The neck is often one of the first areas to sag and show signs of age, often before the face begins to significantly wrinkle, sag or lose volume. A sagging, wrinkled neck can inhibit your confidence and add years to your appearance. The minimally-invasive suture suspension neck lift turns back the clock and provides the contour and definition you want to regain.
What is a suture suspension neck lift?
The suture suspension neck lift is a mini-surgery option, also called suture suspension platysmaplasty, that provides a dramatic improvement in neck contour, without the more significant invasive method of a traditional neck lift that results in large scars behind the ears.
During this procedure, two sutures are used ear-to-ear and tightened until the incision is closed, creating a sling underneath the skin which lifts the tissues and removes the bands around the neck. The suture sling extends from the neck to the area behind the ears in order, which elevates the contours and greatly reduces sagging. At any time in the future, the suture can be tightened or removed.
Benefits of the suture suspension neck lift
- A far shorter recovery period than a traditional neck lift
- Low chance of side effects
- Achieves long-lasting rejuvenation and a more youthful appearance
- Achieves a lifted, contoured, defined neck and jawline
- A simple, safe technique
- Minimal scarring
- Tighter skin and stronger underlying muscles
- Reduction of submental fat, or a double chin
- Reduction of “turkey neck”
- Reduced neck banding
- Improved self-confidence

What happens during a suture suspension neck lift?
A neck suture suspension procedure is typically performed with local anesthesia and takes one to two hours.
The surgery starts with very small incisions under the chin. A very small cannula and surgical vacuum are used to remove extra fat under the chin, jaw, and neck. Small incisions are made behind each ear to allow Dr. Mesa to tighten the muscle bands in front of the neck.
He will then run a suture through a tunnel under the skin of the neck up to the incisions behind the ear, where they are secured. The sutures lift the platysmal bands of the neck, creating a firm contour and eliminating sagging skin.
After the proper amount of lift has been achieved by the suture “sling,” the small incisions are closed with absorbable sutures.
Who is a candidate for the suture suspension neck lift procedure?
- Are in generally in good health, non-smoker
- Have no major medical issues or concerns
- Do not have severe neck aging with excessive fat and skin
- Have a double chin and/or a lack of a defined jawline
- Have vertical neck bands (platysma bands)
- Have loose neck skin or “turkey neck”
Results and recovery
After surgery, Dr. Mesa will apply a pressure dressing that wraps around your head and underneath your chin. Keep your head elevated while you sleep, and expect your neck to feel tight and sore and swell for several days. Your dressing will be removed after two days, but you will wear a chinstrap to bed for 2-4 weeks.
You will be able to return to sedentary work and light activities in about five days. Wait for 3-4 weeks before you engage in rigorous exercise.

It will take a few weeks for your final results to settle as the swelling subsides. You will ultimately see a lifted, more youthful jawline and neck contour. Your results will last for years, in some cases up to ten years. This depends on different factors, such as your lifestyle, skin care regimen, and natural rate of aging.

Why choose Dr. Mesa for my suture suspension neck lift?
Dr. John Mesa is a Harvard-trained, triple fellowship-trained plastic surgeon. He specializes in face and neck surgery and is known for his extraordinary surgical techniques and stunning results. His specialty is customized cosmetic plastic surgery for the face, neck, and breasts. He is known for delivering personalized, warmly professional care, and for his consistently beautiful, natural-looking results. He considers it an honor to help his patients look and feel their best, achieving newfound confidence.
Verified Customer Reviews
That search led me to Dr. Mesa, and from my very first conversation with Cristina, I felt like I had found the right place. We talked about my goals and what I was hoping to achieve, and she assured me that Dr. Mesa was a great fit. I was nervous and had A LOT of questions leading up to my appointment, and Cristina was always there, always quick to respond, and never once made me feel like I was a bother. She really put me at ease.
The office is beautiful and feels much more like an elegant Upper East Side pied-à-terre than a medical office, which somehow makes the whole experience even more inviting.
Jose greeted me by name when I arrived and made the intake process completely seamless. Then there was Alex, who was exactly what I needed. Warm, funny, open, and completely genuine. He made me feel immediately comfortable, shared his own experience and results, and kept me laughing while making sure I knew I was in very good hands. His results were so natural that I remember thinking, okay, I am definitely in the right place.
And then there was Dr. Mesa. He is the consummate professional: incredibly knowledgeable, patient, thorough, and very much a teacher. He explained the process, the product, and what was realistic, while also pushing me just a little when he knew the result would be worth it. His competence and confidence were the perfect antidote to my nerves. Quite literally, exactly what the doctor ordered.
The procedures were fast and painless, and the entire team was incredibly supportive. In the course of about an hour, they managed to lift not only my jowls, but my spirits and my confidence, too. They told me to give it about two weeks before judging the final result.
They were not wrong.
I am absolutely over the moon. Dr. Mesa took years off my appearance in a way that is subtle, natural, and completely undetectable. I look like me, just fresher and better rested. I couldn't be happier and have already booked my follow-up appointments.
My only complaint is that I have to wait three months to see them again.
If you're looking for a provider and feeling even a little nervous, I genuinely can't say enough good things about this team. I felt cared for, listened to, reassured, and completely confident from the first phone call through the moment I walked out the door.
Run, don't walk. You will not be disappointed.
The office manager and receptionist were pleasant and that’s where I give the one star.
Summary: the client is not important here. It appears to be for online image.
Not for a mature sophisticated client. Go elsewhere.
The entire Miami staff was amazing , from start to finish. We couldn’t have asked for a better experience. HIghly Recommend.
Before my appointment, photos were taken, and I was then escorted to a private room where Dr. Mesa personally went through my medical history with me. He was incredibly attentive, listened to everything I had to say, and took the time to explain everything thoroughly. What really impressed me was how detailed his assessment was. He carefully examined my face and had me make different facial expressions so he could see exactly how and where my wrinkles were appearing. He then used a diagram to walk me through each treatment area and explained exactly how many units of Botox he planned to use. I really appreciated knowing what he was doing and why.
The entire experience was also incredibly relaxing. His assistant brought in some aromatherapy, which was such a thoughtful touch, along with the Botox and ice packs. Dr. Mesa came back shortly afterward to begin the treatment, and I was honestly amazed at how gentle his hand was. Ice packs were used around my crow’s feet and glabella areas, which made the process even more comfortable.
Afterward, Dr. Mesa explained that I should see my full results in about five days and told me that if I felt I needed a touch-up, I could simply call and they would get me back in. That level of care and follow-through really stood out to me.
I also received an amazing introductory price, but I was pleasantly surprised to learn that their regular pricing is very reasonable for the area as well.
I couldn’t be happier with my experience and would highly recommend Dr. Mesa to anyone considering Botox. He is knowledgeable, thorough, gentle, and genuinely takes the time to make you feel comfortable and confident in your treatment. The entire team was fantastic, and I’m so glad I found Dr. Mesa!

Verified Customer Reviews
- I spent quite a bit of time looking for the right doctor because I knew exactly what I wanted, and what I definitely did not want. I wanted to look refreshed and a little younger, but still completely like myself. Natural, subtle, and, most importantly, undetectable. I wanted people to think, “You look great,” not “You had work done.”
That search led me to Dr. Mesa, and from my very first conversation with Cristina, I felt like I had found the right place. We talked about my goals and what I was hoping to achieve, and she assured me that Dr. Mesa was a great fit. I was nervous and had A LOT of questions leading up to my appointment, and Cristina was always there, always quick to respond, and never once made me feel like I was a bother. She really put me at ease.
The office is beautiful and feels much more like an elegant Upper East Side pied-à-terre than a medical office, which somehow makes the whole experience even more inviting.
Jose greeted me by name when I arrived and made the intake process completely seamless. Then there was Alex, who was exactly what I needed. Warm, funny, open, and completely genuine. He made me feel immediately comfortable, shared his own experience and results, and kept me laughing while making sure I knew I was in very good hands. His results were so natural that I remember thinking, okay, I am definitely in the right place.
And then there was Dr. Mesa. He is the consummate professional: incredibly knowledgeable, patient, thorough, and very much a teacher. He explained the process, the product, and what was realistic, while also pushing me just a little when he knew the result would be worth it. His competence and confidence were the perfect antidote to my nerves. Quite literally, exactly what the doctor ordered.
The procedures were fast and painless, and the entire team was incredibly supportive. In the course of about an hour, they managed to lift not only my jowls, but my spirits and my confidence, too. They told me to give it about two weeks before judging the final result.
They were not wrong.
I am absolutely over the moon. Dr. Mesa took years off my appearance in a way that is subtle, natural, and completely undetectable. I look like me, just fresher and better rested. I couldn't be happier and have already booked my follow-up appointments.
My only complaint is that I have to wait three months to see them again.
If you're looking for a provider and feeling even a little nervous, I genuinely can't say enough good things about this team. I felt cared for, listened to, reassured, and completely confident from the first phone call through the moment I walked out the door.
Run, don't walk. You will not be disappointed.Read MoreRead LessBryan Luterman10/01/2026 
