This website contains imagery which is only suitable for audiences 18+.
A deep plane facelift is an advanced surgical technique that lifts and repositions the deeper muscle and fat layers (the SMAS) as a single unit, rather than just pulling the skin, to create a more natural and longer-lasting facial rejuvenation, and may be considered alongside neck lift surgery in appropriate cases.
Deep neck lift surgery is a specialised procedure performed to address fullness or structural concerns in the neck and under the jawline. For patients in Perth who feel that the appearance of their neck does not reflect their overall health or facial structure, this operation may offer a tailored surgical solution. Dr Guy Watts, Specialist Plastic and Reconstructive Surgeon, performs deep neck lift surgery with a focus on precise anatomical adjustment, tailored to each individual’s facial structure and surgical goals. The procedure targets deeper layers of the neck, including fat, muscle and glands, which are often the underlying cause of neck heaviness or a poorly defined jawline.
This page provides detailed information about deep neck lift surgery, from how the procedure is performed to post-operative care and recovery. Every step is designed to support informed patient decisions that prioritise safety, realistic expectations and evidence-based outcomes.

The deep neck lift is a surgical procedure that focuses on correcting structural features beneath the surface of the neck that may contribute to a heavier or less defined appearance. Unlike more superficial procedures that address only skin laxity or fat deposits, the deep neck lift involves repositioning and modifying the deeper elements of the neck. This may include the platysma muscle, subplatysmal fat, and, in some cases, the submandibular glands.
This approach allows Dr Guy Watts to address the anatomical causes of neck heaviness, particularly in patients who may have a genetically fuller neck or who have not achieved the desired outcome from other neck procedures or facial surgery. By working within the deep tissue layers, the surgery aims to produce a defined cervicomental angle (the angle beneath the chin) and a more harmonious transition from the face to the neck.
Deep neck lift surgery is typically performed under general anaesthesia in a licensed hospital setting. It may be undertaken as a standalone procedure or in combination with other facial surgeries, depending on each patient’s needs.
This surgery may be considered when the primary concern is neck fullness, lack of definition in the jawline, or an obtuse cervicomental angle that is not due to ageing alone. While traditional neck lift procedures focus primarily on skin laxity and visible sagging, the deep neck lift is best suited for patients with deeper structural concerns.
Common reasons patients seek advice about deep neck lift surgery include:
It is important that patients considering this procedure are medically fit for surgery, have realistic expectations, and understand both the benefits and limitations of surgical treatment. Dr Watts conducts a comprehensive consultation and examination to determine suitability and develop an individualised surgical plan.
Deep neck lift surgery may help to improve several anatomical features that contribute to a less defined neck or jawline. While outcomes vary depending on individual anatomy, the procedure is designed to:
This surgical technique is particularly relevant for individuals whose concerns are not primarily caused by skin ageing but by underlying features present from a younger age. The aim is to create a more balanced facial contour that aligns with the patient’s goals without exaggerated or artificial results.
Surgical images showing results from deep neck lift procedures performed by Dr Guy Watts are available for review during the consultation process. All photographs are shared in accordance with AHPRA advertising guidelines and patient consent.
These images can help patients understand the potential outcomes of surgery in cases that may be similar to their own. However, individual results vary based on anatomy, tissue characteristics, and surgical planning. Dr Watts emphasises that these images are for educational purposes only and should not be used as an expectation of specific outcomes.
Deep neck lift surgery is a technically involved operation requiring a detailed understanding of neck anatomy and extensive surgical precision. The procedure is usually performed under general anaesthesia in an accredited hospital.
During surgery, Dr Watts makes small, carefully placed incisions, typically behind the ears and sometimes beneath the chin, depending on the patient’s anatomy and surgical plan. These incisions allow access to the deeper structures of the neck while aiming to reduce visible surface disruption.
Once the underlying tissue is accessed, the procedure involves:
The skin is then gently repositioned over the newly shaped neck structures and secured in place. Fine sutures are used to close the incisions, and a light dressing or supportive garment may be applied to encourage healing.
The procedure duration varies based on the complexity of the case and whether additional surgeries are performed. Patients are monitored post-operatively before being discharged with a comprehensive recovery plan.

As with any surgical procedure, deep neck lift surgery involves certain risks and possible complications. These are discussed in detail during the consultation process to support informed consent.
Potential risks may include:
Although complications are uncommon, all surgery carries a degree of unpredictability. Dr Watts offers personalised guidance and follows evidence-based practices to support a well-considered approach to care.
After the procedure, it is common to experience swelling, tightness and bruising in the neck and jaw area. These effects typically settle over the weeks following surgery. Most patients choose to take approximately two weeks away from work or regular social interactions, depending on their individual recovery and comfort level.
Dr Watts provides clear post-operative instructions that may include:
Discomfort is generally managed with oral medications. Many patients describe a sensation of tightness rather than pain. Sutures will either dissolve or be removed as appropriate to the technique used. Patients are advised to avoid smoking and reduce alcohol intake during recovery to help support healing.
Visible changes become noticeable as swelling decreases, with results continuing to refine over a period of three to six months.

While the improvements from deep neck lift surgery are long lasting, the natural ageing process will continue. Taking steps to maintain overall health, such as weight stability, a balanced diet, sun protection and avoiding smoking, can contribute to the longevity of the result.
Dr Watts encourages ongoing follow-up as needed and offers tailored advice on how to support skin quality and neck structure in the years after surgery. Some patients may choose to complement their results with other treatments at a later stage, based on how their facial features evolve over time.
The total cost of deep neck lift surgery in Perth can vary based on several factors, including the complexity of the case, hospital and anaesthetic fees, and whether the procedure is combined with other surgeries. In accordance with AHPRA guidelines, exact pricing cannot be quoted on this page.
Dr Watts will provide a comprehensive, itemised estimate after a full in-person consultation. This approach ensures transparency and allows each patient to make an informed decision based on their personal surgical plan.
Proper preparation is an important part of any surgical journey. Dr Watts and his team offer tailored guidance to help patients prepare mentally, physically and practically.
Pre-operative preparation may involve:
Patients are encouraged to ask questions and share any personal concerns during consultations. Open communication is key to developing a supportive and individualised care experience.
Dr Guy Watts performs deep neck lift surgery in Perth with a focus on anatomical detail and patient-centred care. His approach is grounded in surgical experience, evidence-based technique, and commitment to patient education.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.