Loose, crepey neck skin (“turkey neck”)
Excess skin that hangs, folds, or bunches when the head turns or tilts.
Sieveking/Plastic Surgery/Neck Lift
Neck Lift in Nashville
Traditional Neck Lift · Short-Scar Neck Lift · Submental Liposuction
Neck lift surgery at Sieveking Plastic Surgery in Franklin, Tennessee, restores definition to the neck and jawline by addressing loose skin, muscle banding, and stubborn fat that no amount of exercise or non-surgical treatment can correct.
Restore a defined, youthful neck and jawline.
Skin-only tightening relaxes and ages poorly; structural repair endures.
A neck lift is a surgical procedure that targets the area from the jawline to the clavicle, correcting the visible signs of aging that accumulate in the lower face and neck over time. The procedure typically involves tightening the platysma muscle through a technique called platysmaplasty, removing or repositioning excess skin, and often combining submental liposuction to eliminate a double chin or localized fat beneath the jawline.
A neck lift is not a facelift, which addresses the midface and jowl region above the jawline, though the two procedures are frequently performed together for comprehensive rejuvenation. What a neck lift does accomplish is the restoration of the natural cervicomental angle, the clean, angular transition between the chin and neck that signals youth, through a precise, layered technique that works at the muscle and fat layer, not merely the skin surface. Skin-only tightening relaxes and ages poorly; structural repair endures.
The approach
Neck lift approaches offered at Sieveking Plastic Surgery.
Traditional neck lift (full platysmaplasty): The most comprehensive option, this approach uses small incisions placed behind the ears and in the natural crease beneath the chin to allow direct access to the platysma muscle, submental fat, and excess skin. This is the preferred approach for patients with moderate to significant laxity, prominent neck bands, or a well-established double chin.
Limited-incision or short-scar neck lift: For patients with mild to moderate laxity who do not require extensive muscle repair, a shorter-incision approach confined primarily to the area behind the ears reduces the scar burden and shortens recovery while still delivering meaningful tightening of the neck contour.
Neck lift with submental liposuction: Younger patients with good skin elasticity whose primary concern is excess fat beneath the chin may achieve excellent results with submental liposuction alone or combined with limited platysmaplasty. For patients also considering non-surgical options, PDO Threads and Skin Tightening with RF Microneedling may complement surgical results or address early laxity before surgery becomes the right choice.
What a neck lift can address.
Dr. Sieveking will recommend the approach that best suits your anatomy and goals during your consultation.
Platysmal banding
The vertical cords that become prominent as the platysma muscle gradually separates with age.
Submental fat and double chin
Localized fat beneath the chin that resists diet, exercise, and non-surgical fat-reduction treatments.
Jowling at the jawline
Soft tissue that descends below the jaw border, blurring the clean definition that signals a younger profile.
Obtuse cervicomental angle
Loss of the angular, well-defined transition between the chin and neck.
Post-weight-loss skin laxity
Redundant neck skin after significant weight loss that cannot retract on its own.
Why choose this procedure
Benefits of a neck lift.
For patients in Williamson County and greater Nashville who are bothered by the softening of their profile, a neck lift delivers structural, lasting improvement that refreshes the entire appearance without looking operated on.
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A defined jawline and restored cervicomental angle
The return of a clean jaw-to-neck transition that photographs and presents beautifully.
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Elimination of neck bands
Platysmaplasty repairs the muscular source of banding directly, producing authentic and enduring correction.
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Long-lasting structural results
Working at the muscle and fat layer means results hold far longer than non-surgical tightening alternatives.
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A natural, rested appearance
Dr. Sieveking’s conservative technique is designed to produce a refreshed version of you, never an overdone or windswept look.
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Renewed confidence in profile
Many patients report feeling more at ease in photographs, on video calls, and in everyday social settings.
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On-site, accredited surgery center
Neck lift surgery at Sieveking Plastic Surgery is performed in the practice’s brand-new, on-site, accredited surgery center.
The neck and lower face age as a unit, and many patients achieve the most harmonious rejuvenation when a neck lift is performed simultaneously with a facelift. Dr. Sieveking frequently plans these procedures together as a single, cohesive surgical strategy so that the jawline, jowls, and neck are all addressed in one recovery period.
Selected results
The clean, angular transition between the chin and neck.
Dr. Nicholas Sieveking approaches every neck lift with the same conservative philosophy that has made him a multiple-time Best Plastic Surgeon in Nashville: results that look like a rested, younger version of you, never a pulled or windswept version.
What to expect: before, during, and after your neck lift.
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Consultation
Your consultation with Dr. Sieveking
The consultation is evaluative, unhurried, and entirely individualized. Dr. Sieveking will assess the degree of skin laxity, platysmal banding, and fat distribution across your neck and jawline, review your medical history and smoking status, and discuss which approach best addresses your anatomy and aesthetic goals. You will leave the consultation understanding what the incisions involve, what recovery looks like at each stage, and what results are realistically achievable for your specific anatomy.
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Procedure
Small, strategically placed incisions
Neck lift surgery at Sieveking Plastic Surgery is performed in the practice’s brand-new, on-site, accredited surgery center. The procedure is most commonly performed under general anesthesia and typically takes 2–4 hours, depending on the extent of correction and whether it is combined with a facelift or other procedures. Through small, strategically placed incisions, Dr. Sieveking tightens or partially removes the platysma muscle, contours the fat compartments, and redrapes and trims the skin under minimal tension. Low-tension closure is fundamental to natural results and fine, inconspicuous scars. Most neck lifts are performed on an outpatient basis.
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Recovery
A staged, honest timeline
Days 1–3: A compression garment minimizes swelling and supports healing tissues. Significant swelling, bruising, and tightness are expected. Resting with the head elevated is essential. Days 4–7: Most patients manage discomfort comfortably with prescribed oral medication. Dr. Sieveking performs an early follow-up visit to assess healing and remove drains if not already done. Weeks 1–2: Bruising and swelling begin to soften. Many patients feel comfortable returning to light desk work around 10–14 days, though individual healing varies. Weeks 3–6: Residual swelling continues to resolve. Moderate activity may resume as Dr. Sieveking clears you; strenuous exercise is generally restricted for at least 4–6 weeks.
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Results
The complete result
Months 2–6+: The complete result is generally visible at 3–6 months as deeper swelling resolves and tissues fully settle. Incision lines typically fade to fine, well-hidden lines over the following year. Because a neck lift addresses the underlying muscle and fat rather than only the skin surface, results are structurally durable and typically last many years.
Why Sieveking
Meet Dr. Sieveking
Why choose Sieveking Plastic Surgery for a neck lift in Franklin, Tennessee?
Stanford-trained. Triple board-certified (including The American Board of Wound Management, ABWM) plastic and reconstructive surgeon.
Dr. Nicholas Sieveking is a Stanford-trained, triple board-certified (including The American Board of Wound Management, ABWM) plastic and reconstructive surgeon with more than twenty-five years of experience performing neck lift surgery and facelift and neck lift combinations throughout Middle Tennessee. He completed a post-residency fellowship under the legendary Ivo Pitanguy in Brazil, holds fellowship training in anti-aging and functional medicine, has been recognized as Best Plastic Surgeon in Nashville multiple times, and authored the Rhinoplasty chapter in the Handbook of Plastic Surgery.
Every neck lift at this practice is performed in the brand-new, on-site, accredited surgery center at 1200 Old Hillsboro Road in Franklin.
For patients who want to address aging at every level, Sieveking Plastic Surgery is the only practice in Middle Tennessee integrating world-class plastic surgery, advanced medical aesthetics, and clinical functional and longevity medicine under one triple board-certified (including The American Board of Wound Management, ABWM) physician at one address.
Investment
Cost of a neck lift.
Many patients benefit from one technique or a thoughtful combination. Dr. Sieveking will recommend the approach that best suits your anatomy and goals during your consultation.
The procedure is most commonly performed under general anesthesia and typically takes 2–4 hours, depending on the extent of correction and whether it is combined with a facelift or other procedures.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
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Good candidates are healthy, non-smoking adults bothered by neck laxity, platysmal banding, or a double chin that has not responded adequately to non-surgical options. A consultation with Dr. Sieveking is the only way to confirm candidacy and determine which approach is most appropriate for your anatomy and goals.
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A neck lift focuses on the area from the jawline to the clavicle, correcting loose skin, neck muscle bands, and submental fat. A facelift addresses the midface, jowls, and lower face above the jawline. Because the lower face and neck tend to age together, many patients achieve the most harmonious rejuvenation when both procedures are performed in a single surgery.
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Most patients are comfortable returning to light desk work within 10–14 days. Strenuous exercise is restricted for 4–6 weeks. Meaningful improvement is visible within the first month, but the full, refined result typically emerges over 3–6 months as deeper swelling resolves completely.
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Neck lift incisions are placed in inconspicuous locations: within the natural crease beneath the chin and in the creases behind and around the ears. With precise technique, low-tension closure, and attentive aftercare, these incisions typically heal to fine, well-hidden lines. Scar maturation continues for up to a year following surgery.
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Risks include bleeding, infection, adverse reaction to anesthesia, prolonged swelling or bruising, changes in skin sensation, asymmetry, scarring, and, rarely, injury to branches of the facial nerve. Choosing a board-certified plastic surgeon operating in an accredited surgical facility significantly reduces the likelihood of complications. Dr. Sieveking will discuss all relevant risks thoroughly during your consultation.
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Because a neck lift addresses the underlying muscle and fat rather than only the skin surface, results are structurally durable and typically last many years. Maintaining a stable weight, protecting skin health, and supporting overall wellness, including through the functional and longevity medicine services available at Sieveking Plastic Surgery, helps preserve the surgical outcome for as long as possible.
More in Plastic Surgery.
Facial Sculpting
Begin your journey
Schedule a neck lift consultation with Dr. Sieveking in Franklin, Tennessee.
If you are ready to restore definition to your neck and jawline with a surgeon you can trust, we invite you to schedule a consultation with Dr. Sieveking. Call our Franklin office or request your appointment online. Your consultation is unhurried, individualized, and entirely focused on what is right for you.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment