Neck lift is a procedure that is directed at laxity of the skin of the neck. Most patients find that they are focusing on the neck without realizing that loss of elasticity starts at the top and works its way down. Gravity doesn’t pick just the neck. However, sometimes the loose, wrinkled neck skin is out of proportion with other changes. The neck lift involves an incision behind the ear and along the hairline. The skin is lifted up entirely from ear to ear and tightened. Microsuction is performed at the same time. Necklift usually requires an incision under the chin as well, to tighten the platysma muscle bands. The downside of the procedure is that the scar is in the hairline, and that laxity above the jaw is not corrected. Still, under proper circumstances it is a very useful operation. Most often a neck lift is combined with a face lift, and thought of as a single operation.