A defined jawline and a smooth transition between the chin and neck are key features of a youthful facial profile. Unfortunately, as we age, skin laxity, descending fat pads, muscle laxity, and genetic predisposition can lead to jowls and fullness under the chin, diminishing that clean neck-contour. A well-performed neck lift by Dr. Monica Wentworth can significantly restore definition, reposition tissues, remove excess fat, and rejuvenate the lower face and neck region.
What causes jowls and fullness under the chin?
Jowls form when the skin and underlying soft tissues lose their firmness and begin to sag along the jawline. Meanwhile, fullness under the chin is often due to a combination of fat accumulation (submental fat), loose platysma muscle bands, and skin relaxation. Additionally, the natural aging process results in decreased collagen, elastin, and shifting of fat compartments. Genetics, sun damage, weight fluctuations, and lifestyle factors (such as smoking) may accelerate these changes. Over time, these changes blend the jawline into the neck and reduce the sharp definition that once existed.
What a neck lift addresses
A neck lift (sometimes referred to as a lower rhytidectomy or cervicoplasty) focuses specifically on the lower face, jawline, and upper neck region. Dr. Wentworth’s approach may include one or more of the following: liposuction of submental fat, direct excision of excess skin beneath the chin and along the neck, repositioning of the platysma muscle and tightening of the superficial musculo-aponeurotic system (SMAS) along the jawline, and sometimes extension of incisions behind the ears to improve contouring of the jowls. The combined effect is a smoother neckline, reduced fullness under the chin, and a more defined jawline.
How the procedure improves jowls and sub-chin fullness
By removing or repositioning fat under the chin and along the neck, the fullness in this region is significantly reduced. Tightening of the platysma and SMAS layers improves the underlying structural support so the skin redrapes more smoothly over the neck and jaw. Redundant skin is removed, which eliminates sagging jowls and crepey neck skin. The incision placement allows Dr. Wentworth to reshape the jawline margin, restore a sharper angle from the chin to the neck, and improve the overall profile. This results in a refreshed appearance that still looks natural and age-appropriate.
Ideal candidates and consultation considerations
An ideal candidate is someone in good general health, non-smoker or willing to quit well before surgery, with realistic expectations, and who presents with moderate to advanced skin laxity in the neck and jawline region. During the consultation, Dr. Wentworth will assess your skin quality, fat and muscle structure, jaw and chin projection, and existing facial anatomy to determine whether a neck lift alone is sufficient or whether it should be combined with a facelift or chin/neck contouring. It is also essential to discuss recovery time, scar placement, and the long-term benefits of maintaining a stable weight and healthy lifestyle.
Recovery and realistic outcomes
Recovery typically involves some swelling, bruising, tightness, and temporary numbness in the neck and jaw area for the first one to two weeks. Patients are generally advised to sleep with the head elevated, avoid strenuous activity for several weeks, and follow Dr. Wentworth’s guidelines closely. Most people begin to see the definition return by week four to six, and final contours may continue improving for three to six months as residual swelling resolves. The result is a smoother jawline, tighter neck, and refreshed lower face that naturally complements the rest of your facial appearance.
Why trust Dr. Wentworth for your neck lift
Dr. Monica Wentworth is a double board-certified plastic surgeon who offers advanced facial rejuvenation procedures including neck lifts and facelifts. Her personalized approach, precise surgical technique, and commitment to patient-specific plans ensure that your results blend safety, artistry, and natural aesthetics. At her Webster, TX practice, you will receive the individualized care needed to achieve a graceful, lasting transformation.
If you are concerned about jowls, fullness under the chin, or a soft jawline, schedule a consultation with Dr. Wentworth to discuss how a neck lift may help restore your profile and enhance your confidence.
CONTACT DR. MONICA WENTWORTH FOR MORE INFORMATION
For more information about Dr. Wentworth and the treatments and procedures she performs please click here or call us at 713-538-1455.