A neck lift can achieve an amazing transformation for your neck, profile, and overall facial appearance, but many patients are concerned about general anesthesia. This is why Dr. Mesa performs a neck lift under local anesthesia in NYC.
What is a Neck Lift with Local Anesthesia
While general anesthesia is considered safe, there is risk involved. Besides disorientation, breathing issues, nausea, and dizziness, general anesthesia can also cause more serious side effects. This is why Dr. Mesa offers a neck lift under local anesthesia. He is able to perform this procedure safely, painlessly, and effectively.
Key Benefits of Neck Lift Under Local Anesthesia
- Eases patient concern about being “put under”
- No breathing tube needed
- Blood pressure remains stable
- Elevated level of patient safety
- Reduced risk of swelling, bruising, or hematoma
- Faster recovery
Why Choose a Neck Lift under Local Anesthesia?
With age, excess fat can begin to accumulate in the chin and neck area, creating a double chin or turkey neck. These areas can be nearly impossible to lose weight from, even if you maintain a healthy lifestyle. Because of this, many individuals choose to undergo a neck lift. The goal is to restore a slim, contoured chin and neck area for a better-looking facial, neck, and profile appearance.

How a Neck Lift is Performed with Local Anesthesia
Dr. Mesa has pioneered and perfected a groundbreaking technique for performing a neck lift with local anesthesia rather than general anesthesia or IV sedation. The process of performing a neck lift with local anesthesia involves injecting a diluted local anesthetic into the face and neck which numbs the area well so that no pain is experienced during the procedure.
Ideal Candidates for a Neck Lift with Local Anesthesia
Does a neck lift with local anesthesia in NYC sound like something you’re interested in? If so, you may be a great candidate. To determine whether you’re safe to have this procedure, we will work with your primary care physician, internist, or specialist (cardiologist).
In general, individuals who make ideal patients for this procedure are those who:
- Are bothered by the appearance of their neck/profile
- Would prefer local anesthesia to general anesthesia or IV sedation
- Are non-smokers in overall good health
- Do not have any kind of anxiety condition
- Do not take anxiety medications
- Do not have any kind of bleeding disorder
- Are not taking blood-thinning medications
- Fully understand the procedure and have realistic expectations
Procedure Details for Neck Lift with Local Anesthesia
A neck lift with local anesthesia takes 4-6 hours to complete. Dr. Mesa employs the most refined techniques and will talk to you during the procedure to ensure that you are comfortable. He will create an incision underneath the chin, separate the skin from the fat and muscle, and cut underneath the muscle layer. He will cauterize as he splits the muscles to ensure that there is no bleeding. He will then remove the fat pad from underneath the muscle, trim or remove excess muscle, and stitch the muscles into a corset. Next, Dr. Mesa will create an incision behind one ear, separate the skin from the tissue layers, and use stitches to pull the muscle up. This process will be repeated on the other side of the face. Liposuction is then used to remove excess fat. Dr. Mesa works in a manner to ensure minimal scarring. During all of this, the patient will be painlessly awake, even able to speak.
Recovery
Because no IV sedation or general anesthesia is used, after the procedure you will be able to stand up, walk, change clothes, and go home. You will be provided with full aftercare instructions, and Dr. Mesa will be closely monitoring your progress with several follow-up appointments.
Plan on taking 2-4 weeks off of work or other activities. You can expect some swelling and bruising, which will typically last about one week. You must avoid any vigorous physical activities for six weeks.
The healing of your incisions will likely require up to three months and will continue to improve; however, these incisions won’t be obviously visible to others.

Why choose Dr. Mesa
for a neck lift with local Anesthesia?
Dr. Mesa is a Harvard-educated, triple fellowship-trained board-certified plastic surgeon with offices in NYC, New Jersey, and Miami. He is nationally recognized for his advances in facial plastic surgery, including pioneering and refining performing a neck lift under local anesthesia. Beyond his exceptional surgical skills and techniques, Dr. Mesa is a caring medical professional, and he and his hand-selected staff focus on providing an exceptionally positive, empowering patient experience. He has hundreds of positive reviews from his happy patients who are very pleased with his warmth, artistry, and natural-looking results.
Verified Customer Reviews
⭐⭐⭐⭐⭐
My experience with Dr. Mesa was nothing short of life-changing. From the moment you walk into his office, you’re treated with genuine care, attention, and respect. The staff is top-notch the front desk, the CMAs, and Christina especially, are all amazing. You feel like you’re walking into a second home, not a medical office.
I came to Dr. Mesa because I was feeling a disconnect. I work out six days a week, my body was tight and strong, but my face and neck weren’t matching up. I started noticing sagging in my lower face and neck, a loss of elasticity that I just couldn’t reverse on my own. It bothered me, not because I wanted to look different, but because I wanted my outside to reflect how I felt inside, vibrant, strong, and confident.
I had been seeing Dr. Mesa for about 13 years, and finally, he said it was time to do something. I trusted him completely. I never even asked for the full breakdown. I just showed up for surgery, knowing I was in expert hands.
He performed a deep plane facelift and deep plane neck lift, all under local anesthesia. And let me tell you painless. Yes, really. The entire process was smooth and comfortable, and I never once felt uneasy.
Recovery was actually… enjoyable. Yes, I missed the gym, but Dr. Mesa’s team had me busy with massages, follow-ups, and self-care routines. They truly cared about my mental and emotional well-being, not just the physical results. They understood my lifestyle and made sure I felt supported every step of the way.
Now, 34 days later, I look in the mirror and see the version of myself I always felt on the inside. My face is tight, lifted, but natural, no one noticed I had surgery, just that I looked refreshed. Some thought I’d had PRP (which I joked about), but let’s be honest PRP doesn’t give you this kind of result!
This has been an unforgettable experience, and one I’m so grateful for. If you’re on the fence, just do the consultation. You’ll know right away that Dr. Mesa is the real deal, a true artist, an expert surgeon, and a kind soul with an incredible team behind him.
Thank you, Dr. Mesa, for giving me back a face that matches my energy and spirit. You’ve truly changed my life.

Verified Customer Reviews
- I highly recommend Dr. Mesa for extended chin liposuction. From start to finish, the experience was professional, thorough, and reassuring. The results have been absolutely worth the investment and the travel. Dr. Mesa’s expertise, attention to detail, and honest guidance made me feel confident every step of the way. If you’re considering extended chin lipo and want natural, beautiful results, Dr. Mesa is 100% worth itRead MoreRead LessLaura Giannina Torres1/28/2026

