Medical Tourism Blog
Sagging Neck Skin Solutions: Double Chin Tightening & Neck Thread Lift Procedures in Korea

Table of contents
- Detailed Medical Procedures for Neck Tightening
- Best Clinics in Korea for Sagging Neck Skin
- The Medical Tourism Journey for Neck Procedures in South Korea
- Costs and Value Proposition for Medical Tourists
- Patient Experiences and Outcomes
- Conclusion
- References
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Sagging neck skin is a common cosmetic issue marked by loose, wrinkled skin beneath the chin and along the neck. This leads to a less defined jawline and an older appearance, with obvious signs like crepey skin, deep horizontal wrinkles, and noticeable vertical bands. Over time, the condition can evolve to significant sagging with the neck appearing folded or crumpled. Changes in fat under the chin also impact the jawline, disrupting the natural transition between the face and neck.
People use various terms for sagging neck skin:
- Turkey Neck: Describes the wattle-like, drooping look of the skin, similar to a turkey’s neck.
- Platysma Bands / Neck Bands: These vertical bands occur as skin loses elasticity and the platysma muscle weakens, causing visible neck cords and are referred to medically as Platysma Prominence (PP).
- Double Chin: While it often means excess fat under the chin, it can also occur from skin laxity in the neck area.
Underlying Causes and Stages of Progression
Several key factors lead to sagging neck skin:
- Aging and Collagen/Elastin Depletion: Natural aging reduces collagen and elastin, causing skin laxity. The platysma muscle also weakens, contributing to the sagging.
- Weight Fluctuations: Weight loss can leave extra loose skin, while weight gain adds fat under the chin, both contributing to the issue.
- Sun Damage (UV Exposure): UV rays harm collagen and elastin, causing thinner, saggy neck skin and pigmentation problems.
- Genetics and Hereditary Factors: Genetics influence how skin ages and where fat changes happen in the neck and face.
- Repeated Facial Expressions and Posture: “Tech neck” from looking down at devices can form extra folds and lines in the neck.
Sagging neck skin develops gradually:
- Stage 1: Early subtle changes—fine lines and slight drooping.
- Stage 2: More prominent platysma bands and noticeable sagging of the skin and fat.
- Stage 3: Significant fat gain or loss leads to a blurred jawline and multiple layers of loose neck skin.
Causes are often interrelated, so a comprehensive approach works best—combining lifestyle changes and aesthetic treatments. Early intervention opens up more, less-invasive options and may lower the eventual complexity and cost of treatment.
Detailed Medical Procedures for Neck Tightening
Treating sagging neck skin includes options ranging from surgery to minimally invasive methods. The right approach depends on the degree of laxity, presence of fat, muscle bands, and patient goals.
Double Chin Tightening Procedures

These primarily focus on the submental area, aiming to sharpen the jawline and smooth the neck.
Submental Liposuction
Submental liposuction, or facial liposuction, is a surgical method for removing localized fat below the chin and along the neck.
- Procedure: Tiny incisions are made under the chin or behind the ear; a cannula suctions out excess fat. Tumescent solution minimizes bleeding and bruising.
- Anesthesia: Usually local or light sedation.
- Time: 30 minutes to 1 hour.
- Recovery: Minor swelling, bruising, and soreness; compression wrap for 5–14 days. Full results emerge in weeks or a couple of months.
- Candidates: Suited for those with stubborn chin fat and good skin elasticity—not for those with much skin sagging.
- Longevity: Long-lasting if stable weight is maintained.
Neck Lift (Lower Rhytidectomy)
A neck lift removes extra skin and tightens muscles for a more youthful neck.
- Types:
- Cervicoplasty: Removes excess skin; incisions behind ears or under chin.
- Platysmaplasty: Tightens the platysma muscle, correcting vertical bands; “corset platysmaplasty” brings the muscle together for a strong contour.
- Surgical Approach: Incisions near the hairline and under the chin, hidden in natural creases.
- Anesthesia: General anesthesia is most common.
- Time: 45 minutes to several hours.
- Recovery: Bruising and swelling subside in 10–14 days; full recovery around 6 weeks.
- Risks: Includes hematoma, infection, scarring, nerve injury, skin loss, poor healing, and anesthesia complications.
Brief Overview of Non-Surgical Alternatives
For milder cases or less invasive preferences, options include:
- Deoxycholic Acid Injections (e.g., Kybella®): Injections melt under-chin fat, typically over 2–6 sessions. Significant swelling post-treatment is common.
- Botox and Dermal Fillers: Improve contours and minimize mild jowling and neck bands but are inadequate for major sagging.
- Laser Skin Tightening (e.g., SkinTyte, Ultherapy): Use light or ultrasound to dissolve fat and promote collagen, effective for mild to moderate laxity.
- Radiofrequency (RF) Microneedling: Stimulates collagen production to improve neck and lower face with minimal downtime.
Surgical methods offer dramatic, lasting results but come with greater risks and recovery. Non-surgical techniques are less risky and require less downtime but tend to be less transformative and often need repeating. A careful consultation is vital to set expectations.
Many procedures—surgical and non-surgical—work by stimulating collagen production, which means some improvements develop gradually as new collagen forms.
Neck Thread Lift
A neck thread lift uses dissolvable PDO threads under the skin to create lift and stimulate collagen.
- Mechanism: Immediate mechanical lift plus longer-term collagen production.
- Types of Threads:
- Mono Threads: Smooth, for skin tightening.
- Cog Threads: Barbed, for more pronounced lifting.
- Screw Threads: Twisted for volume and lift.
- Procedure:
- Consultation, marking of insertion points.
- Local anesthesia applied.
- Threads inserted via fine needle or cannula, then trimmed.
- Results and Recovery:
- Some immediate lift; more improvement after 6+ weeks as collagen forms.
- Minor swelling or bruising; likely back to normal within three days.
- Lasts 1–3 years; repeat treatments may be needed.
- Risks: Infection, thread migration or extrusion, asymmetry, allergic reactions, and possible visible threads.
Best Clinics in Korea for Sagging Neck Skin
Listed below are the best clinics in Korea for sagging neck skin:
| Clinic Name | Key Features | Special Techniques |
|---|---|---|
| THEPLUS Plastic Surgery | Four-floor, fully integrated clinic delivering world-class care from consultation through surgery and post-operative skincare. Led by acclaimed director surgeons Dr. Jeong Jae Yong and Dr. Kim Taek Kyun—internationally recognized educators, researchers, and contributors to leading journals—the team is known for uncompromising safety and natural, balanced outcomes. Dr. Jeong, President of the Korean Society of Plastic Surgeons, and Dr. Kim, a board-certified authority with award-winning research on 3D implants and the author of “Rebuilding Nose,” embody the clinic’s research-driven, education-forward ethos. Together with board-certified breast specialist Dr. Lee, who brings top-tier experience from Seoul National University Hospital, the surgeons prioritize harmony of facial features, personalized communication, and long-lasting results, supported by a staff with over a decade of experience and active membership in global plastic surgery societies. | Comprehensive, tiered solutions: surgical face lift for more advanced laxity, plus minimally invasive options such as thread lift, Duo Skin Lifting, face fat grafting, fillers, and Botox to address skin looseness, contour, and texture. Precision in lower-face artistry: deep expertise in facial contouring (V-line, square jaw, cheekbone, and facial implants) ensures the jawline and chin are refined in harmony with the neck for naturally youthful proportions. Harmony- and function-first philosophy: Dr. Kim’s balance-focused approach and Dr. Jeong’s integration of function and beauty produce refined, natural-looking neck rejuvenation rather than over-tightened results. Elite leadership and credibility: Dr. Jeong’s presidency of the Korean Society of Plastic Surgeons and Dr. Kim’s award-winning research and international teaching ensure patients benefit from the most current, evidence-based techniques. Research-driven, education-forward care: surgeons who lecture globally, run annual educational sessions, and publish scholarly work bring cutting-edge methods to every treatment plan. Safety without compromise: a board-certified team with 10+ years’ experience and active participation in major societies (including the American Society of Plastic Surgeons) underpins rigorous standards and consistent outcomes. End-to-end convenience and aftercare: a purpose-built, four-floor facility streamlines consultation, procedure, and post-operative skincare—key for optimal healing and skin tightening results. Long-lasting, natural outcomes: meticulous planning and execution, informed by high-volume facial practice and revision expertise, aim for durable improvements that age gracefully. |
| PangPang Clinic | PangPang Clinic in Gangnam, Seoul is a leading dermatology and skin-care plastic surgery clinic that has dedicated the past decade to mastering thread lifting, making it a premier destination for treating sagging neck skin without surgery. With an exclusive focus on thread lifting, the clinic blends research-driven innovation with meticulous clinical practice to deliver refined, natural-looking neck rejuvenation. Patients benefit from personalized planning, high-standard materials, and a comprehensive system that includes ultrasonic visualization, custom thread selection, and structured aftercare. Known for welcoming both local and international clients, PangPang Clinic provides efficient, minimally invasive neck lifting solutions with minimal downtime and enduring results. | Exclusive specialization: A medical institution focused solely on thread lifting, ensuring unmatched expertise for neck laxity, jawline definition, and submental tightening. Global leadership: Established the world’s first and only Thread Lifting Research Institute, driving continuous innovation specifically applicable to neck anatomy and aging. Academic authority: Medical team delivers invited lectures and presentations at international beauty conferences, shaping global standards in thread lifting. Data-driven outcomes: Ongoing development of high-satisfaction techniques based on robust research and clinical data, improving lift, longevity, and skin quality in the neck. Precision personalization: Uses 31 specialized, functional threads—lifting, assist, tightening, and volume—to tailor the optimal combination for each neck’s skin thickness, laxity pattern, and contour goals. Comprehensive planning: Thread Lifting Consultation Center listens closely to each client’s concerns and designs a tailored neck plan with ultrasonic visual checks and pre-operative design. Minimal downtime, lasting benefits: Typical treatment time is 30 to 60 minutes with minimal discomfort, flexible anesthesia options, and results that last about a year or more while stimulating collagen for improved neck elasticity. Revision expertise: Dedicated Thread Lifting Revision Center to correct prior unsatisfactory thread lifts, often integrating fillers, Botox, or lasers for natural, balanced neck and jawline outcomes. Unlimited thread customization and aftercare: Case-by-case thread quantity and configuration with a structured aftercare package to enhance and maintain results. Trusted safety and materials: Commitment to high-quality, absorbable thread components and meticulous technique for reliable, natural-looking neck rejuvenation. |
| Made Young Plastic Surgery | Made Young Plastic Surgery in Gangnam is Korea’s premier choice for correcting sagging neck skin, uniting advanced SMAS-level technique with rigorous safety and dedicated aftercare. After thoroughly analyzing each patient’s specific patterns and causes of laxity, the MadeYoung team precisely dissects beneath the SMAS layer to release stretched supporting tissues, then lifts the skin, fat, and SMAS together for comprehensive tightening; the lifted tissues are secured vertically in the opposite direction of sagging to prevent unnatural cheekbone accentuation and deliver natural, long-lasting rejuvenation of the neck and jawline. As a premium clinic specializing in facial and anti-aging procedures, MadeYoung is led by a verified medical team of highly skilled surgeons with an average of over 15 years of experience, providing direct consultation and diagnosis before any procedure. Safety is ensured by full-time board-certified anesthesiologists, 1:1 dedicated monitoring, a cross-check system for rapid, precise responses in emergencies, and full CCTV coverage for maximum transparency. A separate dedicated aftercare center delivers complete, systematic post-procedure support. Recognized with the 2022 Korea No.1 Award and 2022 Korea Customer Satisfaction 1st Place, and distinguished as an Outstanding Member of the Korean Society of Plastic and Reconstructive Surgeons and certified by the Minimally Invasive Aesthetic Surgery Society, Made Young Plastic Surgery offers the expertise, systems, and results discerning patients seek for a firmer, more youthful neck contour. | SMAS-level tightening with dissection beneath SMAS, releasing stretched supporting tissues; lifting the skin, fat, and SMAS together; tissues secured vertically to oppose sagging and prevent unnatural cheekbone accentuation. Premier team with average 15+ years of experience, 1:1 dedicated monitoring, CCTV coverage, full-time anesthesiologists, cross-check system for emergencies, dedicated aftercare center, and multiple awards. |
THEPLUS Plastic Surgery
THE PLUS Plastic Surgery, located in Garosu-gil, Gangnam, Seoul, is a four-floor, fully integrated clinic delivering world-class care from consultation through surgery and post-operative skincare. Led by acclaimed director surgeons Dr. Jeong Jae Yong and Dr. Kim Taek Kyun—internationally recognized educators, researchers, and contributors to leading journals—the team is known for uncompromising safety and natural, balanced outcomes. Dr. Jeong, President of the Korean Society of Plastic Surgeons, and Dr. Kim, a board-certified authority with award-winning research on 3D implants and the author of “Rebuilding Nose,” embody the clinic’s research-driven, education-forward ethos. Together with board-certified breast specialist Dr. Lee, who brings top-tier experience from Seoul National University Hospital, the surgeons prioritize harmony of facial features, personalized communication, and long-lasting results, supported by a staff with over a decade of experience and active membership in global plastic surgery societies.
- Why THE PLUS excels for sagging neck skin:
- Comprehensive, tiered solutions: surgical face lift for more advanced laxity, plus minimally invasive options such as thread lift, Duo Skin Lifting, face fat grafting, fillers, and Botox to address skin looseness, contour, and texture.
- Precision in lower-face artistry: deep expertise in facial contouring (V-line, square jaw, cheekbone, and facial implants) ensures the jawline and chin are refined in harmony with the neck for naturally youthful proportions.
- Harmony- and function-first philosophy: Dr. Kim’s balance-focused approach and Dr. Jeong’s integration of function and beauty produce refined, natural-looking neck rejuvenation rather than over-tightened results.
- Elite leadership and credibility: Dr. Jeong’s presidency of the Korean Society of Plastic Surgeons and Dr. Kim’s award-winning research and international teaching ensure patients benefit from the most current, evidence-based techniques.
- Research-driven, education-forward care: surgeons who lecture globally, run annual educational sessions, and publish scholarly work bring cutting-edge methods to every treatment plan.
- Safety without compromise: a board-certified team with 10+ years’ experience and active participation in major societies (including the American Society of Plastic Surgeons) underpins rigorous standards and consistent outcomes.
- End-to-end convenience and aftercare: a purpose-built, four-floor facility streamlines consultation, procedure, and post-operative skincare—key for optimal healing and skin tightening results.
- Long-lasting, natural outcomes: meticulous planning and execution, informed by high-volume facial practice and revision expertise, aim for durable improvements that age gracefully.
You can check out their website here: THEPLUS Plastic Surgery Website
PangPang Clinic
PangPang Clinic in Gangnam, Seoul is a leading dermatology and skin-care plastic surgery clinic that has dedicated the past decade to mastering thread lifting, making it a premier destination for treating sagging neck skin without surgery. With an exclusive focus on thread lifting, the clinic blends research-driven innovation with meticulous clinical practice to deliver refined, natural-looking neck rejuvenation. Patients benefit from personalized planning, high-standard materials, and a comprehensive system that includes ultrasonic visualization, custom thread selection, and structured aftercare. Known for welcoming both local and international clients, PangPang Clinic provides efficient, minimally invasive neck lifting solutions with minimal downtime and enduring results.
Why PangPang Clinic is the best choice for sagging neck skin
- Exclusive specialization: A medical institution focused solely on thread lifting, ensuring unmatched expertise for neck laxity, jawline definition, and submental tightening.
- Global leadership: Established the world’s first and only Thread Lifting Research Institute, driving continuous innovation specifically applicable to neck anatomy and aging.
- Academic authority: Medical team delivers invited lectures and presentations at international beauty conferences, shaping global standards in thread lifting.
- Data-driven outcomes: Ongoing development of high-satisfaction techniques based on robust research and clinical data, improving lift, longevity, and skin quality in the neck.
- Precision personalization: Uses 31 specialized, functional threads—lifting, assist, tightening, and volume—to tailor the optimal combination for each neck’s skin thickness, laxity pattern, and contour goals.
- Comprehensive planning: Thread Lifting Consultation Center listens closely to each client’s concerns and designs a tailored neck plan with ultrasonic visual checks and pre-operative design.
- Minimal downtime, lasting benefits: Typical treatment time is 30 to 60 minutes with minimal discomfort, flexible anesthesia options, and results that last about a year or more while stimulating collagen for improved neck elasticity.
- Revision expertise: Dedicated Thread Lifting Revision Center to correct prior unsatisfactory thread lifts, often integrating fillers, Botox, or lasers for natural, balanced neck and jawline outcomes.
- Unlimited thread customization and aftercare: Case-by-case thread quantity and configuration with a structured aftercare package to enhance and maintain results.
- Trusted safety and materials: Commitment to high-quality, absorbable thread components and meticulous technique for reliable, natural-looking neck rejuvenation.
You can check out their website here: PangPang Clinic Website

Made Young Plastic Surgery
Made Young Plastic Surgery in Gangnam is Korea’s premier choice for correcting sagging neck skin, uniting advanced SMAS-level technique with rigorous safety and dedicated aftercare. After thoroughly analyzing each patient’s specific patterns and causes of laxity, the MadeYoung team precisely dissects beneath the SMAS layer to release stretched supporting tissues, then lifts the skin, fat, and SMAS together for comprehensive tightening; the lifted tissues are secured vertically in the opposite direction of sagging to prevent unnatural cheekbone accentuation and deliver natural, long-lasting rejuvenation of the neck and jawline. As a premium clinic specializing in facial and anti-aging procedures, MadeYoung is led by a verified medical team of highly skilled surgeons with an average of over 15 years of experience, providing direct consultation and diagnosis before any procedure. Safety is ensured by full-time board-certified anesthesiologists, 1:1 dedicated monitoring, a cross-check system for rapid, precise responses in emergencies, and full CCTV coverage for maximum transparency. A separate dedicated aftercare center delivers complete, systematic post-procedure support. Recognized with the 2022 Korea No.1 Award and 2022 Korea Customer Satisfaction 1st Place, and distinguished as an Outstanding Member of the Korean Society of Plastic and Reconstructive Surgeons and certified by the Minimally Invasive Aesthetic Surgery Society, Made Young Plastic Surgery offers the expertise, systems, and results discerning patients seek for a firmer, more youthful neck contour.
You can check out their website here: Made Young Plastic Surgery Website
The Medical Tourism Journey for Neck Procedures in South Korea
South Korea is a top choice for cosmetic surgery due to its advanced technology, highly specialized surgeons, and well-developed support systems for foreign patients.
Why South Korea?
- Innovation: Early adoption of new techniques and tech like 3D CT scans.
- Expertise: Surgeons specialize and perform high volumes, gaining exceptional skill.
- Value: Key procedures often cost 40–75% less than in the US or Europe—without compromising on standards.
- Full-Service Agencies: Agencies coordinate everything from visas and flights to translation services and recovery care.
- Cultural Competence: Surgeons have extensive experience operating on patients from diverse backgrounds.
This creates a “medical tourism ecosystem” that handles logistics, making the process much easier.
Step-by-Step Patient Journey
- Arrival and Consultation: After arrival and settling, patients attend in-person consults and undergo preoperative tests.
- Surgery Day: Surgery is performed with the needed incisions and muscle tightening. Some may have an overnight clinic stay.
- Early Recovery: Patients rest, take medication, wear a compression garment, and return to the clinic for follow-ups and stitch removal.
- Departure: Before leaving, a final check-up confirms it’s safe to travel, and home care instructions are given.
- Required Documents: Includes ID, visa confirmation, insurance, medical opinions, and proof of accommodation.
Choosing a Qualified Clinic and Surgeon
- Clinic Accreditation: Certified by the Ministry of Health and Welfare with rigorous patient safety standards.
- Board Certification: Surgeons should be board-certified by organizations like KSPRS or KAPS.
- Anesthesiologist: Presence of a full-time anesthesiologist enhances safety.
- Specialization: Look for extensive experience with the chosen procedure.
- Facilities: Advanced technology, sterile environments, and emergency readiness.
- Communication: Surgeons should listen and explain clearly—translation support is available.
- Testimonials and Agency Support: Patient photos and recommendations help, as do agency services for clinic and surgeon selection.
These practices help ensure both safety and satisfaction, debunking the myth that lower costs mean lower quality.
Costs and Value Proposition for Medical Tourists
South Korea’s appeal is increased by its affordability combined with exceptional quality.
Cost of Double Chin Tightening (Neck Lift/Liposuction)
- Neck Lift: Ranges from about $1,820 to $6,820 USD.
- Submental Liposuction: Typically less costly than a full neck lift.
- Deposit: A 10% deposit is often required to secure a procedure.
Cost of Neck Thread Lift in South Korea
A neck thread lift is roughly $1,800 USD at clinics like DM Dermatology in Seoul, while global averages are often higher.
Comparative Cost Analysis
Table 1: Estimated Costs of Neck Lift Procedures by Country
| Country | Average Neck Lift Cost (USD) |
|---|---|
| South Korea | $1,820 - $6,820 |
| USA | $3,500 - $10,650 |
| Turkey | $1,500 - $3,500 |
| Mexico | $2,500 - $5,000 |
| Thailand | $2,000 - $4,500 |
| Germany | $10,000 - $15,000 |
| United Kingdom | $9,000 - $14,000 |
| France | $8,500 - $13,000 |
| Italy | $8,000 - $13,500 |
| Spain | $7,500 - $12,000 |
Table 2: Estimated Costs of Neck Thread Lift Procedures by Country
| Country | Average Thread Lift Cost (USD) |
|---|---|
| South Korea | $1,800 |
| USA | $3,500 - $6,000 |
| Turkey | $750 - $1,200 |
| Mexico | $450 - $2,200 |
| Thailand | $1,800 |
| India | $1,000 |
| UK | $2,800 |
What's Included in Packages
Packages typically cover:
- Pre-operative consults, tests, surgery, anesthesia, medication, and follow-ups
- Flights, accommodation, airport transfers, in-country transport, and translation
- Higher-tier packages may include guided tours, private nursing, recovery therapies, comfort kits, and meal plans
Overall Value
South Korea offers high-quality procedures at a value that includes significant cost savings, advanced technology, and a streamlined experience. Though sometimes pricier than Turkey or Mexico, South Korea’s comprehensive packages, medical specialization, and robust infrastructure make financial planning simpler and the experience less stressful for visitors.
Patient Experiences and Outcomes
Patient satisfaction data is high for both surgical and non-surgical neck procedures, though expectations and results vary.
Double Chin Tightening (Neck Lift/Liposuction)

- Satisfaction: About 91% of patients rate these procedures as “Worth It,” with long-lasting, natural results and improved neck contour.
- Concerns Addressed: Tackles issues like jowling, severe skin laxity, and “turkey neck.”
- Recovery: Initial discomfort resolves; scars often heal well and are hidden.
- Longevity: Results can last 10 years or more.
Neck Thread Lift
- Experience: 75% “Worth It” rating; immediate lift is typical, but main improvement shows over weeks as collagen builds.
- Advantages: Minimal downtime, subtle and natural-looking enhancements, improved jawline, and boosted confidence.
- Drawbacks: Temporary—lasting 1–3 years. Maintenance is required for lasting effect.
- Suitability: Best for mild-to-moderate sagging, not severe laxity.
Testimonials and Before/After Insights
Patients praise the rejuvenating, natural look of surgical neck lifts. For thread lifts, many like the refreshed appearance and quick recovery, though expectations for dramatic results sometimes lead to disappointment, especially before collagen stimulation kicks in.
Risks, Complications, and Considerations
- Surgical Risks: Hematoma, infection, scarring, nerve injury, skin loss, poor healing, and anesthesia reactions.
- Thread Lift Risks: Infection, thread migration, asymmetry, visible threads, allergic reactions, and pain; results are always temporary.
- Practitioner Skill: Technique and experience are critical for good outcomes.
- Preparation: Quit smoking and stop certain medications before procedures; follow all aftercare guidelines.
Patients should keep in mind that final results may take weeks or months. Setting realistic expectations and working with experienced, certified surgeons are essential for satisfaction.
Conclusion
Addressing sagging neck skin—from surgical neck lifts and submental liposuction to neck thread lifts—requires understanding the condition, treatment options, and expected outcomes. South Korea stands out as a leading destination by blending advanced expertise, affordability, and comprehensive medical tourism support. Patient satisfaction rates are high when the choice of procedure matches individual needs and expectations, reinforcing the importance of thorough research, qualified practitioners, and clear communication about recovery and results.
References
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