Everyone’s neck is different. My goal when performing a neck lift is to restore the appearance of an individual’s neck to what it looked like when you were happiest with it.
I don’t remove glands, because I feel that the risks of these maneuvers outweigh the benefits. I also don’t perform neck lifts without also making short scar face lift incisions, because I think that some of the skin that is sagging in the neck belongs in the lower part of the face. I make facial incisions to reposition that sagging skin to its appropriate location.