Procedure Description:

Can a Facelift Restore an Aging Neck? A 66-Year-Old’s Answer at 2 Months

Yes, but only if the technique tackles what’s going on under the skin, not just on the surface. With rapid weight loss or aging process, deeper tissues of the face and neck become lax. That’s a key part of the look of “Ozempic face” — an aged, hollow appearance that can’t be fixed with surface tightening alone.

This 66-year-old patient sought treatment for this concern. She needed more than a light touch; she needed a deep plane facelift and neck lift, plus platysmaplasty. Through this, Dr. Sadati released ligaments holding the deep muscle layer of the face, moved that muscle layer back into position and restored structure to the face. She got lift in her cheeks and jowls, neck, and fat back in the area where she’d lost it in her face. She didn’t need fat grafting. Her own tissue moved up and filled the area.

With a deep plane neck lift, she got definition in her neck. Why does this approach often work so well in the neck? Usually, a saggy neck is due to sagging muscle, not necessarily loose skin. And with structural neck lift and platysmaplasty, the surgeon is tightening that muscle and deep tissue, rather than pulling skin over it.

In this before & after facelift photo, she looks roughly 10-15 years younger. She had this surgery under IV sedation, not general anesthesia. And it’s possible, even in someone whose face has aged due to weight loss, that surgery could correct, rather than simply hide, this appearance.