Neck Lift surgery is often combined with face lift surgery, and is performed in our office surgery suite under light sedation and local anesthesia. The procedure is designed to address the “jowl” of the lower face and jawline, and excessive skin laxity under the chin and upper neck. Generally, an incision extending in front of the ear, around the earlobe, and down the hairline is required to redrape excess skin that is removed from the neck and lower face. The SMAS (superficial muscular aponeurotic system) is the fibrous layer of muscles in the face that provides support to the neck lift surgery, and gives long lasting results. Some patients with less extensive aging changes are able to do a “mini lift” or “weekend lift” surgery, while others may need a more extensive “deep plane facelift” surgery to appropriately address the aging changes of the face and neck.