Dr. Uriel Muñoz - Cirujano Plástico Certificado

Cervicoplasty in Puerto Vallarta

Neck Lift: Cervical Contouring and Definition

Removal of excess sagging skin and tightening of the platysma muscle in the neck and under the chin, achieving a clean, defined, and naturally rejuvenated jawline.

CMCPER CERTIFIEDAMCPER CERTIFIEDISAPS MEMBERPUERTO VALLARTA & TEPIC
Neck Lift Procedure - Dr. Uriel Muñoz
CLINICAL EXPLANATION

What is a neck lift?

A neck lift, or cervicoplasty, is a surgical procedure designed to tighten soft tissues, reposition the cervical muscle, and eliminate excess sagging skin in the neck and double chin area.

Our philosophy prioritizes a structural muscular approach. Cervical sagging is not just an issue of excess fat or stretched skin, but rather a relaxation of the platysma muscle (the vertical bands that become visible with age). We avoid simple liposuction in patients with skin laxity—which would cause the skin to look wrinkled or saggy—and instead prioritize performing a muscle plication (cervical corset) to ensure a defined, clean, and firm contour.

The goal is to restore a sharp and youthful cervical angle, significantly improving the transition between the chin and the neck in an entirely natural-looking way.

What it changes

  • Elimination of loose skin or 'turkey neck'
  • Tightening of the platysma muscle bands
  • Definition of the angle between the chin and neck

What it does not change

  • Sagging of the cheeks or upper nasolabial folds
  • Chin bone volume (requires chin implant/mentoplasty)
  • Superficial skin quality or sun spots
SURGICAL PLAN

What does the plan usually include?

Rejuvenation of the neck contour is planned by analyzing each anatomical layer:

Submental Fat

Liposuction or fat resection

Removal of accumulated fat under the chin to reduce double chin volume before proceeding with muscle tightening.

Muscle Support

Platysma plication

Joining and securing the loose edges of the platysma muscle at the midline (using permanent sutures) to create a firm muscular support.

Excess Skin

Resection and draping

Discreet draping of excess skin behind the ear, removing redundant skin without creating excessive tension on the sutures.

* Frequently combined with a chin implant (mentoplasty) to enhance jawline definition (profiloplasty).

You might be a candidate if...

  • You have moderate to severe skin laxity in the neck ('turkey neck').
  • Visible vertical neck bands are present due to the separation of the platysma muscle.
  • The line dividing your chin and neck is poorly defined or obtuse due to sagging and fat.
  • You have a relatively stable weight and controlled overall health.

Alternatives should be considered if...

  • You only have subcutaneous fat accumulation under the chin and have young, elastic skin; in this case, double chin liposuction alone is sufficient.
  • You have mild skin laxity; non-surgical biostimulation treatments or lipolytic enzymes are better initial alternatives.
  • You are an active smoker and are unwilling to completely stop smoking during the pre- and postoperative periods.
DIAGNOSTIC STAGE

How We Define Your Plan

An individualized clinical consultation is essential. During this evaluation, we analyze fat thickness, skin laxity, and platysma muscle tone to design a clean and safe neck rejuvenation plan.

“We aim to restore a defined jawline. We evaluate bone support to plan whether a chin implant is recommended.”
Subplatysmal Fat Assessment

We determine if the fat accumulation is superficial (liposuction) or deep behind the muscle (requiring direct surgical excision).

Platysmal Band Evaluation

We identify the degree of muscle separation to plan the midline approximation of the fibers in the operating room.

Retroauricular Incision Design

We plan incisions behind the earlobe and in the crease of the ear to ensure they remain hidden under tied-back hair.

OPERATING ROOM

The Procedure, Explained Simply

IncisionsHidden / Discreet

A small 3 cm incision under the chin and/or behind the ear, camouflaged once fully healed.

MusclePlatysma Plication

The muscle is brought together and permanently sutured, acting as a corset that supports the neck contour.

AnesthesiaGeneral / Deep Sedation

Performed under controlled general anesthesia or deep sedation in a hospital operating room for your comfort.

Hospital StayOutpatient or Observation

Usually outpatient, though staying the first night in the hospital may be suggested depending on the complexity of the case.

PREOPERATIVE PATH

Preparing for Your Surgery

Responsible preparation is essential to optimize surgical safety and facilitate a smooth, comfortable postoperative recovery.

01
Complete Preoperative TestingComprehensive blood panels, electrocardiogram (EKG), and routine pre-anesthesia medical evaluation.
02
Absolute Tobacco CessationIt is vital to stop smoking, vaping, and using nicotine products at least 4 to 6 weeks prior, as they compromise blood circulation to the neck skin.
03
Acquire Compression GarmentObtain the previously recommended chin strap or elastic compression garment to bring to the hospital on the day of the procedure.
POSTOPERATIVE TIMELINE

Recovery Timeline

The postoperative process after a cervicoplasty is gradual. Initial rest and facial compression with a chin strap are crucial for a successful contour.

Days 1 to 3 — Removal of Dressings and Drains

We remove the initial dressings and soft drains during the postoperative follow-up. Continuous use of the chin strap begins. Neck swelling is normal and expected.

Days 7 to 10 — Removal of Sutures

We remove the sutures from the incisions in our office. Bruising and acute swelling begin to progressively subside.

Week 2 — Relative Return to Work

Most patients return to office work. The chin strap can be discontinued during the day, keeping it on only at night for an extra week.

Months 3 to 6 — Final Contour Definition

The muscle and skin settle permanently into the new jawline angle, with residual internal swelling fully resolving.
Dr. Uriel Muñoz - Board-Certified Plastic Surgeon
Dr. Uriel MuñozBoard-Certified Plastic Surgeon (CMCPER #2585)
PROFESSIONAL BACKING

Surgical Safety and Excellence

Each procedure is performed under the highest quality standards, backed by solid training and official board certifications.

Certified Surgeon

CMCPER certification, active member of AMCPER and ISAPS.

Safe Environment

Surgeries performed at CMQ Premiere Hospital (PV) and Puerta de Hierro (Tepic).

Facial Harmony

An approach focused on proportional and natural results for your face.

Comprehensive Evaluation

Detailed anatomical study of neck aesthetics and structure.

Direct Follow-Up

Healing reviews and medical support throughout your entire postoperative period.

Cervicoplasty

Advanced platysma muscle plication techniques for maximum stability.

ETHICAL COMMITMENT

Surgical Safety & Realistic Expectations

Like all facial surgery, a neck lift requires an ethical clinical analysis. During your consultation, we review your medical history, neck skin elasticity, and jawbone structure to minimize risks and confirm if surgery is appropriate for you.

An in-person clinical consultation is the only way to define the anatomical feasibility of your aesthetic goals.

Bruising & SwellingThe neck area is highly vascularized; moderate bruising and swelling are normal during the first week.
Sensation of TightnessMuscle tightening creates a temporary sensation of tightness or stiffness when swallowing or turning your head.
Risks of SmokingActive smoking compromises blood flow to the neck skin flaps, increasing the risk of poor healing.
Retroauricular HealingIncisions are camouflaged behind the ear crease, requiring special hygiene and sun protection care.
OUT-OF-TOWN PATIENTS

Care for Out-of-Town Patients

If you live outside the region or abroad, we facilitate your medical process through a preliminary virtual consultation and clinical logistics guidance from our dedicated team.

What is included

  • Guidance on appointment scheduling and medical agenda
  • Clinical and logistical preoperative recommendations

What is not included

  • Flights and direct lodging reservations
  • Logistical services unrelated to clinical coordination
FINANCIAL TRANSPARENCY

Cost of a neck lift: what determines the budget

The cost of a neck lift should not be defined generically or without a prior medical evaluation. Each surgical budget is individualized and tailors to the specifics of your case.

During your clinical evaluation, Dr. Uriel Muñoz will assess your anatomy and define a customized surgical plan. The final procedure budget is determined based on the following factors:

  • Extent of tightening and whether it is associated with deep cervical liposuction.
  • Combination with other procedures such as a chin implant or mid-facelift.
  • Operating room fees at a certified clinic or safe hospital.
  • Specific anesthesiologist fees and medical team supplies.
FREQUENTLY ASKED QUESTIONS

Common Questions About Neck Lifts

Double chin liposuction is a simple procedure that only suctions excess fat under the chin, ideal for younger patients with firm skin. A neck lift (cervicoplasty) addresses both excess fat and laxity of the platysma muscle, and removes excess sagging skin, making it the indicated option for moderate to severe sagging.
Cervicoplasty incisions are discreetly placed under the chin (in a natural crease) and/or behind the ears in the retroauricular crease. With proper scar maturation over the months, the marks become virtually imperceptible to the naked eye.
It is not a painful recovery. Patients typically report a feeling of tightness or stiffness when moving the neck, as well as temporary swelling and numbness in the skin of the area. These discomforts are adequately managed with prescribed routine medications.
It is recommended to wear a chin strap or elastic facial compression band continuously (24 hours a day) for the first 7 to 10 days. Afterward, it is indicated to use it only at night for an additional one to two weeks to manage residual swelling.
Changes are noticeable within the first two weeks as most bruising and major swelling subside. However, the final definition of the neck contour and jawline is fully established between the third and sixth postoperative month.
Hospital Facilities

World-Class Medical Infrastructure

For your peace of mind and medical safety, all surgical procedures are performed exclusively in certified hospitals with intensive care units and valid sanitary accreditation.

CMQ Premiere HospitalPuerto Vallarta, Jalisco

CMQ Premiere Hospital

The most prestigious hospital facility in Puerto Vallarta for elective surgeries. Features premium amenities focused on patient comfort and comprehensive surgical safety.

  • High-tech equipped surgical suites
  • Fully equipped Intensive Care Unit (ICU)
  • Nationally certified facilities
  • Specialized bilingual medical staff
Av. Francisco Villa 1749, Las Arboledas, 48315 Puerto Vallarta, Jal.
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Puerta de Hierro HospitalTepic, Nayarit

Puerta de Hierro Hospital

High-specialty hospital and member of the region's most prominent medical network. Provides international-level infrastructure and comprehensive tertiary medical support.

  • High-specialty surgical blocks
  • State-of-the-art Intensive Care
  • Accredited by the General Health Council
  • International hospital safety standards
Av. de la Salud 152, Ciudad de la Salud, 63173 Tepic, Nay.
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Assessment

Personalized Consultation

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Medical Review: Content prepared under the supervision and approval of Dr. Uriel Muñoz, board-certified plastic surgeon by the Mexican Board of Plastic, Aesthetic and Reconstructive Surgery (CMCPER Registration #2585). Last medical review: July 8, 2026.

Scientific Sources and Reference Clinical Guidelines: American Society of Plastic Surgeons (ASPS) - Neck Lift Surgery guides; Mayo Clinic - Cervicoplasty patient information; CMCPER.

* This information is educational and does not replace a medical consultation. Individual results, recovery, risks, and recommendations vary by patient.