Deep Vertical Neck Lift Before & After Gallery
Explore before and after photos of patients treated with Dr. Richard Balikian’s Deep Vertical Neck Lift, often performed as part of the Artiste Lift™ Preservation Deep Plane Facelift.
Explore before and after photos of patients treated with Dr. Richard Balikian’s Deep Vertical Neck Lift, often performed as part of the Artiste Lift™ Preservation Deep Plane Facelift.
Every neck ages differently. As you browse these results, notice how restoring the deeper structures of the neck improves the jawline, neckline and the natural transition between the face and neck. The best neck rejuvenation draws attention to the person, not the surgery.
A youthful neck is defined by much more than smooth skin. As we age, the platysma muscle separates, deeper fat descends, and the supportive structures beneath the skin begin to change. These deeper anatomical changes contribute to neck bands, fullness beneath the chin, loss of jawline definition and an aging neck contour.
The Deep Vertical Neck Lift restores these deeper structures rather than simply tightening the skin. By addressing the anatomy responsible for neck aging, the procedure creates a more defined jawline, smoother neckline and natural-looking rejuvenation that complements the face.
For many patients, the Deep Vertical Neck Lift is performed together with the Artiste Lift™ Preservation Deep Plane Facelift to create balanced facial and neck rejuvenation.
One of the first things you’ll notice throughout this gallery is that every patient looks like themselves after surgery.
That’s intentional.
The neck ages differently from person to person. Some patients develop visible platysma bands. Others lose jawline definition or develop fullness beneath the chin. Many experience all three. Rather than treating the surface alone, I restore the deeper anatomy responsible for these changes.
Every surgical plan is customized to the patient’s anatomy, not performed from a standard template. The goal is never to create a tighter-looking neck. It’s to restore youthful neck contours while preserving each patient’s natural appearance. That’s why the results throughout this gallery are unique to each individual while sharing the same philosophy: smoother neck contours, stronger jawline definition and natural-looking rejuvenation.
The Deep Vertical Neck Lift addresses the deeper anatomical structures that contribute to an aging neck. Rather than simply tightening loose skin, it restores support beneath the surface to create more defined, natural-looking contours.
Many patients choose this approach because it can improve concerns such as:
Every recommendation is made with one objective: restoring youthful neck contours while preserving the features that make each patient recognizable.
Although this gallery highlights the Deep Vertical Neck Lift, many patients benefit from additional facial rejuvenation procedures performed during the same operation.
Depending on a patient’s anatomy and goals, surgery may also include an Artiste Lift™ Preservation Deep Plane Facelift, facial fat transfer, upper or lower blepharoplasty, brow lift surgery, lip lift, or CO₂ laser resurfacing.
Treating the face and neck together creates balanced, harmonious rejuvenation because the entire face is considered as one connected system rather than a collection of individual procedures.
If you’d like to better understand why neck bands develop, how the platysma muscle contributes to neck aging and how the Deep Vertical Neck Lift restores youthful neck contours, explore our comprehensive Neck Lift Surgery Education Hub.
Questions Every Patient Should Ask
What causes neck bands to develop?
Neck bands develop as the platysma muscle separates and loses support with age. Skin laxity, changes in deeper neck structures, and loss of soft tissue support also contribute to an aging neck contour. Modern neck rejuvenation addresses these deeper anatomical changes rather than relying on skin tightening alone.
Why doesn’t skin tightening alone create lasting neck lift results?
Research has shown that many features of neck aging originate beneath the skin. Lasting neck rejuvenation often requires treatment of the platysma muscle and other deeper structures responsible for neck contour and cervicomental angle definition rather than placing tension on the skin alone.
Does treating the platysma improve neck lift outcomes?
Yes. Numerous neck lift techniques focus on correcting the platysma because it plays a major role in neck bands and contour. A recent systematic review found low recurrence rates of platysma bands following modern platysma-focused neck lift procedures.
Why is the cervicomental angle important during neck rejuvenation?
The cervicomental angle, the angle between the chin and neck, is one of the defining characteristics of a youthful neck. Modern neck lift techniques aim to restore this angle by addressing the deeper anatomical structures that influence neck contour rather than simply removing excess skin.
Can liposuction alone correct an aging neck?
Not always. While liposuction can improve fullness caused by excess fat, it cannot correct platysma laxity, loose skin, or other deeper anatomical changes. Determining the underlying cause of neck aging is essential when selecting the most appropriate treatment.
Why are some neck lift techniques more durable than others?
Studies have shown that recurrence of neck bands and skin laxity can occur when the underlying causes of neck aging are not fully addressed. Modern techniques emphasize correcting the deeper anatomy to improve long-term contour and reduce recurrence.
Why do surgeons evaluate the entire face before recommending a neck lift?
The face and neck age together. Studies emphasize that significant jowling or descent of the lower face can limit the results of an isolated neck lift. Evaluating both regions allows the surgeon to recommend the procedure that best restores facial harmony.
Why is every neck lift customized?
Every patient has a unique combination of skin quality, fat distribution, muscle laxity, skeletal anatomy, and gland prominence. The medical literature recommends evaluating all three anatomical planes of the neck so treatment can be tailored to each patient’s specific anatomy.
Dr. Richard Balikian is a highly respected facial plastic surgeon serving the San Diego area.
With over 20 years of experience and double board certification in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery, Dr. Balikian offers a unique combination of technical expertise and artistic vision.
He is part of an elite group of surgeons with extensive training focused exclusively on the face and neck.
Dr. Richard Balikian is recognized for elevating facial plastic surgery through precision, artistry and outcomes that reflect your true self.