Face & Neck

Facial and neck surgery may address changes in skin, deeper tissue support, and facial volume. The appropriate treatment depends on the concern, individual anatomy, and the changes you hope to achieve. Explore the options and understand how an assessment can help distinguish between lifting, contour refinement, and volume restoration.

Explore Your Options

Understanding facial changes

Different concerns. Different approaches.

Changes in facial appearance may involve skin laxity, descent of deeper tissues, changes in fat distribution, or loss of volume. These processes can occur together, but they are not interchangeable and may not respond to the same treatment.

For example, a concern about the jawline may involve tissue descent, local fullness, or both. A change in the cheeks may relate to volume loss, tissue position, or a combination. Neck concerns may involve skin, fat, and the platysma muscle. A clinical assessment helps identify which structures are contributing to the concern.

The aim is to discuss whether surgery is appropriate, which options may address the underlying problem, and what limitations or trade-offs should be considered before making a decision.

Explore treatment pathways

Where would you like to begin?

These pathways introduce three different approaches to facial and neck concerns. They may be considered separately or together when clinically appropriate. The choice of procedure follows an individual assessment rather than a predetermined technique.

Facial tissue descent

Facelift

Explore how facial lifting may address selected concerns involving the cheeks, lower face, and jawline, with attention to deeper tissue support and individual anatomy.

Understanding Facelift Neck & jawline concerns

Neck Lift

Learn how neck surgery may address selected concerns involving skin laxity, platysma bands, and neck contour, and why the treatment plan varies between patients.

Understanding Neck Lift Facial volume

Facial Fat Grafting

Understand how a patient's own fat may be used to restore or refine volume in selected facial areas, and how this differs from procedures that reposition tissues.

Understanding Fat Grafting

A facelift, neck lift, and fat grafting address different anatomical concerns. None is automatically required because of age, and a combination is not necessarily better than a more limited approach.

Understanding the options

What each procedure may address.

These introductions provide an overview. Detailed procedure pages will expand on indications, surgical planning, recovery, risks, and limitations.

Facelift

A facelift may be considered for selected concerns involving descent of facial tissues, changes in the lower face, and reduced jawline definition. Depending on the anatomy and surgical plan, the procedure may involve repositioning deeper tissues as well as managing excess skin.

The extent of surgery and the approach to the SMAS or other deeper structures depend on the patient's anatomy and the surgeon's assessment. A facelift does not address every aspect of facial ageing, and additional treatment is not automatically necessary.

Neck Lift

A neck lift may address selected concerns involving loose neck skin, platysma bands, and changes in neck contour. The assessment considers skin quality, subcutaneous fat, platysma anatomy, and the relationship between the neck and lower face.

Depending on the findings, treatment may involve skin redraping, platysma work, fat management, or a combination. A neck lift may be performed alone or alongside a facelift when appropriate. The achievable contour is influenced by individual anatomy, including deeper structures that surgery may not be able to change.

Facial Fat Grafting

Facial fat grafting involves harvesting fat from another area of the body, processing it, and transferring it to selected facial areas. It may be considered where volume restoration or contour refinement is appropriate.

Fat grafting does not replace tissue lifting when descent or significant laxity is the principal concern. Some transferred fat may be reabsorbed, and the amount of volume retained varies. Additional treatment may be considered in selected cases, and limitations and donor-site considerations should be discussed during consultation.

Individual surgical planning

The plan begins with your anatomy.

A consultation considers the structures contributing to the concern, the patient's medical history, and whether the expected benefit of surgery is proportionate to its risks and recovery. The appropriate approach may be more limited than expected, may involve a combination of procedures, or may not involve surgery.

Assessment & suitability

Skin quality, tissue position, facial volume, previous procedures, medical conditions, and individual goals help guide the assessment. The patient's general health and suitability for anaesthesia are also relevant.

Recovery & preparation

Recovery differs according to the procedure and its extent. Bruising, swelling, temporary changes in sensation, and activity restrictions may occur. The surgeon will discuss preparation, follow-up, and the expected recovery course for the individual plan.

Risks & limitations

Potential risks include bleeding, infection, wound-healing problems, scarring, asymmetry, and anaesthesia-related complications. Depending on the procedure, nerve injury, skin or tissue compromise, and changes in transferred fat may also be relevant. Individual risks require discussion before surgery.

Surgical techniques and their limitations will be explained in the relevant procedure pages. The purpose of consultation is to determine what may be appropriate—not to commit to a particular technique in advance.

Patient results

Results in clinical context.

Before-and-after photographs can help illustrate the concerns addressed through facial and neck surgery. Each result should be considered alongside the patient's starting anatomy, procedure, and follow-up period. Individual results vary, and photographs cannot predict an individual outcome.

View Patient Results

Featured face & neck case

BeforeImage pending

AfterImage pending

Clinical photographs and case details will be added here. Procedure · Indication · Follow-up

Surgeon-led care

A considered approach to facial surgery.

Dr. Joe Areejunthawat is a board-certified plastic surgeon in Bangkok. His approach begins with understanding the patient's concerns and evaluating the anatomy before recommending a surgical plan.

The discussion includes the potential benefits, limitations, and risks of the available options, with an emphasis on choosing an approach appropriate to the individual rather than applying the same technique to every patient.

About Dr. Joe

Your consultation

Considering face or neck surgery?

A consultation provides an opportunity to discuss your concerns, review relevant medical and surgical history, and assess which treatment options may be appropriate. You do not need to decide on a surgical technique before contacting Dr. Joe. The consultation is intended to support an informed decision, including whether surgery is appropriate for you.

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