A direct neck lift is a technique that is often reserved for individuals with short, sparse, or no hair behind the ears. Dr. Schmidt can make a zig-zaggedincision over the length of the midline of the neck, through which he will remove excess skin and fat and potentially even tighten the underlying neck muscles. This technique is also ideal for neck lift patients who do not want to undergo more extensive anesthesia, as Dr. Schmidt can often perform the surgery under local anesthesia with or without sedation.