Some patients have laxity in their lower face (below the upper lip) but are satisfied with the cheek and upper face. For them, several options exist to contour the neck and restore a more youthful appearance. In some cases, liposuction or the injectable product Kybella is utilized to flatten an overly-round neck and enhance the lateral jawline. Tightening of the muscles is sometimes needed and is most obvious in men. Usually when the muscles are tightened, excess skin needs to be removed. This is done with incisions hidden behind the ears and in the hair. A facelift includes the necklift. However, Doing a necklift alone will not alter the face above the upper lip.