Neck Lift · Beverly Hills

The Deep Neck Lift

The defined jawline that no concealer, contour, or skincare can create.

A defined jaw-to-neck angle is one of the most impactful features associated with a youthful face — and the first one creams, lasers, and energy devices simply cannot restore. Dr. Truesdale’s deep neck lift addresses every anatomic layer at once, producing a result that holds for a decade and photographs beautifully at any angle.

(424) 363-4112
Dr. Carl Truesdale, MD — neck lift specialist Beverly Hills
Dr. Carl Truesdale, MD
Deep Neck Lift · Beverly Hills
A Note from Dr. Truesdale

“The neck is nine anatomical layers — skin, subcutaneous fat, platysma muscle, subplatysmal fat, prevertebral fascia, and more. Most ‘neck lift’ procedures address only two or three of them. A true deep neck lift addresses all nine. That is why the results look so dramatically different — and why they last. Energy devices and lasers simply cannot touch the deeper anatomical contributors to neck aging. Surgery is the only answer that works.”

— Dr. Carl Truesdale, MD · Beverly Hills, California
The Outcome

What a deep neck lift can do for you

A deep neck lift is the operation that creates a sharp, defined jawline — the clean line from jaw to neck that no laser, device, or skincare can produce. It works beneath the skin to tighten the muscle, remove the deep fat, and reset the structural angle that time, genetics, and weight changes have quietly erased.

  • A snatched jaw-to-neck angle — the defined transition that contour, concealer, and filler simply cannot create.
  • No more turkey neck — the vertical cords that show when you turn your head are tightened at their source, not just pulled on the skin above.
  • Fullness under the chin, tightened — every layer the deep fat lives in is addressed, not just the top layer liposuction can reach.
  • Lasts ten to fifteen years, not one season — because the foundation has been altered, not just tightened on the surface, the result holds for a decade or more.
  • Reads as genetics, not work — a natural profile that looks like it was always there.
Featured Patient Transformation

“My neck has never looked this good, not even when I was in my twenties. I can’t stop taking photos.”

Watch Dr. Truesdale’s surgical docuseries Beyond the Surface for full patient journeys.

Deep neck lift as part of The Masterpiece Surgery™ — featured patient
Before & After
As Part of The Masterpiece Surgery™

Ready to discuss your neck lift goals?

Procedure Overview

Understanding the deep neck lift

01 · The Procedure

What the deep neck lift is

A deep neck lift is the operation that actually gives you a sharp, defined jawline. Most “neck lifts” only tighten the skin — which is why they tend to loosen again within a few years and never quite produce that clean angle from jaw to neck. The deep neck lift is different: Dr. Truesdale works beneath the skin to tighten the deeper muscle (the platysma), remove the deep fat that no amount of dieting will reach, and, when needed, refine the small salivary gland that can create a bulge under the jaw.

The result is the structural change that creates a sharp, youthful neckline — the defined line from jaw to neck that no laser, filler, or skin-tightening device can produce. Because the work is done at the foundation, the result lasts seven to ten years or more, not a season.

02 · Ideal Candidates

Who the deep neck lift is for

If any of the following describes you, the deep neck lift may be worth exploring:

Have visible neck banding (platysma bands), skin laxity, or a “turkey wattle” appearance
Have submental or subplatysmal fat contributing to a double chin or blunted cervicomental angle
Have tried non-surgical treatments without achieving the result you want
Are in good general health, a non-smoker or committed to cessation
Understand this is commonly performed in combination with a facelift for complete lower facial rejuvenation
Maintain a stable weight — weight gain after surgery redistributes to the neck predictably
03 · The Difference

What makes Dr. Truesdale’s approach different

Dr. Truesdale’s approach to every procedure reflects a consistent set of principles — the same standards that inform every consultation, every surgical plan, and every post-operative follow-up.

01

Restraint, Not Over-Correction

The most over-done procedures in facial aesthetics are over-done because someone kept going past the right stopping point. Dr. Truesdale's rule: when the result is right, stop — even if more could technically be done. For the neck, that means stopping when the angle is right — not creating a jaw-to-neck angle so sharp it reads as overdone.

02

The Artist's Eye

Before becoming a surgeon, Dr. Truesdale was a trained portrait artist. That lens shapes every decision — proportion, light, shadow, the relationship between every feature — in a way purely clinical training alone does not. For the neck specifically, that lens guides the calibration of jaw-to-neck angle, the symmetry of platysmal repair, and the gentle taper from chin to clavicle.

03

Personal, Start to Finish

Every consultation, every surgical plan, every procedure — performed personally by Dr. Truesdale. No delegation to coordinators, PAs, or residents. Dr. Truesdale is personally involved every step of the way. Every layer of every deep neck lift — skin, platysma, deep fat, gland when needed — is handled by Dr. Truesdale himself.

04

Natural Is Non-Negotiable

The only acceptable outcome is one that no one can identify as a procedure — a result that reads as a better version of you. No pulled look, no frozen expression, no obvious work. The neck lift goal: a snatched, defined neckline that reads as genetics, not as a procedure.

“The deep neck lift is the foundation of a defined jawline — the single result patients tell me makes them look as good on the outside as they feel on the inside.”

— Dr. Carl Truesdale, MD
One More Step Toward a Sharp Jawline

The salivary gland step

After a standard neck lift, some patients still notice a small fullness beneath the jaw. It’s usually a hidden salivary gland — and when your anatomy calls for it, addressing this extra step is the difference between a good result and a truly sculpted one.

Why It Matters for You

The little-known reason some necks never look fully sculpted.

What the gland does

Small glands beneath your jaw that produce saliva — completely normal, usually invisible. In slender necks or after weight loss, they can create a visible fullness once everything else is tightened.

Why most surgeons skip it

They tighten skin and muscle, stop there, and a shadow of fullness remains. For patients who want a truly clean jaw-to-neck angle, this is the difference between a good result and a sculpted one.

Why Dr. Truesdale can

Fellowship training at the University of Michigan — one of the top programs in the world for this kind of gland surgery. That experience is what lets him include this step safely when anatomy calls for it.

Dr. Truesdale’s Approach

Safe, conservative, and natural.

Refine the outline — don’t disrupt the body.

Conservative reduction

Only the small section of gland that’s creating the bulge — nothing more. Nerves and blood vessels in the area are identified and carefully protected throughout.

Precision, not aggression

Delicate work that rewards experience. Dr. Truesdale’s head-and-neck background means every step is performed under direct vision with meticulous technique.

No change to daily life

Your other salivary glands keep working as before. Dry mouth from less saliva is expected for a few weeks and may last longer, with no lasting change in how you eat, speak, or live — just a cleaner jawline.

Deep neck lift before & afters

Real deep neck lift patients of Dr. Truesdale. Each result reflects a customized layered approach based on that patient’s specific anatomy.

Deep Neck Lift as part of The Masterpiece Surgery™ before and after · oblique view
Deep Neck Lift as Part of The Masterpiece Surgery™
Deep Neck Lift as part of The Masterpiece Surgery™ before and after · profile view
Deep Neck Lift as Part of The Masterpiece Surgery™
Deep Neck Lift before and after — sharper jaw-to-neck angle · profile view
Deep Neck Lift

Your transformation starts with a conversation.

Testimonials & Patient Stories

Our Patients Say It Best

★★★★★
“Three months post-op from my facelift, neck lift, and under-eye skin pinch. His expertise revealed the most sharpened jaw line, tight neck, and plump skin imaginable.”
Farah Leon
Verified Google Review
★★★★★
“I felt truly heard and understood. Dr. Truesdale answered all my questions with clarity, patience, and honesty, giving me full confidence to move forward with my deep plane facelift and neck lift.”
Cari Cano
Verified Google Review
★★★★★
“Dr. Carl Truesdale is a blessing to so many with his excellent and creative ability. My goal was to make my face reflect how great I felt at age 71 — and I am so pleased with my results.”
Carolyn Randolph
Verified Google Review
Your Journey

From first consultation to final reveal

We always tell our patients to ‘trust the process.’ You are in good hands on every step of the journey to your unique masterpiece.

01
Phase

Consultation

Virtual or In-Person

Personal session with Dr. Truesdale — facial analysis, honest assessment of candidacy, and a clear plan for what the procedure can and cannot achieve.

02
Prepare

Planning

2–6 Weeks

Medical clearance, pre-operative instructions, and a personalized plan Dr. Truesdale reviews with you before the day of the procedure.

03
Procedure

Procedure Day

2–3 Hours

Performed personally by Dr. Truesdale at our AAAHC-accredited surgical center under MAC (Monitored Anesthesia Care) with IV sedation — gentle, deep sedation comparable to a colonoscopy, administered and monitored throughout by a hand-selected, board-certified anesthesiologist.

04
First Week

Sutures Out

Days 1–8

Office follow-ups: dressing removal Day 1, hemostatic net removal Day 2, drain removal Day 3 (if drains were placed; for men, drains usually come out on Day 5). Sutures and staples out at Day 7. Two days after suture removal, begin silicone scar gel twice daily for one month.

05
Early Result

Jawline Emerges

Weeks 2–6

Most bruising resolved. Jaw-to-neck angle becoming visible as swelling settles. Light cardio at Day 14; strenuous exercise around 3 weeks, once your surgeon clears you.

Final Reveal

Look and Feel Like a Masterpiece

Month 6

A sharply redefined jaw and neck contour are fully revealed.

Individual timelines vary. Dr. Truesdale sets realistic, patient-specific expectations during your consultation — not exaggerated claims.

See if a Neck Lift is right for you.

See the work in motion

Dr. Truesdale on technique, philosophy, and patient stories — from his self-produced Beyond the Surface docuseries and his educational content library.

Watch Full Patient Journeys
Why Surgery

Can lasers and devices fix the neck?

Neck aging happens across five anatomical layers, and non-surgical devices only reach the top one. They can be a reasonable option for younger patients with minimal laxity, mild skin crepiness, or as a refinement after surgery — but once muscle banding, deep fat, or true skin and platysmal laxity have set in, only a surgical neck lift can restore the jaw-to-neck angle.

Layer
What Ages
Devices Reach?
01
Skin
Laxity, crepe, early wrinkles
Partial
02
Subcutaneous Fat
Fullness beneath chin, lost definition
Partial
03
Platysma Muscle
Visible banding, vertical cords
✗
04
Subplatysmal Fat
Deep fullness no device can reach
✗
05
Digastric Muscle & Salivary Gland
Residual fullness under the jaw
✗
Radiofrequency · Ultrasound · Laser
Modest skin tightening.

Good for early-stage laxity. Cannot reposition muscle, remove deep fat, or reshape the anatomy. Aging continues underneath.

Deep Neck Lift · Dr. Truesdale
All five layers, one operation.

Skin, muscle, deep fat, digastric, and salivary gland — addressed together. Produces a sharp cervicomental angle that holds for a decade.

“Devices treat the surface. Surgery treats the cause. If your neck needs real change, the anatomy has to be addressed directly.”

— Dr. Carl Truesdale, MD
At a Glance

Neck lift in Beverly Hills: the essentials

Your surgeon
Dr. Truesdale personally, or his associate Dr. Sajjadi. You choose your surgeon on the free Discovery Call.
Where
True Surgical Center, the AAAHC-accredited surgical center at 150 S. Rodeo Drive, Suite 220, Beverly Hills.
Anesthesia
MAC (monitored anesthesia care) with IV sedation, given and watched throughout by a board-certified anesthesiologist.
Time in surgery
About 2 to 3 hours. Longer when a facelift or other procedures are added in the same session.
The first night
One of our nurses takes you back to your hotel or aftercare suite and stays with you overnight.
First-week visits
Day 1 dressing off · Day 2 hemostatic net out · Day 3 drains out (Day 5 for men) · Day 7 sutures and staples out.
If you travel
Arrive at least a day before surgery and plan on 7 to 10 days in Beverly Hills, staying within 20 minutes of the office.
Back in public
Most patients plan on 10 to 14 days before they feel ready to be seen.
Exercise
Light cardio at 2 weeks; heavier exercise at about 3 weeks, once Dr. Truesdale clears you.
Final result
The new jaw-to-neck line shows as swelling settles over the first weeks; full healing takes 6 to 12 months.

The facts patients ask about first. Every plan is personal, so Dr. Truesdale confirms each of these for you at your consultation. Recovery, week by week

How Dr. Truesdale Does It

What happens on surgery day

A deep neck lift corrects the neck from underneath, through a short incision hidden under the chin. Here is what the day looks like for you.

  1. 01
    Before you go in

    You arrive at True Surgical Center having had nothing to eat or drink after midnight. You meet your anesthesiologist, and Dr. Truesdale goes over the plan with you before you go into the operating room.

  2. 02
    A small incision under the chin

    Through an incision of about 2 to 2.5 cm hidden beneath the chin, Dr. Truesdale reaches the deep structures of the neck directly, instead of simply tightening the skin over them.

  3. 03
    The deep neck

    Fat that sits beneath the muscle, where diet and exercise can’t reach, is reduced. Bulky digastric muscles under the chin are trimmed. When your anatomy calls for it, a low-hanging submandibular (salivary) gland is conservatively reduced, with the nearby nerves and vessels protected throughout.

  4. 04
    The platysma

    The platysma, the thin muscle that forms the neck bands, is tightened and brought together at the midline. This is what sharpens the angle from the jaw to the neck.

  5. 05
    Closing and going home

    When loose skin needs to be removed, it is taken up through incisions hidden behind the ears, and only the skin that is truly extra is trimmed. A compression dressing goes on, and small drains may be placed for the first few days. A nurse takes you back to your hotel or aftercare suite and stays the night.

The Truesdale Facelift Technique: the deep neck, step by step → · Adding a deep plane facelift · When neck liposuction is enough

Recovery

Neck lift recovery, week by week

This is the same protocol our patients receive in writing before surgery. The detailed instructions below come straight from it, so they change only when Dr. Truesdale changes them.

Week 1

Swelling and bruising under the chin and along the jaw. Office visits on Days 1, 2 and 3 (Day 5 for men’s drains) and Day 7, when sutures and staples come out. Body shower only, face dry, until your drains are out. Sleep with your head raised, ice 20 minutes on and 20 off, and move your head and shoulders together.

Week 2

Start silicone scar gel two days after your sutures come out, twice a day for a month. Light cardio from Day 14, light earrings from 2 weeks. Most patients feel ready to be seen at 10 to 14 days.

Weeks 3–6

No bending, heavy lifting or straining until 3 weeks; heavier exercise then, once Dr. Truesdale clears you. Hair color from 1 month. SPF 50 and limited sun for 6 weeks.

Months 2–12

Tightness and numbness ease over 2 to 3 months, and full healing takes 6 to 12 months. Follow-ups at 1 week, 1 month and 3 months; optional visits at 6 months and 1 year.

Your detailed instructions

Immediately After

An overnight nurse stays with you. You will have a compression garment, sutures, and possibly drains. Sleep on your back with the head elevated on 2–3 pillows. Apply ice 20 minutes on, 20 minutes off for 5 days to a week. Take pain medication with food.

Day 1

Return to the office for your Day 1 visit; your dressing is removed. Until your drains are out, take a body shower only and keep your face dry.

Day 2

Day 2: return to the office for hemostatic net suture removal. Day 3: return for drain removal (if drains were placed); for men, drains usually come out on Day 5. Once your drains are out, shower and wash hair gently in cool to lukewarm water, avoiding the surgical site. Use mild soap; a blow-dryer on the cool setting only. Brush teeth gently. Clean incisions with soap and water, pat dry, and apply Aquaphor.

Drains

Wash your hands before touching your drains or dressing. Gently strip ('milk') the tubing as you were shown. Once a day, at the same time each day, record the time and the amount, pour out the fluid, then squeeze the bulb and recap it; keep the bulb secured inside your dressing or clothing. You'll come back to the office on Day 1, Day 2 and Day 3. Your hemostatic net comes off on Day 2, and your drains come out on Day 3 with our physician assistant; for men, drains usually come out on Day 5, unless Dr. Truesdale tells you otherwise. Removal can be uncomfortable.

Staples

If you have staples in your hairline or scalp, they stay in until your Day 7 visit. Keep them clean with mild soap and water. Don't let blood dry or crust on the incisions — soften and rinse it away with water, without scrubbing or picking. Apply a very light layer of Aquaphor along the incision line. Be gentle with the hair around it: no tight hairstyles, ponytails, or anything that pulls on the scalp.

Day 7

Sutures and staples are removed. Makeup may be applied to surrounding skin but not to incisions for another 7 days. Be gentle with incisions; do not pull the ear forward.

Day 9–10

Apply silicone scar gel twice daily, beginning about two days after your sutures are removed, and continue for one month. Do not use it on your eyelids.

Week 1–3

Fly home once your sutures are out on Day 7 — most patients leave that day or the next. Continue sleeping on your back with head elevated for 2 weeks. Avoid extremes in neck motion. Avoid bending, lifting, or straining for 3 weeks. Move head and shoulders as a unit. Light cardio (low-resistance elliptical or spin bike) may begin Day 14. Heavy cardio, weightlifting, yoga, and Pilates typically resume at 3 weeks, once your surgeon clears you.

Week 3–6

No hair coloring for 1 month. Avoid sun for 6 weeks; daily SPF 50. Avoid alcohol and salt. No hot baths or saunas. Light earrings may be worn at 2 weeks.

Scar Care

Thickness, pain or itching behind your ears after a face lift or neck lift can be a keloid starting to form. Call us as soon as you notice it: a steroid injection given early prevents it.

Long-Term

Full healing may take 6–12 months. Tightness and numbness may persist 2–3 months. Hair loss near the incisions is possible; it may be temporary or permanent.

Full post-operative care guide · Preparing for surgery · Traveling for surgery

Safety

Neck lift risks, and how we keep you safe

Every operation carries risk. Dr. Truesdale goes through the risks that apply to your plan at your consultation, and each one is written in the consent you read and sign. For a neck lift, the consent lists:

  • Nerve Injury. Weakness of the lower lip from injury to the marginal mandibular branch of the facial nerve is possible; it may be temporary or permanent.
  • Numbness. Numbness of the neck, ears or earlobes is possible and may last months; it may be temporary or permanent.
  • Hematoma, Seroma or Sialoma. A collection of blood (hematoma), fluid (seroma) or saliva (sialoma) under the skin is possible and may need drainage or a return to the operating room. Bleeding in the neck can press on the airway and needs emergency treatment.
  • Skin Necrosis. Skin necrosis is possible: if the blood supply to an area of skin is interrupted, that skin can die, leaving a wound that heals slowly with a scar. Smoking and nicotine in any form make it much more likely.
  • Hair Loss. Hair loss along the incisions behind the ears is possible; it may be temporary or permanent.
  • Keloid Behind the Ear. Itching or a growth behind the ear or along an incision can be a sign of a keloid. Let us know right away so it can be injected with a steroid to stop the keloid from forming.
  • Contour Irregularities. Contour irregularity, return of the neck bands, residual loose skin, or a neck that looks over-thinned or hollow is possible and may need a revision.
  • Ear Deformities. A change in the shape of the earlobe is possible.
  • Tightness. Tightness of the neck and firmness under the skin are expected while healing and may last several months.

When part of a salivary gland is reduced

Every neck lift consent includes a possible partial removal of the submandibular gland, with these added risks:

  • Dry Mouth. Dry mouth from reduced saliva is expected for a few weeks and may last longer.
  • Nerve Injury. Weakness of the lower lip (marginal mandibular nerve), numbness of the tongue, a change in taste, or weakness of the tongue (hypoglossal nerve) is possible; each may be temporary or permanent.
  • Saliva Leak. A leak or collection of saliva under the skin (sialoma or fistula) is possible and may need drainage.
  • Bleeding in the Neck. Bleeding into the neck is possible and may need a return to the operating room; bleeding that presses on the airway needs emergency treatment.
  • Neck Contour. A change in the contour of the neck under the jaw is possible.

Risks of any operation

  • Bleeding. Bleeding during or after surgery is possible. A collection of blood under the skin (hematoma) may need drainage or a return to the operating room, and severe bleeding may need emergency treatment or a blood transfusion.
  • Infection. Infection is possible and may need antibiotics, drainage or further surgery.
  • Bruising and Swelling. Bruising and swelling are expected. They may last several weeks, and swelling or discoloration may persist longer.
  • Scarring. Every incision or entry point leaves a permanent scar. A scar may be raised, widened, darker, lighter or more visible than expected, and takes at least 3 months to mature.
  • Keloid or Raised Scar. Itching, thickening, pain or a growth along any incision can be the first sign of a keloid (a thick, raised scar). Let us know right away so it can be injected with a steroid to stop the keloid from forming. A keloid is more likely if you have had one before and may need further injections or treatment.
  • Change in Skin Sensation. Numbness, tingling or a change in skin sensation around the treated areas is possible; it may be temporary or permanent.
  • Delayed Healing. Delayed healing or separation of an incision is possible and much more likely with nicotine in any form.
  • Allergic Reactions. Allergic reactions to tape, sutures, skin cleansers, latex or medications are possible.
  • Blood Clots. Blood clots in the legs or lungs (deep vein thrombosis or pulmonary embolism) are possible and more likely with longer surgery; your surgical team uses the clot-prevention plan chosen for you.
  • Anesthesia. Risks of anesthesia and sedation are possible; the anesthesia provider reviews them with you separately.
  • Pain. Pain after surgery is expected and should settle over several days; pain that lasts longer is possible.
  • Result and Revision. A result that does not meet your expectations is possible: healing differs between people, no result is guaranteed, and a revision may be advised, with the fees described in your patient policy.
  • Serious Complications. Serious complications, including death, are possible with any surgery or anesthesia.
  • Heart and Lung Problems. Heart or lung problems, such as pneumonia or an irregular heartbeat, are possible after surgery and anesthesia.
  • Medication Side Effects. Side effects of the medications used during and after surgery, such as nausea, vomiting, constipation, dizziness or trouble urinating, are possible.
  • Injury to Deeper Structures. Injury to deeper structures, such as nerves, blood vessels, muscles or glands, is possible.
  • Persistent Sutures. A deeper stitch may work its way to the surface and need to be removed.

How we keep you safe

  • Surgery only in an AAAHC-accredited surgical center, with a board-certified anesthesiologist.
  • Medical clearance, and blood-clot risk screening, before every face and neck lift.
  • No nicotine in any form for 3 weeks before surgery and 3 months after.
  • A nurse with you the first night, and someone with you for the first 72 hours.
  • Office visits on Days 1, 2, 3 and 7, and a direct line to the team the whole time.

When to call us right away · Before & after gallery · The Truesdale Facelift Technique · Request a consultation

Frequently Asked Questions

Deep Neck Lift FAQs

Bring your own questions to consultation — Dr. Truesdale personally answers every one. Below are the questions patients ask most often about deep neck lift.

A traditional neck lift addresses only the surface layers — skin and, sometimes, the platysma muscle. A deep neck lift goes further, treating every anatomic layer of the neck: subplatysmal fat, digastric muscle bellies, and when needed, the submandibular salivary gland. That deeper work is what creates a truly sharp, long-lasting cervicomental angle — the defined line from jaw to neck that a standard neck lift simply can’t produce. Dr. Truesdale performs deep neck lift on nearly every neck lift patient because the deeper anatomy is what drives visible aging in the first place.

The strongest candidates have neck banding, submental fullness under the chin, and a lost cervicomental angle that are not responding to weight loss or non-surgical tightening. Dr. Truesdale evaluates you personally in consultation and only recommends the procedure when it will genuinely help. If a different approach would serve you better, he’ll tell you that too.

Submental liposuction removes fat. The deep neck lift addresses every layer underneath — subplatysmal fat, salivary gland, digastric muscle, and platysmal bands. If your neck issue is purely fat, liposuction may suffice. If you have banding, jowling, or a lost angle, liposuction alone cannot produce a sharp cervicomental angle. Dr. Truesdale examines the neck in motion (swallowing, turning) to determine which applies.

Not always — though they are commonly performed together. A standalone neck lift is appropriate for patients who are primarily concerned with the neck and submental area without significant jowling or mid-face descent. When jowls are present, combining with a facelift produces a more harmonious and complete result. Dr. Truesdale evaluates each patient individually and recommends the approach that addresses their specific anatomy.

These non-surgical options address submental fat — the fat beneath the chin — but they cannot address platysmal banding, skin laxity, or the deeper anatomical changes that create the aged neck appearance. Kybella may be appropriate for younger patients with mild submental fullness and good skin tone. For patients with platysmal banding, loose skin, or significant structural change, a surgical neck lift is the definitive solution that energy devices cannot replicate.

Most patients describe the discomfort as mild to moderate. Dr. Truesdale’s team is available throughout recovery — you are not managing discomfort on your own. See “What kind of anesthesia is used?” for details on intra-operative comfort. Dr. Truesdale’s team is available throughout recovery — you are not managing discomfort on your own.

Our surgical procedures utilize a patient-focused anesthesia technique known as MAC (Monitored Anesthesia Care) and IV Sedation, ensuring your maximum comfort and safety. This method provides a level of gentle, deep sedation comparable to the comfortable experience many patients have during a colonoscopy, which we have found helps make patients less fearful. The anesthesia is administered intravenously and meticulously monitored by a hand-picked group of board-certified anesthesiologists, who are dedicated to your well-being throughout your entire procedure.

Plan on 10–14 days of social downtime. Expect mild-to-moderate submental swelling and possible bruising. Light cardio resumes at 2 weeks; most patients are cleared for strenuous exercise at about three weeks, at a follow-up visit. Your follow-up appointments along the way are conducted by Dr. Truesdale and our physician assistant, with Dr. Truesdale seeing you personally at the key milestones.

That’s the entire standard Dr. Truesdale designs for. A defined neck that reads sharp but natural — not pulled, not tight. Every patient is evaluated in a seated, relaxed state beforehand so the target is based on your real anatomy — never on an idealized template.

Typically 10–15 years. A deep neck lift holds for well over a decade before aging meaningfully resumes.

Results typically last 10–15 years. The procedure repositions and tightens the underlying platysmal muscle — the result is not dependent on the skin alone. Patients who maintain a stable weight, protect from sun exposure, and use a medical-grade skincare regimen like Artisa Skincare consistently enjoy the longest-lasting results.

Yes. Dr. Truesdale delivered a dedicated podium presentation on “Deep Necklifting” at Vegas Cosmetic Surgery (VCS), and is faculty and a live surgeon at the NYC Facelift & Rhinoplasty Master Course™, where he has personally performed live deep plane facelift and neck lift surgery to teach the technique to other practicing surgeons. See his full speaking and teaching history.

Yes. A significant portion of Dr. Truesdale’s patients travel from across the United States and internationally. The process begins with a virtual consultation with Dr. Truesdale himself (not a coordinator), followed by in-person pre-procedure evaluation. Our patient-care coordinators help arrange travel, accommodations, and local transportation, and Dr. Truesdale’s team conducts virtual follow-ups after you return home.

Request a consultation through the form at the bottom of this page, email contact@doctortruesdale.com, or call (424) 363-4112. Our team responds within one business day to schedule either an in-person consultation at 150 S. Rodeo Drive, Suite 360, Beverly Hills, or a virtual consultation worldwide. Every consultation is conducted personally by Dr. Truesdale.

Most deep neck lift patients are between 45 and 70, though candidates range from late-30s patients with strong genetic platysmal banding to patients in their late 70s. The key signal isn’t age — it’s when the cervicomental angle has flattened, banding is visible, or fullness under the chin won’t respond to weight loss or non-surgical tightening.

The cost of deep neck lift can vary based on the patient’s situation, including if it is a revision surgery and if this surgery will be combined with other surgeries or treatments. The total cost may include the surgeon’s fee, operating room fees, and anesthesia fees. At Truesdale Facial Plastic Surgery, we believe the surgeon’s philosophy and experience, and your comfort with him, are just as important as the final cost of the surgery. We can provide an approximate range for this procedure over the phone, and your patient care coordinator (PCC) will confirm the pricing for you after your consultation with Dr. Truesdale.

Your dressing comes off at your Day 1 visit, the hemostatic net comes off on Day 2, and drains (if placed) come out on Day 3 with our physician assistant; for men, drains usually come out on Day 5. Dr. Truesdale removes your sutures and any staples on Day 7.

Arrive at least a day before surgery and plan on 7 to 10 days, staying within 20 minutes of our office. Most patients fly home once their sutures are out on Day 7, that day or the next. See traveling for surgery for hotels and aftercare.

On your back with your head raised on two to three pillows, a wedge pillow or a recliner, for the first two weeks. Move your head and shoulders together, and avoid extremes of neck motion while you heal.

Walking is encouraged from the first day. Light cardio, such as a low-resistance elliptical or spin bike, can start on Day 14. Heavy cardio, weightlifting, yoga and Pilates usually resume at about 3 weeks, once Dr. Truesdale clears you at a follow-up.

The incision under the chin is about 2 to 2.5 cm and sits in the natural shadow beneath it; any incisions behind the ears are hidden there. Two days after your sutures come out you start silicone scar gel, twice a day for a month. If you notice thickness, pain or itching behind your ears, call us: an early steroid injection prevents a keloid.

The consent you sign lists these possible complications: weakness of the lower lip from injury to a branch of the facial nerve, and numbness of the neck or ears, each of which may be temporary or permanent; a collection of blood, fluid or saliva under the skin, and bleeding in the neck that can press on the airway and needs emergency treatment; skin necrosis; hair loss behind the ears; a keloid behind the ear; contour irregularity or neck bands that return; a change in the shape of the earlobe; and, when part of a salivary gland is reduced, a dry mouth that may last longer than a few weeks, a saliva leak, or numbness or weakness of the tongue. It also lists the risks of any operation, including bleeding, infection, blood clots and the risks of anesthesia. Dr. Truesdale reviews each one with you. See neck lift risks and safety.

Dr. Carl Truesdale, MD Dr. Autefeh Sajjadi, MD, MS
Your Surgeon

This procedure is performed by Dr. Truesdale or his hand-picked associate Dr. Sajjadi — discuss the right path on your free Surgery Discovery Call.

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