Early signs of ageing in the neck is the appearance of wrinkles and excess skin. Further ageing leads to the appearance of platysmal bands. The neck can be rejuvenated by removing excess skin and tightening the platysmal bands. An extended incision from the lobule to the back of the back ear is made to expose and mobilize the skin and muscle bands. An additional transverse incision in front of the neck may be necessary in more advanced cases to achieve a better outcome.

All the above surgical procedures may be done under local anaesthesia and sedation or with general anaesthesia as an option. The duration of surgery ranges from 4-6 hours depending on the extent of surgery required in one sitting. Head or neck bandage will be applied post-operatively and they can be removed after review the next day. The recovery period is about 1-2 weeks.