procedures.
Neck Lift in Las Vegas, Henderson & Summerlin
Dr. Troell’s clinic at 5375 S Fort Apache Rd in Las Vegas sees neck lift patients from Spring Valley and Summerlin South, Enterprise, and across the valley to Henderson and North Las Vegas. Las Vegas gets 85 percent of its possible sunshine, about 3,782 hours a year, by NOAA climate normals, so the American Academy of Dermatology’s advice matters here: a broad-spectrum sunscreen of SPF 30 or higher whenever clothing won’t cover a scar, especially while new incision scars mature.
- Summerlin: ~10 minutes via the 215 Beltway. Convenient for residents along West Charleston, Rampart, and the Red Rock area.
- Henderson, Green Valley & Anthem: 20-25 minutes via 215 East. Free, ample parking on arrival.
- Spring Valley, Enterprise & Southern Highlands: 10-15 minutes via Sahara Avenue and the 215.
- North Las Vegas & the Strip area: 15-20 minutes via 95 South.
Looking for a neck lift surgeon near me? Our Las Vegas clinic is centrally located for the entire Valley — most patients reach our facility in under 25 minutes. To schedule a consultation, call (702) 242-6488 or request an appointment.
Neck Lift Before & After
A neck lift is judged on the jaw-to-neck transition — how cleanly the jawline reads and how smoothly it meets the neck. The first patient is shown from both oblique angles, before and after a neck lift performed with CO2 laser resurfacing; the third figure is a second patient whose neck lift was one part of a combination plan. Both are described below.
The first two figures are one woman treated in a single plan. The neck lift addressed the loose skin and soft jaw-to-neck line; CO2 laser resurfacing addressed what a lift does not change — the sun damage and uneven pigment across her cheeks. That is why her after photographs read as more even-toned as well as firmer: the lift restores the contour, and the laser changes the quality of the skin over it.
The third figure is a man whose neck lift was one step in a larger plan. His jawline was soft and his chin under-projected, so alongside the anterior neck lift Dr. Troell placed an extended anatomical chin implant to sharpen the chin-to-neck angle, then repositioned the cheek and lower face with a deep plane facelift, added a submalar implant for midface projection, and treated the jowls and neck with VASER liposuction and Renuvion skin tightening. He walks through that sequence himself, over the left-profile view, in the video below.
More neck and jawline results are in the jawline & neck case gallery. Individual results vary with anatomy, skin quality, and healing.
Surgical Risks & Recovery Considerations
Neck lift surgery carries general surgical risks. Most are rare with appropriate patient selection, proper surgical technique, and adherence to post-operative instructions.
- Bleeding or hematoma. Uncommon; managed with surgical drainage if it occurs.
- Infection. Rare with proper technique and antibiotic prophylaxis.
- Scarring. All surgical procedures produce some scarring. Scars typically fade significantly over 12-18 months.
- Asymmetry. Subtle asymmetry can occur and may require minor revision.
- Anesthesia risks. General risks associated with anesthesia administration in healthy patients.
- Suboptimal results. Final outcomes depend on individual healing, anatomy, and adherence to post-op instructions.
A complete risk discussion is part of every surgical consultation. Dr. Troell will review your specific risk profile and answer any questions before scheduling.
Request Your Personalized Consultation
The first step is a private consultation with Dr. Troell. There's no pressure and no obligation — just a personalized conversation about your goals, your anatomy, and the right path forward.
Submit the form below or call (702) 242-6488 to schedule.
Neck Lift FAQ
Do I need a facelift if I get a neck lift?
Not necessarily. A neck lift can be performed alone if your concerns are limited to the neck and jawline. However, many patients with neck-area aging also have related facial aging (mid-face descent, jowls), and a combined approach produces more harmonious overall results.
Where will the scars be?
Neck lift scars are typically placed in concealed locations: behind the ears, in the natural creases under the chin, and (in some techniques) in the hairline behind the ear. Scars fade significantly over 12-18 months.
How long do results last?
Neck lift results typically last 10-15 years or longer. The procedure doesn't stop the aging process, but it sets the clock back significantly. Maintenance with non-surgical treatments (Botox, fillers, skin care) can extend the youthful appearance further.
Can I have a neck lift instead of a facelift?
If your concerns are limited to the neck and jawline, yes. If you also have mid-face descent, deep nasolabial folds, or significant cheek-area aging, a facelift may be more appropriate. Dr. Troell will recommend the right approach at your consultation.
How long is recovery?
Most patients return to desk work within 2-3 weeks. Light exercise resumes at 4-6 weeks. Full activity at 6-8 weeks. Final results settle over 3-6 months.
Is my neck lift consultation with Dr. Troell or a coordinator, and does he perform the platysmaplasty himself?
That is worth settling before you book anywhere, because a neck lift is planned from an examination, and the plan is only as good as the person doing the examining. At Troell Cosmetic Surgery in Las Vegas there is one surgeon, Dr. Robert J. Troell, and he does the consultation himself; it is free of charge. For a neck lift, that visit is where the questions on this page get answered for your neck in particular: whether the fullness under your chin is fat that submental liposuction removes, whether the vertical bands are platysma muscle that needs tightening through a small incision under the chin, how much loose skin has to be removed and redraped, and whether jowls and mid-face descent mean the better plan is a neck lift combined with a facelift or, when skin laxity is only mild to moderate, the in-office VASER and Renuvion alternative instead. He plans the operation with you from what he finds, and on the day of surgery he is the surgeon who performs it. Afterward, every follow-up visit is with him, in the same office at 5375 S Fort Apache Rd, Suite 101, where your consultation took place: in the first days, while a compression garment and sometimes drains are in place; at week one, when drains and sutures come out and the bruising and swelling are at their peak; through months two and three, as the neck contour settles; and across months six to twelve, while the scars behind the ears and under the chin mature. What that means for you: the surgeon you consult with is the surgeon who operates, and the one who looks at your neck a week in, when you are wondering whether it is supposed to look like this.
Ready to Discuss a Neck Lift?
Schedule a consultation with Dr. Troell to evaluate your candidacy, discuss whether neck lift alone or combined with facelift is right for you, and review the techniques that fit your anatomy.
Mon–Fri, 8:30 AM – 5:00 PM