There are several ways to perform a neck lift. For many, a small incision is made just below the chin. Superficial fatty tissue is removed and then the platysma muscle edges are sutured to one another. Occasionally, the skin is tightened via limited incisions made behind the ears and sometimes the deep fat must also be removed. Variations are determined by the needs of the patient but one thing in common is that no incisions are created in front of the ears.