What is a Direct Neck Lift?
A Direct Necklift is a surgical procedure that targets excess skin and fat under the chin and along the neck, creating a tighter, smoother, and more defined jawline.
Unlike traditional necklifts, a direct approach allows Dr. Kieu to remove sagging tissue with precise, targeted incisions, ideal for patients with significant neck laxity or prior weight loss.
This procedure is especially effective for:
Loose, sagging neck skin
Prominent neck bands
Double chin or excess submental fat
Patients seeking a dramatic improvement in neck contour
Why Patients Choose a Direct Necklift
Patients often prefer this procedure because it:
Provides long-lasting, noticeable neck contouring
Removes excess skin without relying solely on liposuction
Creates a well-defined jawline and neck angle
Can be combined with facelift or chin procedures for full rejuvenation
Dr. Monica Kieu’s Approach
As a facial plastic surgeon, Dr. Kieu specializes in tailoring results to each patient’s anatomy, emphasizing:
Maintaining natural neck lines and proportions
Preserving muscle function and facial harmony
Minimizing visible scarring
Achieving dramatic yet natural rejuvenation
Combining with adjunct procedures (liposuction, platysmaplasty) if needed
Her approach ensures results that look refreshed, not overdone.
Ideal Candidates
You may be a good candidate if you:
Have loose or sagging neck skin
Notice prominent vertical bands or a “turkey neck”
Want a more defined jawline
Are in good overall health
Have realistic expectations about recovery and results
This procedure is best for patients who are bothered by visible neck aging that cannot be corrected with non-surgical treatments alone.
What Happens During the Procedure
Anesthesia: Local
Duration: 1–2 hours depending on complexity
Incisions: Typically under the chin or along natural neck creases
Technique:
Excess skin and fat are removed
Neck muscles may be tightened for better contour
Skin is redraped for a smooth, natural neck line
Sutures are placed to minimize visible scars
Recovery Timeline
Day 1–3:
Mild to moderate swelling and bruising
Neck support garment may be applied
Week 1–2:
Sutures may be removed
Most patients feel comfortable returning to light daily activities
Week 3–4:
Swelling continues to subside
Neck contours become more visible
2–3 Months:
Final results are apparent
Neck is tighter, smoother, and more youthful
Results
Patients can expect:
Defined jawline and neck contour
Reduction of sagging skin and vertical bands
Dramatic, long-lasting rejuvenation
Natural results that harmonize with the rest of the face
Risks & Considerations
All surgeries carry risks, although complications are rare with an experienced surgeon. Potential risks include:
Temporary swelling or bruising
Mild discomfort or tightness
Minor numbness (usually temporary)
Small scars along incision sites
Infection or bleeding (rare)
Frequently Asked Questions
Will the scars be visible?
Scars are placed in natural creases or under the chin and typically fade well over time.
How long does it last?
Results are long-lasting, especially when combined with healthy lifestyle habits.
Is it painful?
Discomfort is usually mild and managed with prescribed medications.
Can it be combined with other procedures?
Yes — many patients combine direct necklift with facelifts, liposuction, or chin enhancement for complete facial rejuvenation.
Is this suitable after massive weight loss?
Absolutely — it is highly effective for patients with excess neck skin after weight loss.
Cost & Consultation
Costs vary depending on the complexity and whether combined with other procedures.
Most patients fall in the $8-10k range.
Consultations are available at Newport Beach and Beverly Hills locations.
Why Choose Dr. Monica Kieu
Board-certified facial plastic surgeon with fellowship training
Expertise in neck, facelift, and facial rejuvenation
Known for natural, balanced, and personalized results
Practices in Newport Beach and Beverly Hills
Educational content with 360k+ TikTok followers and 15.6k Instagram followers
Dr. Kieu focuses on patient education and transparency, helping patients make informed decisions about aesthetic surgery.