A necklift as an isolated procedure is suitable for those with early to moderate neck laxity without jowls or other signs of facial aging. One or two vertical bands may be seen over the central portion of the neck, and these may be associated with excess fat. A necklift is done under local or general anesthesia through a small incision under the chin and occasionally, incisions behind the ears. The neck muscles are tightened, and extra fat and skin are removed. You may be back to work with an improved neckline in two weeks.