Neck lifting is done under the administered anesthesia. The regional anesthesia is required for the surgery. Incisions are made in front of the earlobe and loops under and behind the neck. If the platysma muscles is also be tighten then there need one more incisions under the chin. The surgery may involve a small incision under the hairline behind the neck depending on the techniques used by the surgeons. The excess skin is removed away from the neck and the tissues are repositioned during the surgery. All the incisions are closed and bandaged.