FaceLift + NeckLift Surgery by Dr. med. Jörg Elsner

In the specialized practice of Dr. med. Jörg Elsner, the combined facelift and necklift is treated not as a cosmetic mask, but as a sophisticated architectural restoration of the lower two-thirds of the face. We recognize that the face and neck form a single aesthetic continuum; treating one without the other often yields a disconnected result that betrays the surgical effort. Our approach utilizes deep-plane SMAS mobilization to address the structural descent of the midface, jawline, and cervical tissues simultaneously. By repositioning the underlying muscular scaffold rather than simply pulling the skin, Dr. Elsner achieves a profound rejuvenation that respects the patient’s unique anatomy and avoids the artificial, operated look of traditional methods. The technical hallmark of this dual procedure is the extended platysmaplasty, which focuses on the neck musculature. Dr. Elsner meticulously tightens the platysma muscle bands that cause turkey neck or vertical cording, effectively creating an internal corset that supports the floor of the mouth and the submandibular region. This is paired with precise retroauricular anchoring, in which the lifted tissues are secured to stable anatomical landmarks behind the ear. This ensures that the newly defined jawline remains sharp and the neck profile remains sleek, even during natural head movements. By performing these maneuvers in tandem, we eliminate the step-off effect between the face and neck, ensuring a fluid, youthful transition from the chin to the collarbone. A critical component of Dr. Elsner’s methodology is the tension-free cutaneous closure. Once the deep SMAS layers and neck muscles have been securely repositioned to bear the structural load, the overlying skin is redraped with clinical lightness. This prevents mouth distortion and the pixie-ear deformity often seen in less precise surgeries. Dr. Elsner’s mastery of micro-suture techniques and hidden incision placement, tucked within the natural creases of the ear and the posterior hairline, means that once healed, the surgical evidence is virtually invisible to the naked eye. This level of detail allows patients to wear their hair up or short with absolute confidence. Our technical and clinical framework for this combined surgery includes several specialized pillars. Dual-vector analysis involves pre-operative mapping to ensure the vertical lift of the face perfectly complements the horizontal tightening of the neck. Subplatysmal refinement addresses deep neck fat and gland laxity that traditional liposuction cannot reach. Composite tissue handling ensures that the skin, fat, and muscle move as a single, cohesive unit, preventing hollow or flat appearances. Cervicomental definition focuses on recreating the sharp 90-degree transition between the jaw and the throat, the hallmark of youthful vitality.