From the Corner Office: January 2026
The Direct Neck Lift: A Targeted Solution for Neck Rejuvenation
In my December 2025 newsletter, I discussed the advantages of the sophisticated and aesthetically powerful deep-plane lower face and neck lift, which is the procedure I perform for comprehensive face and neck rejuvenation. For this month’s discussion, I will focus on a procedure that is less well-known, the direct neck lift.
While some patients complain of aging throughout the lower face and neck, others are primarily bothered by age-related changes in the neck and jawline—such as loose skin under the chin, excess fullness due to unwanted fat, visible vertical platysmal bands, jowls, a softened jawline, and a sagging neck angle. I often hear something along the lines of “can’t you just cut it out” while a patient grabs their “turkey” neck. Well I am here to tell you that yes, I can. This is the essence of the direct neck lift. It is a procedure that I learned during my facial plastic surgery fellowship thirty years ago from my mentor and professor Dr. Richard Farrior. During my time in practice, I have refined the original technique, and in 2014 I wrote a journal article that was well-received by my colleagues highlighting my modifications of the direct neck lift. To this day, I often get referrals from other facial plastic surgeons who are not well-trained in this procedure.
The direct neck lift removes the sagging, inelastic central neck skin and underlying fat directly and tightens the neck muscles along their entire length, from under the chin to the collar bone. This dramatically reduces the visibility of anterior neck bands, while creating muscular support that results in a sculpted, defined, youthful-appearing neckline. My excisional design also reduces the appearance of the jowls while tightening the jawline. For patients with isolated neck and jawline aging, a direct neck lift can deliver powerful results through a straightforward, targeted approach. Another very important advantage of this procedure is that the results last for many years as the most inelastic central neck skin is removed.
Strengths of the Direct Neck Lift
1. Focused Improvement for the Neck
Ideal for patients whose primary areas of concern are their jowls, softening of the jawline, the region beneath the chin, and a sagging neck. This approach delivers direct and noticeable enhancement where it’s needed most.
2. Addresses Platysmal Bands Effectively
For individuals with pronounced neck banding, the direct neck lift allows me to tighten or modify the medial platysmal muscle along its entirety, producing a smooth and supported neck contour.
3. A Shorter, More Streamlined Procedure
Because it focuses on a single anatomical area, some patients appreciate the more limited scope of surgery and recovery compared to more comprehensive approaches. It is routinely performed in the office using local anesthesia and oral Xanax to relax, and is ideally suited for those patients who medically are not good candidates for or simply don’t want general anesthesia. There are no bandages, and usually minimal discomfort while healing. Lastly, the procedure time and cost are about half of a deep-plane facelift.
4. Works well as part of a comprehensive face and neck rejuvenation plan
To minimize healing and downtime, a direct neck lift can surgically rejuvenate the neck and jawline and simultaneously, CO2 laser skin resurfacing can be done to tighten the facial skin while also dramatically improving lines, wrinkles, and blotchy brown discoloration. It can also be combined with the Injecta-Lift procedure to non-surgically replenish lost facial volume to rejuvenate the face.
Two Distinct Procedures, Each with Meaningful Benefits
Both the deep-plane facelift and the direct neck lift offer compelling advantages for the right patient. Whether someone seeks comprehensive rejuvenation of the lower face and neck or focused refinement of the neck alone, today’s surgical techniques allow for natural, long-lasting, and confidence-boosting results tailored to individual goals.
Rather than focusing on which procedure is “better,” it’s more helpful to understand what each procedure is designed to accomplish. Both procedures can restore confidence and create meaningful, natural-looking rejuvenation when chosen thoughtfully and performed skillfully. Since there is no such thing as the one perfect procedure for all patients, these two techniques make different trade-offs, each having their strengths and weaknesses. The important take-away is to figure out what procedure is best-suited to address your aesthetic concerns while respecting your personal constraints. If this sounds interesting, I encourage you to schedule a consultation with me so that together, we can determine which approach is best for you.
From all of us, to all of you, wishing you a Happy, Healthy and Beautiful 2026!
Thank you for trusting us to keep you looking naturally more beautiful.
Seth A. Yellin, MD, FACS
Founder & Director, Marietta Facial Plastic Surgery, Laser & Aesthetics Center
Hydration and Renewal
This month, we are pleased to feature two exclusive skincare specials focused on improving hydration, supporting collagen, and promoting overall skin renewal.
20% Off SkinMedica® Hydra Collagen
Hydra Collagen by SkinMedica is an advanced topical facial product formulated to deeply hydrate the skin and support collagen production for a smoother, more refined appearance. Designed to enhance moisture retention and improve skin texture, Hydra Collagen helps reduce the appearance of fine lines caused by dehydration, leaving the skin looking healthier and more radiant. Suitable for all skin types, this product is an excellent addition to any skincare regimen, particularly when the skin needs additional hydration and support.
VI Peel® Special: Buy One, Receive the Second at 50% Off
In addition to our hydration-focused offering, we are featuring a special on the VI Peel, a medical-grade chemical peel known for its effectiveness and versatility. The VI Peel works by exfoliating damaged surface layers of the skin while stimulating cell turnover and collagen production beneath the surface. Its carefully balanced formulation targets a range of concerns, including uneven skin tone, fine lines, acne, sun damage, and textural irregularities.
Following treatment, the skin undergoes a controlled peeling process over several days, revealing smoother, brighter, and more even-toned skin. Optimal results are often achieved through a series of treatments, making this offer ideal for those committed to long-term skin health.
A Comprehensive Approach to Skin Health
Combining hydration with professional exfoliation is a key strategy for maintaining healthy, youthful-looking skin. While Hydra Collagen replenishes and maintains essential moisture, the VI Peel promotes renewal and collagen stimulation, working together to enhance overall skin quality.
These monthly specials are available for a limited time. We invite you to contact our office to learn more or to schedule your appointment.
Amy Coker, Lead Medical Aesthetician & Licensed Laser Practitioner
