Posterior neck lift for correction of sagging of the lower anterior neck.

The posterior neck lift is described as part of an overall rhytidectomy for tightening the skin of the lower anterior neck. A wide horizontal strip of skin is excised along the entire nape of the neck. Closure of the resultant defect is obtained by raising the posterolateral neck skin, which in turn has a direct effect in overcoming laxity of the lower anterior neck. The plane of dissection is in the fibrofatty tissues. The operation is easily performed and has not been associated with any untoward complications. It relies only on skin traction without any platysma muscle plasty being undertaken.