More often than not, neck lifts are performed in conjunction with facelifts. They can, when suitable, also be performed on their own. A neck lift in isolation would only be advised in patients with minimal skin laxity and without visible jowls.

Neck Improvement Surgery

More often than not, neck lifts are performed in conjunction with facelifts. They can, when suitable, also be performed on their own. A neck lift in isolation would only be advised in patients with minimal skin laxity and without visible jowls. Medically known as lower rhytidectomy procedures, these surgeries trim loose, unwanted skin in the area behind the ear, tighten the neck muscles and remove excess fat. A small incision under the chin may also be required. In many patients, however, a neck lift will be complemented by a facelift due to the fact that some of the loose skin in the anterior neck can only be improved by pulling in an upwards vector.

Dr Nerina Wilkinson offers these procedures to individuals who are looking for a more taut and youthful neck.

Learn More

Frequently Asked Questions

What Is A Posterior Neck Lift?

Posterior Neck Lift is a relatively minor surgical procedure done to remove excess skin from the neck. As people age, the effects of gravity, exposure to the sun and the stresses of daily life can be seen in their neck. Neck lift surgery can’t stop this aging process; what it can do is “turn back the clock,” improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and re-draping the skin of your neck.

How Is A Neck Lift Performed?

A posterior neck lift usually takes a few hours and sometimes longer if you’re having more than one procedure done. Every surgeon approaches the procedure in his or her own way. Some complete one side of the neck at a time, and others move back and forth between the sides.

The exact placement of incisions and the sequence of events depend on your neck structure and your surgeon’s technique. Incisions usually begin behind the earlobe to the lower scalp. If the middle of the neck also needs work, a small incision may also be made under the chin. In general, Dr Wilkinson separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. She then tightens the underlying muscle and membrane, pulls the skin back, and removes the excess.

Once the neck lift is complete, stitches secure the layers of tissue and close the incision. Your head is loosely wrapped in bandages to minimise bruising and swelling and may be removed the next day.

Who Is The Best Candidate For Neck Lift Surgery?

Individuals that are wanting to rectify the ageing process in their neck area are ideal candidates for this procedure. Those between the ages of 40 and 65 are at the ideal age to undergo a neck lift as the skin in this area still possesses some elasticity.

Being in good physical and mental health is also beneficial to you, as this will assist you during your recovery. Patients who are smokers can develop keloid type scars, therefore it’s recommended that candidates who do smoke stop immediately.

How Long Do The Results Of A Neck Lift Last?

There is no correct answer here as we and our surgeons are all unique; for most patients, however, the results of a neck lift last about 10 years – after 10 years some patients often require further rejuvenation.

How Long Is The Recovery Of Neck Lift Surgery?

It may take you a few weeks to feel like your old self again. Some people return to work after a week, while others take two or three weeks to rest and recuperate. You should be up and about in a day or two, but plan on taking it easy for the first week after your posterior neck lift surgery. Be especially gentle with your face and neck, since your skin will be both tender and numb, and may not respond normally at first. Dr Wilkinson will give more specific guidelines for gradually resuming your normal activities. They’re likely to include these suggestions: Avoid strenuous activity, including exercise and heavy housework, for at least two weeks (walking and mild stretching are fine); avoid alcohol, steam baths, and saunas for several months.

Above all, get plenty of rest and allow your body to spend its energy on healing. At the beginning, your neck may look and feel rather strange. Some bruising may persist for two or three weeks, and you may tire easily. It’s not surprising that some patients are disappointed and depressed at first. By the third week, you’ll look and feel much better. Most patients are back at work about five to seven days after surgery. If you need it, special camouflage makeup can mask most bruising that remains. Normal activities can be resumed after 3 weeks. Exercising may be resumed between 3 and 6 weeks. You may also experience random, shooting pains for a few months. You can expect some loss of feeling in your skin, caused by the swelling after surgery; this usually fades over the next six weeks or so.

How Do I Choose The Best Neck Lift Surgery For Me?

To see if this is the best cosmetic surgery procedure for you, always start with a professional consultation with qualified and experienced cosmetic surgeon for an in-depth analysis of your facial features and to reach a good understanding of your skincare concerns and goals.

Dr Nerina Wilkinson’s unique and comprehensive surgical consultation is available for you to discuss and analyse your concerns and goals and for her (together with her team of specialists) to provide bespoke advice.

Schedule your facial cosmetic surgery consultation today! 



During your first consultation, D Nerina Wikinson examines the skin of your neck so that she knows how much work needs to be done on the area. During this time, it’s important, to be honest with her about your medical history as well as what you expect from your procedure. After your examination, she will advise you on what options are available to you as well as the best course of action is.

Once you’re fully satisfied and have had all your questions answered, a date for your neck lift can be booked.

An anterior cervicoplasty is recommended for men who have loose skin and fat that they wish to get rid of and is similar to a regular neck lift for women. The procedure is performed while you’re placed under local conscious sedation and involves a three-step process:

  • Incisions – Small incisions are made: one under the chin and one extending in the fold behind each ear.
  • Liposuction and trimming – The excess fat and skin that causes the drooping is resected to give you a rejuvenated, youthful looking neck.
  • Finishing touches –  Using a  suture suspension technique, I close the area.

Once you’ve been discharged, you’ll need to wear a neckband for the duration of your recovery, which can last between two and four weeks. This band must be worn to prevent excessive swelling and bruising. It’s important for you not to undertake any strenuous activity for the duration of your recovery.

Dr Nerina Wilkinson has over 20 years of experience in the field of plastic surgery, and fully understand her patients, their needs and their emotions leading up to surgical / aesthetic procedures, which allows her to provide world class advice and care. Additionally, her staff are exceedingly well trained and experienced and equipped to provide you with incredible pre and post-operative care.

Book your consultation appointment with with Dr Wilkinson if you’re interested in a neck lift.




DR Nerina Wilkinson has pioneered one of the most natural sought after “scarless facelifting” techniques.
View Treatment

EYELight360™ Blepharoplasty

Dr Nerina Wilkinson has a special interest in a holistic 3 dimensional approach to restoration of the eyes.
View Treatment

Ear Surgery

If you feel as though your ears are oversized, too small, or even protrude out too much consider otoplasty.
View Treatment

Eyelid Surgery

Eyelid surgery, also known as an eyelid tuck or blepharoplasty, is a simple procedure that I commonly recommend to both...
View Treatment


Facelifts, also known as rhytidectomy surgery, are one of the many solutions men and women consider to combat the signs of ageing.
View Treatment

Stem Cell Facelift

Stem cells are nature’s way of causing internal repair of tissue, when these cells divide, each new one that’s created...
View Treatment

Structural Fat Grafting

Non-surgical procedures, such as Botox, fillers, and fat grafting, are becoming a popular alternative to going under the knife.
View Treatment

The Cosmetic Surgery Team

About Dr Nerina Wilkinson FCS (Plast SA)

Known as Cape towns facial rejuvenation expert, Dr Wilkinson is a leading facial and breast Plastic Surgeon with over 20 years experience in aesthetics. She uses her  (micro precision) surgical experience and detailed knowledge to deliver on the signature natural look.

She specialises in Facial & Breast Rejuvenation & Restoration

What sets her apart is her in-depth surgical precision and knowledge combined with delicate artistic eye. Her philosophy is using art and science to deliver on the signature natural look.

“Before my surgery, I dreaded Skyping my grandchildren in Australia. My neck looked so terrible on the video camera. I am so thrilled that I am able to Skype for hours now and not see my terrible old neck”

D.C.S, Facial Plastic Surgery

Book Your Treatment Experience