Saggy jowls and fat under the chin, or visible bands in the neck present visible signs of aging. The necklift uses an incision under the chin and sometimes in the nape of the neck through which the skin is brought up. In 86 percent of patients, the platysma muscle is not connected in the midline and as we age, the edges of this muscle separate and fall creating the visible bands. While the necklift is not a replacement for the facelift, in many cases 80 percent of the improvement that a facelift would provide to this area can be achieved with a necklift but with the ability to avoid any visible external incisions and a much reduced convalescence or healing time. This technique is especially beneficial in men who want to avoid the pre-auricular incision that is necessary in a male facelift, yet are concerned over laxity of tissue in the neck area. A necklift requires twilight or general anesthesia.