A Masculine Alternative to Traditional Facelift Surgery
For many men, the neck is the first area to show visible signs of aging. Fullness under the chin, loose skin, and vertical neck banding can create an older or heavier appearance—even when the rest of the face remains relatively youthful.
At Pacific Sound Plastic Surgery in Bellevue, a direct neck lift for men offers a focused, masculine approach to neck rejuvenation without the need for a full facelift.
Why Men Seek Neck Lift Surgery
Men often pursue neck lift surgery to restore definition while maintaining a natural, masculine appearance. Common concerns include excess skin beneath the chin, loss of jawline definition, and prominent platysma banding. Many men also prefer to avoid incisions around the ears and hairline, making targeted neck procedures especially appealing.
What Is a Direct Neck Lift for Men?
A direct neck lift—also known as direct submentoplasty or direct cervicoplasty—is a surgical procedure designed to address aging changes isolated to the neck. Unlike a traditional facelift (see Men’s Facelift Surgery), which involves incisions around the ears and addresses multiple regions of the face, a direct neck lift allows direct access to the underlying neck anatomy through a carefully planned incision beneath the chin.
This approach enables precise correction of excess skin, muscle laxity, and deeper structural contributors to neck fullness.
How a Direct Neck Lift Differs From a Men’s Facelift
A men’s facelift is designed to rejuvenate the midface, jawline, and neck together. In contrast, a direct neck lift focuses solely on the neck. For men whose primary concern is submental fullness or loose neck skin without significant facial sagging, a direct neck lift can deliver excellent results without the scope or recovery associated with a full facelift.
What a Direct Neck Lift Can Address
A direct neck lift can improve:
- Excess or lax neck skin
- Platysma muscle separation or banding
- Fat above and below the platysma muscle
- Loss of cervicomental angle definition
Anatomy of the Aging Male Neck
Successful men’s neck lift surgery requires a detailed understanding of cervical anatomy. Common contributors to neck aging include skin laxity, platysma muscle weakening, deep neck fat, enlarged anterior digastric muscles, sagging submandibular salivary glands, and a low or poorly positioned hyoid bone. Not all of these factors are addressed with the same surgical approach, which is why individualized planning is essential.
Who Is a Good Candidate for a Direct Neck Lift?
Ideal candidates for a direct neck lift typically have submental laxity limited to above the thyroid cartilage, minimal jowling, and a clear understanding of and acceptance of a small anterior neck scar. These patients often want meaningful neck improvement without undergoing a more extensive facial procedure.
Men with good skin elasticity and minimal skin excess may instead be candidates for a deep structural neck lift without skin excision (see Neck Lift Surgery), which focuses on tightening muscle and addressing deeper anatomy rather than removing skin.
Incision Design and Scar Placement
Modern direct neck lift techniques use refined incision designs tailored to each patient’s anatomy. Earlier straight or horizontal excisions have been replaced by patterns that follow natural neck contours, allowing improved scar camouflage while providing excellent surgical exposure. With proper planning and postoperative care, scars typically soften and fade over time.
Recovery After a Men’s Direct Neck Lift
Recovery depends on both surgical technique and postoperative management. Key elements include thoughtful scar care, appropriate drain use when needed, head positioning, lymphatic support, and gradual return to normal activity. Attention to swelling and salivary gland irritation helps optimize healing and comfort during recovery.
Direct Neck Lift vs. Men’s Facelift
A direct neck lift is not a replacement for a facelift in every situation. Men with significant jowling, cheek descent, or facial laxity may benefit more from a comprehensive Men’s Facelift, sometimes combined with a Neck Lift to restore overall balance. For men whose concerns are limited to the neck, however, a direct neck lift can provide predictable, natural-looking improvement.
Men’s Neck Lift Surgery in Bellevue, Washington
At Pacific Sound Plastic Surgery, men’s facial rejuvenation is approached with precision, restraint, and respect for masculine anatomy. A direct neck lift remains an essential option for the right patient, offering powerful neck definition without unnecessary surgery.
If you are considering a men’s neck lift in Bellevue or want to understand whether a direct neck lift or facelift is right for you, a personalized consultation can help clarify your options.

