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Choosing the Right Facial Rejuvenation Option for Neck Lift vs. Lower Facelift Near Vancouver 

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Understanding Your Facial Rejuvenation Options

Concerns about sagging skin, jowls, or visible banding in the neck are common as the face ages, and many patients begin researching surgical solutions to restore a more defined, youthful appearance. Two of the most frequently compared procedures are a neck lift and a lower facelift. While both treatments address age-related changes in the lower face, they serve different purposes. For patients considering facial rejuvenation near Vancouver, understanding the distinction between these options is essential when deciding which approach aligns with their goals.

At Pacific Plastic Surgery, patients from Vancouver, Burnaby, Langley, Surrey, and surrounding areas often ask whether a neck lift or lower facelift will best address their concerns. The answer depends on anatomy, skin quality, and the desired outcome.

How a Neck Lift and Lower Facelift Work

A neck lift focuses specifically on the area beneath the jawline. This procedure tightens underlying muscles, removes excess fat, and smooths loose skin to improve neck contours and reduce banding. It is particularly effective for patients whose primary concerns are a “turkey neck,” vertical muscle bands, or fullness beneath the chin.

A lower facelift, sometimes referred to as a jowl lift, targets the lower half of the face. It repositions sagging tissue around the jawline and cheeks while smoothing folds and restoring structure. In many cases, a lower facelift also improves the upper neck, though it may not fully correct significant neck laxity without a dedicated neck lift. You can learn more about these approaches on the dedicated facelift and neck lift pages.

Who Is a Good Candidate for Each Procedure

Patients who are ideal candidates for a neck lift typically have good facial skin tone but noticeable aging isolated to the neck. This option is well suited for individuals who are satisfied with their jawline and cheeks but want sharper neck definition.

A lower facelift may be better suited for patients experiencing jowling, loss of jawline contour, or sagging in the lower cheeks. Many individuals with more advanced facial aging choose a combined approach for comprehensive rejuvenation. During a consultation at Pacific Plastic Surgery, Dr. Arko Demianczuk evaluates facial balance and recommends a personalized treatment plan.

Benefits of Neck Lift and Lower Facelift Surgery

A neck lift delivers a smoother, firmer neckline and a more youthful profile, often with subtle yet powerful results. Patients appreciate that it can dramatically improve side views and restore confidence without altering facial expression.

Lower facelift surgery provides more extensive rejuvenation by lifting sagging tissues and redefining the jawline. The results often appear natural and refreshed rather than “overdone,” especially when performed by a highly experienced plastic surgeon. Viewing real patient outcomes in the before-and-after gallery can help patients visualize potential improvements.

What to Expect During Treatment and Recovery

Both procedures are typically performed under general anesthesia and completed within a few hours. Incisions are carefully placed to remain discreet, often hidden around the ears or beneath the chin. Most patients return home the same day.

Recovery varies depending on the procedure and whether treatments are combined. Swelling and bruising are expected but gradually subside over several weeks. Patients can usually resume light activities within 10 to 14 days, with continued improvement as healing progresses.

Results and Longevity

Results from a neck lift or lower facelift are long-lasting, especially when paired with healthy lifestyle habits and proper skincare. While surgery cannot stop the aging process, it can significantly set back the clock, helping patients look refreshed for years to come. Outcomes are individualized, and the most natural results are achieved when procedures are tailored to each patient’s anatomy.

Frequently Asked Questions

How long does a neck lift procedure typically take?

A neck lift surgery usually takes between 3 to 5 hours to complete, depending on the extent of the procedure and whether its combined with other treatments. In necklift procedures, fat can be added to the face through fat grafting, or can be removed with liposuction. In some instances, an incision is made under the chin to remove fat, and tighten the neck muscles.

What is the average recovery time after a neck lift?

Most patients can return to daily activities and work within 2 weeks after surgery. However, full recovery, including the subsiding of residual swelling, can take several months.

Will there be visible scars after a neck lift?

Incisions are typically made in inconspicuous areas such as behind the hairline, around the ear, and sometimes under the chin. While there will be scars, they are usually well-concealed and fade over time. Dr. Demianczuk utilizes post operative laser therapy to reduce the appearance of surgical scars. These laser treatments begin 6-12 weeks after surgery, and typically 3-4 treatments are required.

What type of anesthesia is used for a neck lift?

Neck lift surgeries are usually performed under general anesthesia or intravenous sedation with local anesthesia. The procedure is done in an accredited operating room, under the care of a Board Certified Anesthesiologist.

When will I see the final results of my neck lift?

While improvements are noticeable within weeks, the final results of a neck lift may not be fully apparent for several months as swelling subsides and tissues settle

What is best age for a neck lift?

The common age range for patients who undergo a facelift is 50-70. However, younger patients aged 40-50 years can still benefit. In patients under 40, non-surgical techniques are usually recommended.

Is there a non-surgical option?

BOTOX, injectable fillers, microdermabrasion, and chemical peels are examples of some nonsurgical neck lift procedures that can assist in smoothing out wrinkles, improving fine lines and adding volume. These procedures also help to even out skin tone. However, these are treatments that will only affect the skin’s surface. Patients with loose skin, drooping jowls or a sagging neck will need to consider surgery if they want these features improved.

Will I look unnatural or fake?

No. Dr Demianczuk will make every effort to work within the confines of the patient’s bone, skin and muscle structures to achieve a younger, more natural look.

Can a neck lift be combined with other facial procedures?

Yes, a neck lift is often combined with other facial procedures to achieve more comprehensive and balanced rejuvenation. One common face and neck surgical combination is a brow lift, which addresses sagging in the upper face and forehead. Patients may also choose to enhance their results by incorporating procedures that target a double chin or stubborn fat beneath the jawline. Additionally, patients with severely lax neck skin may benefit from incorporating advanced neck skin tightening techniques alongside their lift for a smoother, firmer neckline.

Can a neck lift be done without a facelift?

Yes. Many patients benefit from an isolated neck lift if aging is limited to the neck area.

Will scars be visible?

Incisions are strategically placed and typically heal well, becoming barely noticeable over time.

How do I know which option is right for me?

A consultation with a board-certified plastic surgeon is the best way to determine whether a neck lift, lower facelift, or combination approach is appropriate.

Meet Your Surgeon

Dr. Arko Demianczuk, MD, FRCSC, received his MD degree with honors from Queen’s University and completed his Plastic Surgery training at the University of British Columbia. His post-graduate education includes subspecialty training in reconstructive and cosmetic surgery at Harvard Medical School and Massachusetts General Hospital in Boston. Dr. Demianczuk is a Clinical Associate Professor at UBC and served as Director of the UBC Resident Cosmetic Clinic for over a decade. His professional memberships include the Royal College of Physicians & Surgeons of Canada, the Canadian Society of Plastic Surgery, the American Society of Plastic Surgery, and more. Learn more on the About the Doctor page or meet the dedicated support staff on the Meet the Team page.

Next Steps Toward Facial Rejuvenation

Choosing between a neck lift and lower facelift is a personal decision that deserves expert guidance. At Pacific Plastic Surgery, patients from the greater Vancouver area, including Burnaby, Langley, Surrey, and beyond, receive individualized recommendations based on their goals. To explore your options, view patient results, or schedule a consultation, visit the Contact Us page or call the office today.

Dr. Arko Demianzcuk

Cosmetic, Plastic & Reconstructive Surgeon | BLOG

Dr. Arko Demianzcuk received his MD degree with honors from Queens University and his Plastic Surgery training (FRCS) from the University of British Columbia. His post-graduate education included subspecialty training in reconstructive surgery and cosmetic surgery at Harvard Medical School, Massachusetts General Hospital Boston. Dr. Demianzcuk has been appointed as Clinical Associate Professor at the University of British Columbia and served as Director of the UBC Resident Cosmetic Clinic for over a decade.Dr. Demianzcuk’s professional memberships include the Royal College of Physicians & Surgeons of Canada with subspecialty training in Plastic Surgery, the Canadian Society of Plastic Surgery, the Canadian Society of Aesthetic Surgery, the American Society of Plastic Surgery, and the Canadian Medical Association.