Revision Direct T-to-Z Neck Lift for Improved Jawline Definition

This patient, a man in his 60s, came to our Austin plastic surgery practice one year after undergoing a face and neck lift in Mexico. He was dissatisfied with the lack of definition along his neck and jawline, particularly under the chin. After a comprehensive evaluation, we agreed that a more effective approach was needed to address his concerns. Because he had thicker skin and persistent laxity, he was an excellent candidate for a direct T-to-Z neck lift. This technique is exceptionally powerful for improving neck contour and sharpening the angle under the chin, especially in patients who require precise removal of excess skin. The procedure was performed comfortably under local anesthesia in our office. We directly removed redundant skin, tightened the anterior platysma—which had been hanging over the digastric muscles—and removed additional fat beneath the platysma to create a more refined, youthful neck profile. His incision healed remarkably well, and the resulting scar is essentially imperceptible in his final photographs. In approximately 1.5 hours, we achieved a result that provided the definition and contour he had been unable to obtain from his original surgery. His recovery was smooth, and he returned to normal activities within a week. We are honored he chose Levesque Plastic Surgery for his revision neck lift care.