Treatment face
Neck Lift Surgery in the UK
- Restore a firmer, more defined neckline
- Address sagging skin that causes turkey neck
- Natural, long-lasting results
- Expert technique
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If you’re looking to tighten loose skin, reduce stubborn fat and smooth out muscle banding in the neck, a neck lift may be an ideal option. This surgical procedure rejuvenates the neck’s appearance, creating a smoother, firmer and more youthful contour. It’s particularly suited to individuals experiencing sagging skin, fat deposits or weakened neck muscles due to ageing, weight loss or genetics.
At Paul Wilson Aesthetics, we specialise in neck lift procedures. Mr Paul Wilson takes a meticulous, patient-centred approach, ensuring each treatment is tailored to your goals and anatomy.
Results
Before & After Gallery
About
What is neck lift surgery?
As we age, the skin around the neck loses elasticity due to declining collagen and elastin production. Combined with gravity, this results in sagging and a less-defined contour. Fat deposits may also accumulate under the chin with genetics, sun exposure and lifestyle factors accelerating these changes.
A neck lift, or platysmaplasty, is a surgical procedure designed to help restore a smoother, firmer and more defined neckline. During the procedure, excess skin is removed, neck muscles are tightened, and fat is reduced where needed. Incisions are typically placed behind the ears and beneath the chin. For a more defined jawline, the submandibular glands are also shaved in line with the lower jaw.
benefits
What are the benefits of neck lift surgery?
Neck lift surgery offers several benefits, including:
- Improved definition of the jawline
- Firmer, smoother skin across the neck and under-chin area
- Reduction in visible neck muscle banding
- Removal or repositioning of excess fat that may contribute to a double chin
- Subtle, natural-looking results
- Increased confidence in your appearance
candidates
Who is a good candidate for neck lift surgery?
Neck lift surgery may be suitable for individuals who:
- Are in good overall health
- Are non-smokers, or willing to stop smoking before and after surgery
- Have realistic expectations about results and recovery
- Are concerned by loose or sagging skin in the neck area
- Notice visible neck muscle banding or loss of jawline definition
- Have excess fat beneath the chin or along the neck
- Have visible or palpable submandibular glands below the angle of the jaw
While many patients consider neck lift surgery, suitability depends on individual factors such as skin quality, genetics, lifestyle and the degree of ageing changes present. A consultation with Mr Paul Wilson will help determine whether a neck lift is the most appropriate option for you.
What to expect
What to expect during neck lift surgery?
Consultation
During your consultation, your surgeon will assess your anatomy, focusing on skin laxity, muscle banding, fat distribution and skin quality. They will review your medical history and discuss your aesthetic goals. They will also explain how a neck lift can restore a firmer, more defined contour.
Depending on the extent of correction needed, a neck lift may be performed alone or combined with complementary procedures such as a deep plane facelift or liposuction. Your surgeon will explain the method, incision placement and what to expect during recovery.
This consultation is your opportunity to ask questions, explore your options and ensure you feel fully informed and confident before proceeding.
Anaesthesia and Procedure Time
Neck lift surgery is typically performed under general anaesthesia. When carried out on its own, the surgery usually takes around two to three hours and is dependent on the extent of correction required.
If a neck lift is combined with additional procedures, such as a deep plane facelift or liposuction, the overall procedure time may be longer. Your surgeon will confirm the expected duration of your surgery during your consultation, based on your individual treatment plan.
Surgery
Neck lift surgery begins with carefully planned incisions, typically positioned discreetly behind the ears and beneath the chin. These incision sites are selected to allow access to the underlying structures while keeping visible scarring to a minimum.
For patients with visible muscle banding, the platysma muscles are tightened and sutured together to create a smoother, more defined neck contour. In some cases, prominent submandibular glands beneath the jawline may be gently reduced to help refine the angle of the neck.
Excess fat under the chin or along the jawline is then removed using liposuction or direct excision, depending on individual anatomy. Finally, loose skin is carefully redraped and trimmed to reduce sagging while maintaining natural-looking contours and a balanced result.
Closure
Once the surgical work is complete, the skin is carefully re-draped, and incisions are closed with sutures. Temporary drains may be placed to help reduce fluid build-up and support the early stages of healing. A haemostatic net is applied to the neck skin to prevent a haematoma and redrape the skin. A hilotherm device is used post-operatively to cool the soft tissues reducing swelling, bruising and discomfort.
Recovery
Recovery and results of neck lift surgery
Recovery following neck lift surgery varies among individuals and depends on the extent of the procedure.
What to expect
Immediately after surgery, it is normal to experience swelling, bruising and a feeling of tightness in the neck area. These effects are most noticeable during the first few days and gradually improve over the following weeks. As swelling settles, improvements in neck contour become increasingly visible.
Compression garments are worn as advised to support healing, reduce swelling, and help optimise results. Your surgeon will provide detailed aftercare instructions, including guidance on managing discomfort and caring for the surgical area.
Activity and movement
Light activities and gentle movement are encouraged during the early recovery period. Most patients can return to light daily activities within 1-2 weeks as bruising and swelling begin to diminish. Strenuous exercise, heavy lifting and activities that significantly raise the heart rate should be avoided until cleared by your surgeon.
By 2-3 weeks, visible improvements in neck contour are often noticeable, and many patients feel comfortable returning to work or social engagements.
Follow-up care and long-term results
Regular follow-up appointments will be scheduled to monitor healing and ensure recovery is progressing as expected. Final results continue to refine as swelling fully resolves, with outcomes typically becoming fully visible around 3-6 months after surgery.
Risks & complications
Risks and potential complications of neck lift surgery
As with any surgical procedure, neck lift surgery carries some risks and potential complications. These may include:
- Infection
- Bleeding or haematoma (blood collection under the skin)
- Delayed wound healing
- Swelling or fluid build-up (seroma)
- Temporary or, rarely, permanent nerve weakness
- Changes in skin sensation, including numbness or tingling
- Scarring or asymmetry
- Adverse reaction to anaesthesia
Your surgeon will discuss all potential risks during your consultation, ensuring you are fully informed before deciding to proceed.
The cost of neck lift surgery varies depending on the complexity of the procedure and whether it is performed alone or combined with another procedure, such as a deep plane facelift.
A personalised quote is provided following your consultation, and your surgeon will discuss all pricing details, ensuring you have a clear understanding of what is included before making any decisions.
Surgeon
Meet Mr Paul Wilson
Mr Paul Wilson is a Consultant Plastic Surgeon with more than 35 years of surgical experience and over 16 years as a Consultant Plastic Surgeon. He specialises in facial, breast and body aesthetic surgery, with a particular interest in rhinoplasty, facial rejuvenation and complex revision surgery.
In both his NHS and private practice, Mr Wilson is known for his patient-focused approach, careful surgical planning, and commitment to achieving balanced, natural-looking results tailored to each individual.
FAQ
Frequently Asked Questions
Is a neck lift safe?
Neck lift surgery is generally considered safe when performed by a suitably qualified and experienced surgeon. Before surgery, a detailed consultation and medical assessment are carried out to determine whether you are an appropriate candidate for the procedure. Mr Paul Wilson uses established surgical techniques and follows strict safety protocols to minimise risk.
Is a neck lift painful?
Anaesthesia is used during the procedure to ensure you remain comfortable throughout surgery. After the operation, it is normal to experience mild to moderate discomfort, tightness, swelling, or bruising in the neck area. This is usually well controlled with prescribed pain relief.
Most patients find the recovery period manageable, with discomfort improving significantly during the first week. Your surgeon provides detailed aftercare guidance to help minimise discomfort and support a smooth recovery, with follow-up appointments arranged to monitor healing.
How long after a neck lift will I need to wear compression garments?
Compression garments are typically worn for 1-2 weeks following neck lift surgery, although this may vary depending on your individual procedure and healing progress. The garment helps reduce swelling, supports the neck and helps the skin conform to your neck’s new contours.
In some cases, patients may be advised to continue wearing the garment at night for a longer period. Your surgeon will provide personalised guidance on garment use during your recovery.
When will follow-up appointments be scheduled after a neck lift?
Your first follow-up appointment is usually arranged within a few days after surgery to assess early healing and remove any drains if present. Further appointments are scheduled over the following weeks to ensure recovery is progressing as expected. Additional long-term follow-ups may be arranged to review results once healing is complete.
Will I need to repeat the neck lift procedure in the future?
A neck lift provides long-lasting results, but it cannot stop the natural ageing process. Most patients enjoy a rejuvenated appearance for 10 to 15 years before additional treatments might be considered. Maintaining a healthy lifestyle, avoiding significant weight fluctuations and following appropriate skincare advice can help support long-term results. If necessary, minor touch-ups or non-surgical treatments can help maintain your youthful appearance.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics not only for the team’s surgical expertise, but also for their thoughtful, honest and patient-centred approach to aesthetic care. To get started, book a consultation where our team will discuss your concerns, outline your goals and determine if neck lift surgery is the right option for you.
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Discover behind-the-scenes moments, patient transformations, expert tips, and the latest in surgical treatments – all in one place.
Let's connect on Instagram
A very enjoyable day at the joint BAAPS & ESAPS 2026 Meeting in London! 🇬🇧
These meetings are always a valuable opportunity to learn, exchange ideas and catch up with colleagues and industry partners.
It was good to spend time with the teams from VASER, MACOM and Silimed, as well as catching up with a fellow consultant friend from Truro, Cornwall.
Looking forward to the rest of the scientific programme over the next couple of days! 🩺✨
#plasticsurgery #plasticsurgeons #paulwilsonaesthetics
We do not always have the opportunity to capture the first time a patient sees the result of their surgery, but when we do, it can be incredibly special.
This patient underwent forehead reduction surgery, and this was the moment she saw her new hairline for the first time. The happiness in her reaction says everything.
Moments like this remind us that surgery can mean far more to a patient than the physical change alone.
This was an early postoperative reveal and the patients healing continued for her over the following months.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#hairlinelowering #foreheadreduction
#patientjourney
#paulwilsonaesthetics
Not every question is easy to ask.
Some can feel personal, awkward or even a little embarrassing, but they are often the questions that matter most.
A few honest answers to things patients sometimes hesitate to say out loud.
There is no such thing as the wrong question in a consultation. It is important to understand what surgery involves, what recovery may really be like and how it could affect your everyday life.
Clear, straightforward answers allow patients to consider their options properly and make decisions in their own time.
If you are considering surgery but are not yet ready for an in-person appointment, we also offer introductory virtual consultations. This can be a helpful first step and an opportunity to talk through your initial questions.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #plasticsurgery #plasticsurgeon #paulwilsonaesthetics
One result, seen from different angles.
With septo-rhinoplasty, it is important to consider how the nose sits within the whole face, not only how it looks from the side.
In this case, surgery addressed the dorsal hump and tip projection while maintaining a result that remained in keeping with the patient’s natural features.
The profile shows the change most clearly, while the oblique views demonstrate how the new shape complements this lovely patient’s natural features.
Swipe to see the result from each angle.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#rhinoplasty #septorhinoplasty #septoplasty #paulwilsonaesthetics
Weight loss affects every body differently.
For some people, the biggest change is around the face and neck. For others, it may be the upper arms, breasts, abdomen or thighs. Sometimes it is one area; sometimes several.
Surgery after significant weight loss is never one-size-fits-all. Depending on your anatomy and concerns, options may include a facelift and neck lift, brachioplasty, thigh lift, abdominoplasty or breast surgery. VASER may also be considered for targeted body contouring where appropriate.
The aim is to address the changes that weight loss can leave behind and create a treatment plan that feels right for you.
Swipe through to explore some of the areas that can be affected.
All photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#surgeryafterweightloss #weightlosssuccess #glp1 #weightlosssurgery #paulwilsonaesthetics
This lovely 30-year-old patient came to see me hoping to move from an AA cup towards natural B/C cup proportions.
Her priority was to add shape and volume while keeping the result balanced with her slim frame.
We used Vectra 3D imaging during the planning process and selected 295cc high-profile Silimed True Texture Natural-Biodiesign implants.
The photographs show her before surgery and at 12 months, once the implants had settled and the result had matured.
Implant selection is about much more than volume alone. Chest width, existing breast tissue, body proportions and the patient’s preferred look all need to be considered carefully.
Every patient and every result is different. A consultation is needed to discuss what may be suitable for you.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAugmentation #BreastImplants #PaulWilsonAesthetics
Thinking about breast augmentation? Your consultation with Mr Paul Wilson is the first step.
Mr Wilson will talk you through your goals, expectations and the options available to you. Every patient’s breast anatomy is different, so the choice of implant needs to be tailored to your individual shape, proportions and desired result. You will have the opportunity to discuss different implant types, sizes and profiles, as well as what to expect from surgery and recovery.
Vectra 3D imaging will also be used during your consultation to help visualise how different implant sizes and shapes may look on your individual frame. It’s a useful tool for discussing your options and ensuring your treatment plan is tailored to your anatomy and goals.
It’s also a chance to ask questions, understand your options and feel fully informed before making any decision—there’s no pressure to decide on the day.
To book a consultation, please contact us using the details below:
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#breastaugmentation #paulwilsonaesthetics #northwoodhospital #londonwelbeckhospital
It was lovely to catch up with my patient again this week at her six-week postoperative review.
This was not a straightforward implant exchange.
Her original breast implants had been in place for 18 years. Over time, she had developed capsular contracture, a waterfall deformity and breast ptosis, meaning the breast tissue had dropped away from the implants.
Simply replacing the implants would not have corrected all of these concerns.
During surgery, the old implants and capsules were removed. A mastopexy was then performed to lift and reshape the breast tissue, before placing 365cc high-profile round Silimed implants.
These photographs were taken just six weeks after surgery, so this is still a very early result. There is some swelling and the scars are continuing to settle, but the improvement in breast position, shape and proportion can already be seen.
Revision breast surgery requires careful planning. The condition of the capsule, the quality of the breast tissue, the nipple position and the choice of implant all need to be considered together.
Her result will continue to develop over the coming months, and I look forward to following her progress.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
Photographs shared with patient consent. Individual results and recovery will vary.
#BreastRevision #BreastImplantExchange #Mastopexy #breastaug #paulwilsonaesthetics @northwood_hospital
We are pleased to announce that Mr Paul Wilson will be holding his first consultation clinic at The London Welbeck Hospital on Friday 23 October.
Mr Wilson is a Consultant Plastic Surgeon with more than 35 years of surgical experience, including over 16 years as a consultant. He specialises in facial, breast and body aesthetic surgery, with particular interests in rhinoplasty, facial rejuvenation and complex revision surgery.
Consultations are available for a wide range of procedures, including facelifts, neck lifts, facial implants, hairline lowering, breast surgery, VASER liposuction, body contouring and mummy makeovers.
To book your consultation with Mr Wilson, please enquire via the link in our bio or via the information below.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#newlocation #paulwilsonaesthetics #thelondonwelbeckhospital
FACELIFT AFTER WEIGHT LOSS
Significant weight loss can leave behind loose skin, reduced facial volume and a loss of definition through the face and neck.
Following her weight-loss journey, this lovely patient underwent a deep plane facelift and neck lift to address generalised tissue laxity, descended cheeks and a softened jawline.
Shown here six weeks after surgery, she has a more defined jawline and neck, restored cheek volume and softened nasolabial folds—all while maintaining a natural, refreshed appearance.
Thank you to my patient for kindly allowing me to share her results.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#deepplanefacelift #necklift #paulwilsonaesthetics
A lovely review from a patient who recently underwent hairline lowering surgery with us at Northwood Hospital Bristol.✨
We understand that patients can feel nervous when considering surgery. From the initial phone enquiry to the consultation, surgery and aftercare, our aim is to make the entire experience feel as comfortable, supportive and stress free as possible.
We are delighted to hear how positive this patient’s experience was and how happy they are with their results.
Thank you for trusting Paul and the team with your care and for sharing such kind words.
If you are considering hairline lowering surgery and would like to explore your options, please contact us to arrange a consultation.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#HairlineLowering #ForeheadReduction #PatientReview #PatientExperience #PaulWilsonAesthetics
A small change beneath the chin can make a surprisingly big difference to the whole profile.
The neck and jawline are areas where a few millimetres really matter. Fullness beneath the chin can soften the jawline and blur the natural transition between the face and neck, even in someone who is otherwise at a healthy, stable weight.
One of the reasons I like using VASER in this area is the control it gives me. Ultrasound energy is used to loosen the fat before it is carefully removed, allowing me to work precisely around the natural contours of the chin, jaw and neck.
The aim is not to remove as much fat as possible or create an overly sharp, unnatural result. It is about removing the right amount in the right places, refining the angle between the neck and chin, revealing more of the jawline and keeping everything balanced with the patient’s face.
These photographs show the same patient from two different angles. Notice the reduction in fullness beneath the chin, the clearer jawline and the smoother transition into the neck.
VASER can be particularly well suited to this area when localised fat is the main concern and the skin quality is appropriate. Every patient is different, which is why careful assessment and planning are so important.
If you are considering neck or jawline contouring and would like to understand what may be suitable for you, please get in touch to arrange a consultation.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
Individual results vary.
Photos shared with patient consent.
#VASERLiposuction #NeckContouring #JawlineContouring #ChinLiposuction #paulwilsonaesthetics
