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.
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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Open Preservation Rhinoplasty | Before & After
This patient presented for a consultation with both functional and aesthetic concerns.
She had experienced several previous nasal injuries, including a horse-riding accident, a netball incident, and a facial injury. Although she had undergone a septoplasty in 2022, she was still experiencing intermittent breathing difficulties, shifting between the right and left sides.
Aesthetically, her primary concerns were a dorsal hump and the droopiness of her nasal tip.
On assessment, her nose was reasonably straight, with a dorsal hump created by a combination of prominent nasal bones and increased septal height. There was also slight nostril asymmetry and some external valve collapse on the right side, meaning the outer wall of the nostril could collapse slightly during sharp, deep breathing.
A CT scan revealed a relatively straight septum, with only a small posterior deviation, clear sinuses, and normal-sized turbinates.
An open preservation rhinoplasty was performed.
The plan was to refine the dorsal hump, create a gentle curve to the nose, improve the tip position, and achieve as much symmetry as possible while respecting the patient`s existing anatomy.
Rhinoplasty planning is never about chasing perfection. The aim is to make a considered improvement that looks balanced, functions well, and remains in keeping with the rest of the face.
The result shown here is part of that process, with healing continuing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A rhinoplasty consultation is not just about examining the nose.
It is about understanding the patient, their anatomy, their breathing, and their reasons for considering surgery.
In this video, Mr Wilson explains what happens during a rhinoplasty consultation at Paul Wilson Aesthetics.
Patients are seen personally by Mr Wilson at Northwood Hospital in Bristol. The consultation includes a full medical history, a discussion about aesthetic concerns, breathing and functional symptoms, previous injuries or surgery, and the support available at home after the procedure.
The nose is then carefully assessed, as rhinoplasty always addresses both form and function.
Two-dimensional photographs are taken for medical records, and 3D Vectra imaging may also be used to aid in planning the procedure. This allows Mr Wilson and the patient to visually discuss possible changes and ensure expectations are aligned before surgery.
The aim is not to promise a precise, screen-generated result.
It is to understand what the patient hopes to achieve, what is surgically attainable, and how to meticulously plan the operation.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Open Septorhinoplasty | Before & After
This patient had previously undergone rhinoplasty and otoplasty at the age of 23, which included the reduction of a dorsal hump.
Over time, he began to notice increasing droopiness of the nasal tip. He had also broken his nose as a child during gymnastics, although his breathing was otherwise good.
On assessment, he presented with a long, straight nose and a dependent, droopy, and slightly asymmetric tip. There was a mild deviation of the nose to the left, but no remaining bony hump. The septum appeared straight.
One of the key findings was the acute angle between the base of the nose and the upper lip. Simply lifting the tip helped to improve the appearance of the nose and also made it appear straighter.
In this case, an open septorhinoplasty was performed under general anaesthetic.
Revision rhinoplasty requires careful planning, particularly when the nose has been previously operated on. The existing structure, scar tissue, tip support, and previous surgical changes all need to be considered before any further refinement is made.
The aim was to improve tip position and support, address the asymmetry, and create a more balanced nasal profile while working with the patient`s existing anatomy.
The result shown here is part of that process, with healing continuing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A bump on the bridge of the nose can change the entire facial profile.
For many patients, a dorsal hump is the feature they notice most in side-profile photos or from certain angles. It may be part of the natural nasal structure, or it may appear more pronounced after trauma or injury.
However, a dorsal hump is never treated as just a "bump".
The bridge, tip, septum, nasal bones, and facial proportions all need to be assessed together before any surgical plan is made.
At Paul Wilson Aesthetics, rhinoplasty planning focuses on refining the nasal profile in a way that remains balanced with the individual face.
Depending on the anatomy, this may involve preservation rhinoplasty or structural rhinoplasty.
The aim is not a perfect nose.
It is a considered, proportionate result that suits the patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalhump #rhinoplastybristol #preservationrhinoplasty #northwoodhospital
When rhinoplasty does not go as expected, subsequent operations are rarely simple.
Revision rhinoplasty often involves navigating scar tissue, altered anatomy, reduced cartilage support, and the outcomes of previous surgery.
In this reel, Mr Wilson explains why patients seek him out for revision rhinoplasty and why this type of surgery demands meticulous planning, extensive experience, and candid discussions.
Additional support may sometimes be required, utilising cartilage from the ear or rib, fascia, or fat grafting.
This also underscores the importance of aftercare. Should concerns arise post-surgery, patients need assurance that they will receive proper review, support, and care.
Revision rhinoplasty is not merely about re-shaping the nose.
It involves comprehending previous interventions, assessing current possibilities, and meticulously planning the subsequent stage.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #rhinoplastysurgery #bristolplasticsurgeon #northwoodhospital
A blocked nose is not always "just congestion".
A deviated septum can make one side of the nose feel constantly blocked, affect airflow, and make breathing feel uneven.
The septum is the internal wall of bone and cartilage that separates the two nasal passages. When it sits off-centre, one side may become narrower, which can make breathing more difficult.
It is not always visible from the outside.
This is why assessment matters. The nose needs to be examined for both structure and function, especially when symptoms are linked with previous injury, nasal asymmetry, or ongoing obstruction.
Treatment may involve septoplasty to improve airflow, or septorhinoplasty when breathing concerns and external nasal shape need to be addressed together.
The aim is to understand what is causing the obstruction and choose the most suitable approach for the individual patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Dorsal Preservation Rhinoplasty | Before & After
This young patient desired refinement of her nasal profile and tip, aiming for a result that remained balanced with her facial features.
Her primary concerns included a prominent dorsum and a bulbous nasal tip.
In this case, an open tip rhinoplasty was performed, utilising piezo-electric surgery for surface reduction of the dorsum. A septal projection graft was also employed to support and define the nasal tip.
Piezo-electric surgery facilitates highly precise work on the nasal bones. This is particularly beneficial when reshaping the bridge of the nose, as it permits controlled refinement while preserving crucial surrounding structures.
The tip also necessitated meticulous planning. A bulbous tip is not merely reduced; it requires reshaping and support to ensure the final result remains stable as the nose heals.
This is where dorsal preservation rhinoplasty and tip definition must work in conjunction. The objective is not to create an entirely different nose, but to refine the existing structure in a manner that complements the individual`s face.
The result displayed here represents an stage of that process, with healing progressing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalpreservationrhinoplasty #rhinoplastybristol #piezoelectricsurgery #northwoodhospital
Rhinoplasty is not a single technique.
It is a series of decisions.
In this reel, Mr Wilson explains the difference between structural rhinoplasty and preservation rhinoplasty, and why preservation techniques have become such a valuable option in suitable primary cases.
The principle is simple: where possible, preserve the natural bridge of the nose rather than dismantling and rebuilding it.
For the right patient, this can allow refinement of the nasal profile while maintaining more of the existing nasal structure.
However, suitability is crucial.
If the nose is very crooked, has been previously broken, or the patient is concerned about the frontal view, a structural or hybrid approach may be more appropriate.
That is why consultation and assessment are so important.
The technique should fit the patient, not the other way around.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A second rhinoplasty is not simply a repeat of the first.
Revision rhinoplasty often means working with a nose that has already healed, scarred, and changed after previous surgery.
Sometimes the concern is visible; sometimes it is functional; often, it is both.
The nose may need more support, better definition, improved symmetry, or correction of breathing issues.
In some cases, grafting may be required to rebuild or strengthen areas that no longer have adequate support.
This is why secondary rhinoplasty needs time, experience, and a very clear plan.
The goal is not to chase perfection.
It is to make the next operation as careful, realistic, and considered as possible.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #secondaryrhinoplasty #rhinoplastysurgery #northwoodhospital
Preservation Rhinoplasty with Septoplasty | Before & After
This patient presented with a previously fractured septum, leading to breathing difficulties, a dorsal hump, and a bulbous nasal tip.
In such cases, rhinoplasty extends beyond merely altering the external appearance of the nose; the internal structure is equally crucial.
The procedure performed was a preservation rhinoplasty with septoplasty. The objective was to enhance the shape of the nose while simultaneously addressing the septum, which had been impacting her breathing.
A preservation approach involves meticulously working with the existing nasal structure rather than simply excising tissue. The bridge, tip, septum, and overall support of the nose all require integrated consideration.
What has been particularly gratifying in this case is the post-operative feedback from the patient. She expressed continued satisfaction with her result, consistently recommends Mr Wilson, and feels the surgery made a significant difference to her. She also noted that while she occasionally experiences some breathing difficulty, she was informed that her nose had been considerably improved from its initial state.
Such feedback is always valued, as rhinoplasty is a protracted process. The outcome encompasses not only the day of surgery but also the planning, healing, trust, and long-term results.
Patient images and feedback shared with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #preservationrhinoplasty #septoplasty #rhinoplastybristol #northwoodhospital
Mommy Makeover | Mastopexy + Full Abdominoplasty
After two pregnancies, this patient was left with skin laxity and a change in shape to both her breasts and tummy — despite returning to a stable, healthy weight. She was happy with her breast volume but troubled by the drooping and excess skin, and by the loose skin and stretch marks across her abdomen.
We planned a combined approach:
🔹 Mastopexy (breast uplift) — excess skin removed and the nipple repositioned higher to lift and reshape the breast, while keeping her own natural volume, exactly as she wanted. This uses an “anchor” pattern scar.
🔹 Full abdominoplasty (tummy tuck) — removal of the loose skin and stretch marks below the belly button, with repair of the separated tummy muscles (diastasis recti) that so commonly follow pregnancy.
Because she’s naturally slim and athletic, no liposuction was needed — tightening the muscle separation and removing the skin overhang simply revealed the toned, defined abdomen that was already there. She’s especially delighted with her new core definition. 💪
Every patient and every result is individual. Surgery carries risks, and a full consultation is essential to understand whether a procedure is right for you.
📍 Surgery by Paul Wilson @ Northwood Hospital, Bristol Consultations via the link in bio.
#MommyMakeover #Abdominoplasty #TummyTuck #Mastopexy #BreastUplift PlasticSurgery CosmeticSurgery BristolSurgeon PaulWilsonAesthetics NorthwoodHospital PostPregnancyBody DiastasisRecti
Breast Augmentation
A natural increase in volume — restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. It’s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient’s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
