2026-09-03
What is Neck Lift Surgery? Features of Pelican Surgery and Principles of Neck Wrinkle Improvement
Discover the structural reasons behind neck wrinkles and how Pelican surgery, a specialized neck lift procedure, addresses both skin and underlying muscle to create a natural, refined neck line.

※ This article is for the purpose of providing medical information.
It is not subject to deliberation under Article 56, Paragraph 2 and Article 57 of the Medical Service Act, and is not an advertisement unrelated to the content of the deliberation.
Hello,
I am Park Jeong-geun,
Director of Face Plus Plastic Surgery Clinic.

Many people say that the neck reveals one's age more.
While the face can be managed, if neck wrinkles or sagging under the chin remain,
the overall impression can look different.

In particular, I often hear questions like, ‘Why does my neck sag so quickly?’ in the consultation room.
It's easy to think it's just a skin problem, but in reality,
deeper structures are also involved, so the approach needs to be slightly different.
Table of Contents | ||
1. Structural Reasons for Neck Wrinkles 2. Basic Methods of Neck Lift Surgery 3. Features and Differences of Pelican Surgery 4. Principles of Neckline Improvement
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1. Structural Reasons for Neck Wrinkles
Neck wrinkles are not simply caused by thin skin.

As we age, the muscles beneath the skin loosen, and fat descends,
accumulating under the chin.
This process can create horizontal band-like wrinkles in the center of the neck,
and the boundary between the jaw and neck blurs, creating an overall dull impression.

Since the face and neck are structurally connected,
it's more accurate to understand that they change together, rather than just one side.
In fact, the deep layers of the face and the neck muscles are connected,
so considering them together can lead to natural results.
2. Basic Methods of Neck Lift Surgery
Neck lift surgery can be broadly divided into two approaches.

One method focuses on tightening the skin,
while the other involves addressing the muscle layer as well.
Simply tightening the skin is relatively straightforward, but it may sag again over time.

On the other hand, the method that addresses the muscle layer directly corrects the cause of sagging,
resulting in a more clearly maintained line.
Therefore, recently, addressing the inner structure along with superficial tightening is considered more important.
3. Features and Differences of Pelican Surgery
Pelican surgery is a method that emphasizes this structural approach even more.

It directly addresses the sagging tissue under the chin and gathers the loosened muscles in the center,
recreating the neck line.
As the name suggests, it is particularly suitable for cases where the sagging under the chin resembles a pelican's pouch.
The key is to shape the front, rather than just pulling from the sides.

Therefore, changes are more evident in cases with a double chin or a blurred jaw-neck boundary.
4. Principles of Neckline Improvement
The principle of neck wrinkle improvement is simpler than you might think.

This is because the process of gathering the loosened muscles, reducing unnecessary fat,
and tidying up excess skin occurs simultaneously.
When these three aspects are addressed together, a naturally refined neckline is created,
rather than a forced, pulled look.

The important point is that it's an approach that addresses not just the exterior but also the internal structure.
Understanding this will be very helpful when choosing a surgical method.
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Saturdays 9:00 ~ 16:00
Public Holidays / Sundays Regular closure
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-Contact Us-
Face Plus Plastic Surgery Clinic | ||
Consultation Phone: 02-541-8500 Inquiries: KakaoTalk Inquiry |
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Frequently Asked Questions
What are the structural reasons for neck wrinkles?
Neck wrinkles are not simply caused by thin skin. They occur as the muscles beneath the skin loosen and fat sags downwards with age. The face and neck are structurally connected and tend to change together.
What are the basic methods of neck lift surgery?
Neck lift surgery generally involves two main methods. One focuses on tightening the skin, and the other addresses the muscle layer as well. Recently, methods that treat the inner structure are considered more important.
What are the features of Pelican surgery?
Pelican surgery directly addresses sagging tissue under the chin and gathers the loosened muscles in the center to recreate the neck line. The key is to shape the front, rather than just pulling from the sides.
In what cases is Pelican surgery effective?
Pelican surgery is particularly suitable for cases where the sagging under the chin resembles a pelican's pouch. More distinct changes can be expected in cases with a double chin or a blurred jaw-neck boundary.
What is the principle behind neckline improvement with Pelican surgery?
The principle of neckline improvement is that the process of gathering loosened muscles, reducing unnecessary fat, and tidying up excess skin occurs simultaneously. It's important to address not just the exterior but also the internal structure.