This patient underwent treatment for facial descent and neck laxity. Rather than relying on tension at the skin surface, the deeper tissues of the face and neck were released and repositioned. The oblique and frontal photographs show the early changes at one month after surgery.
Case summary
- Age: 56 years
- Primary concerns: facial descent, loss of jawline definition and neck laxity
- Procedure: face and lateral neck lift
- Treatment course: one operation followed by several postoperative examinations and follow-up visits
- Photographic time points: before surgery / one month after surgery
Priorities in this case
Facial descent and neck laxity reflect changes not only in the skin, but also in the supporting tissues beneath it, including fat and fascia. The midface, lower face, jawline and neck were therefore assessed as one continuous anatomical unit rather than as separate areas.
The priority was to release the descended deeper tissues sufficiently and reposition them in an anatomically appropriate direction without placing excessive tension on the skin.
Procedure selected and its purpose
Deep-plane face and lateral neck lift
The deeper facial plane is dissected and released so that descended tissues can be repositioned in an appropriate direction. The procedure elevates the midface and lower face while also treating the lateral neck, with the aim of defining the contour from the chin into the neck.
The required extent of surgery varies according to the location and degree of laxity, skeletal anatomy, skin condition and previous treatment history. The most appropriate procedure is determined after examination.
Changes visible at one month
In the oblique views, the position of the midface and lower face has changed and the jawline is more readily defined than before surgery. The frontal view also shows a change in the contour from the cheek to the lower face.
At one month, swelling, edema and tissue firmness may still be present. Scars and sensation may continue to change during recovery. Results and recovery vary between patients, and the same degree of change cannot be guaranteed.
Treatment course and fees
- Usual treatment period and number of visits: One operation, followed by several postoperative examinations and follow-up visits. The exact number varies between patients and may also differ according to the conditions of the monitor discount.
- Total fee for the procedures shown (tax included): ¥1,925,000 (including anesthesia; masked / partial-face monitor discount applied)
- Breakdown: Face and lateral neck lift (masked / partial-face monitor) ¥1,760,000 + general anesthesia with mechanical ventilation ¥165,000
*The fees shown above apply at Cinderella & Da Vinci Clinic. International patients are accepted through Your Face Clinic. Please refer to the price list for international patients (PDF) for the applicable fees.
Principal risks, adverse effects and complications
Possible risks include bleeding, hematoma, infection, visible scarring, delayed wound healing, hair loss around the incision, prolonged swelling or bruising, pain, tightness, altered sensation, nerve injury including facial nerve dysfunction, contour irregularity, asymmetry, recurrence of laxity and a result that differs from the patient’s expectations.
Author and medical review
- Written and medically reviewed by: Shoichi Sasaki, M.D.
- Created: July 26, 2026
For detailed information about treatment, fees, principal risks and potential adverse effects, please refer to the explanation provided during your consultation.