Z Plasty Neck Lift

Patients with a lax platysma muscle, excess fat or skin are candidates for a Z plasty neck lift surgery, named after a vertical Z shaped incision made along the neck. An incision is made underneath the chin to remove the fat and the lax platysma muscle is then bound with sutures.

Z plasty neck lift surgery is ideally suited to the male patient who has concerns mainly centred around the anterior neck area. The surgery is generally performed under a local anaesthetic.



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  • does male facial surgery require a specific approach?

    Male facial surgery presents the surgeon with several challenges. The hairline tends to be higher,
    with the hair being shorter and thinner. This makes placing scars more difficult and can
    compromise the vector of pull. The hairline may not be stable, and with advancing years the
    hairline may recede. The beard may help or hinder scar placement. Conventional techniques may
    be used, with scars being placed around the ears and within the hairline.

    At consultation, the various options for scar placement will be discussed with you; with the pros
    and cons of each approach made clear. The principles of surgery are the same as for the female
    facelift discussed above.

    Another option for a man who is more concerned about the neck area is a Z plasty neck lift.

  • are there many types of facelift available?

    There are many different types of face/neck lifts. Therefore, careful evaluation of your face and discussion of your needs is essential in selecting the most appropriate technique.

    With a surgical face/and or neck lift, the deeper tissues of the face are lifted and tightened and several centimetres of skin are removed. The different types of face lift will give different results and it is therefore very important to appreciate what each procedure will, and more importantly, won’t do.

  • How is a Z Plasty Neck Lift carried out?

    As every patient has unique needs and concerns, a detailed consultation with a consultant plastic surgeon is essential prior to undergoing any procedure of this nature. During the consultation your surgeon will discuss any problem areas, desired improvements, options available (including no treatment at all) and expected outcomes.

    Should Z plasty neck lift surgery be agreed upon as the most suitable course of treatment, the procedure is performed under a local anaesthetic and involves removing the excess skin under the neck and chin. A Z plasty neck lift is then undertaken to redirect the scar and improve the outcome. Any fatty tissue may be reduced with either gentle liposuction or direct excision. The muscles at the front of the neck can be tightened, adding to the improved appearance. The skin edges are then carefully closed and light dressings applied.

    Throughout the Z plasty surgery, you will be looked after by our highly skilled and caring medical team.

  • what aftercare advice should I follow?

    Sutures are removed after one week. It is necessary to avoid shaving until the stitches are
    removed. Minor bruising is quite normal and typically subsides within a couple of weeks. It is
    essential to start massaging the neck with moisturising cream to soften the scars.
    You will be seen at regular intervals within the clinic. Our medical team are on hand around the
    clock to offer advice on aftercare as needed.

  • When will I be able to shave again?

    After Z Plasty Neck Lift surgery, stitches are removed a week later. Shaving over the stitches is not recommended as it makes removing them very difficult. After the stitches are removed, the beard may be carefully trimmed.

  • My wife has a turkey neck. Would this be a good option for her?

    Scar tissue in men usually settles well, however, in women it can be very noticeable and so, this procedure is not recommended. She would be better served with a conventional neck lift.

  • Will this improve my jowls?

    No, a Z plasty neck lift is only going to improve the front of the neck. It is a really good option for men.



Anaesthetic Type

Surgery is performed under a local anaesthetic to ensure the patient’s total comfort for the duration of the procedure

Procedure Time

120 minutes


Excess skin under the neck and chin is removed before a Z plasty neck lift is undertaken to redirect the scar and improve the outcome


Once healed, patients should expect to see an improved appearance to the anterior neck area


Sutures are removed after one week. It is necessary to avoid shaving until the stitches are removed. Minor bruising is quite normal and typically subsides within a couple of weeks


Whilst excess skin is permanently removed, neck lift surgery doesn’t stop the clock, it merely resets it. As time passes, the ageing process will once again progress.



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