

The neck is often one of the first areas to show signs of aging. While non-invasive treatments can offer minor improvements, a surgical neck lift is the only definitive way to address the underlying structural changes of the neck, such as muscle banding and significant skin laxity. Dr. Leo Otake goes beyond addressing surface changes, using deep plane techniques to lift and tighten the underlying support structures, providing long-lasting, graceful definition.

A neck lift is a surgical procedure designed to enhance the appearance of the neck and jawline by addressing the "three pillars" of aging: muscle laxity, excess fat, and redundant skin. The overall purpose is to create a more youthful angle between the neck and the chin, often referred to as the cervicomental angle.
Dr. Otake offers several options depending on your specific anatomy. This may involve a "platysmaplasty" to secure the vertical bands of the neck muscle, submental liposuction to remove stubborn fat deposits, or a full cervicoplasty to excise sagging skin. By integrating his academic background in biochemistry, Dr. Otake ensures the procedure is tailored to your skin’s biological elasticity and healing capacity.


On the day of your surgery, your comfort and safety are paramount. The procedure is performed under general anesthesia in a state-of-the-art surgery center. Dr. Otake begins by creating discreet incisions, usually hidden behind the ears and occasionally a small, well-concealed incision under the chin.
Using meticulous surgical principles, Dr. Otake tightens the platysma muscle, much like a corset, to create a firm internal foundation. Excess fat is precisely removed, and the skin is draped naturally over the new, sharper contours. Dr. Otake uses advanced suturing techniques to ensure the skin remains tension-free, promoting a natural-looking result that moves with you.
A neck lift is the definitive solution for:
Dr. Otake’s approach to the neck lift procedure focuses on a result that looks natural during movement. By reinforcing the underlying muscle rather than just pulling the skin, he restores a graceful, defined neck and jawline that resists the future pull of gravity. Patients frequently report that they look years younger and that their clothing, such as collared shirts or necklaces, fits more attractively.


Men and women who are bothered by sagging skin or muscle bands in the neck may be good candidates for a neck lift. It is important to be in good general health and to have realistic expectations. During your consultation, Dr. Otake will perform a physical exam to evaluate your skin’s elasticity and the depth of the underlying muscle bands, ensuring the chosen surgical approach is perfectly aligned with your goals.

The recovery process is designed to be as streamlined as possible. For the first few days, you may experience some mild tightness and bruising, which is well-managed with prescribed medication. You will be provided with a specialized chin strap or compression garment to wear; this is vital for minimizing swelling and helping the skin adhere smoothly to its new, refined position.
Dr. Otake provides detailed instructions on when you can resume exercise and social daily activities. Most patients find they can return to work within two weeks. As a specialist in wound healing and biochemistry, Dr. Otake monitors your progress closely during follow-up visits to ensure your profile is contouring exactly as planned.

While you will notice a significant change immediately, your final results will emerge over the next 3 to 4 months as the swelling resolves and the tissues settle. You will notice a significantly more defined jawline and a smooth, elegant neck that remains stable over time.
These results are designed to be long-lasting. While no surgery can stop the natural aging process, the structural changes made during a neck lift effectively "set the clock back." By maintaining a healthy lifestyle and protecting your skin from sun damage, you can enjoy your rejuvenated, refined profile for many years to come.
Dr. Otake’s deep understanding of the mechanisms of skin aging and the complex anatomy of the neck allows him to offer a level of precision that yields long-lasting, natural-looking rejuvenation. In our boutique White Plains practice, we provide academic-caliber care in a personalized environment, ensuring that your experience with us inspires confidence at every step and delivers results you will love for years to come.

Yes. A facelift primarily addresses the middle and lower third of the face, including the cheeks and jowls. A neck lift focuses exclusively on the area from the jawline down to the collarbone. However, the two are frequently performed together for a seamless, comprehensive rejuvenation of the entire profile.
Dr. Otake is an expert in scar management. Incisions are typically placed behind the ears and in the natural crease under the chin, where they are virtually undetectable once healed. Over time, these fine lines fade significantly and are very difficult to see.
On average, the results of a surgical neck lift last 10 to 15 years. While the aging process continues, you will always look younger than you would have without the procedure. Maintaining a stable weight is the best way to preserve your sharp new jawline.
Liposuction is excellent for removing excess fat, but it cannot fix sagging skin or muscle bands. If you have "skin laxity," liposuction alone may actually make the neck look more wrinkled. A neck lift is necessary to tighten the underlying structures and remove redundant skin.
Most patients describe the recovery as a feeling of "tightness" rather than acute pain. This is typically well-controlled with mild prescription pain relief or over-the-counter options and resolves quickly within the first 7 to 10 days.
Light walking is encouraged immediately after surgery to promote circulation. However, you should avoid strenuous exercise, heavy lifting, or activities that involve straining the neck for at least 3 to 4 weeks to ensure the internal sutures remain secure.