The neck skin is a thin skin and is located on a very thin muscle called the platysma. With aging, this muscle loses its tension and begins to sag with the effect of gravity, and wrinkles develop on the neck skin. Decrease in skin elasticity and increase in deep fat tissue in this area cause jowl formation. The loosening of the connective tissues in the neck area causes the loss of a youthful-looking straight jaw line and the formation of sagging called chin. With neck lift surgery, a chin line that provides a smooth and younger appearance is created, the jowl is removed and the neck skin is stretched. During jowl removal, it is essential to remove the deep fat tissue under the platysma muscle rather than the subcutaneous fat tissue. In liposuction procedures to remove the jowl, only a thin layer of subcutaneous adipose tissue is reduced and the jowl is tried to be removed. This process may cause irregularities under the skin, and there should never be an adequate procedure to remove the jowl.