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
Two years ago, I had buccal fat removal done in the UK, but the surgeon was only able to treat one side and told me there was no buccal fat on my right side. Ever since, I’ve been dealing with noticeable facial asymmetry, which really started to bug me.
After doing a lot of research, I came across Dr. Mesa and saw the countless buccal fat removal procedures he’s done and immediately felt confident he was the right choice. I ended up flying from London to New Jersey specifically to see him, and it was 100% worth it.
From the moment I arrived, everything was handled professionally and smoothly. Dr. Mesa was incredibly reassuring, and within minutes he was able to locate the buccal fat that my previous surgeon couldn’t find. The procedure itself was completely painless, which honestly surprised me, because my initial one in the uk I felt pain.
Now, after two years of dealing with asymmetry, it’s such a relief to finally have it resolved. I couldn’t be happier with the outcome.
I also want to mention Cristina and the rest of the staff, they were absolutely fantastic and guided me through every step of the process, making the whole experience stress-free.
Overall, this was a wonderful experience, and I would highly recommend Dr. Mesa to anyone considering this procedure.
After years trying to trust my face with someone I finally found Dr Mesa.
Dr Mesa make me feel amazing and finally look at the mirror and love my self with this amazing jaw line
Since the first time I came to the office the staff was very friendly and helpful.
Cristina and Alex responded all the questions right away.
The massage after the surgery is very important and they have Diana with amazing hands.
Thank you Dr Mesa and all the staff,
I’m 100% satisfied with my results.

Verified Customer Reviews
- My name is Fay.I am africian American senior citizen.I had buccal fat removal on one side of my face.My experience with Dr. Mesa and his staff was great.They are very pleasant I was awake throughout the procedure.My follow-up care was excellent. I was always made comfortable and at ease.Read MoreRead Lesssan jae4/16/2026
- I had an amazing experience with Dr. Mesa and couldn’t recommend him more highly.
Two years ago, I had buccal fat removal done in the UK, but the surgeon was only able to treat one side and told me there was no buccal fat on my right side. Ever since, I’ve been dealing with noticeable facial asymmetry, which really started to bug me.
After doing a lot of research, I came across Dr. Mesa and saw the countless buccal fat removal procedures he’s done and immediately felt confident he was the right choice. I ended up flying from London to New Jersey specifically to see him, and it was 100% worth it.
From the moment I arrived, everything was handled professionally and smoothly. Dr. Mesa was incredibly reassuring, and within minutes he was able to locate the buccal fat that my previous surgeon couldn’t find. The procedure itself was completely painless, which honestly surprised me, because my initial one in the uk I felt pain.
Now, after two years of dealing with asymmetry, it’s such a relief to finally have it resolved. I couldn’t be happier with the outcome.
I also want to mention Cristina and the rest of the staff, they were absolutely fantastic and guided me through every step of the process, making the whole experience stress-free.
Overall, this was a wonderful experience, and I would highly recommend Dr. Mesa to anyone considering this procedure.Read MoreRead LessBashir S4/15/2026 - The experience with my surgery wuth dr john mesa was outstanding,,not only did they make you feel at ease with the procedure it self but they explaind, every detailed making sure you understand the process.I had neck surgery with mini lift and at 3 month time im extremely happy with the results, being in a job that that constantly im seeing patients the amount of constant patients saying how great i look makes my day. Thank you dr messa. Greattttt work.Read MoreRead LessJaime Roman4/02/2026

