There is a subset of male patients that is troubled by redundant midline skin of the neck. Such patients may not be interested in having a face lift; they simply want elimination of the "turkey neck" appearance. Removal of redundant skin and underlying tissue can produce excellent results. We report our use of anterior cervicoplasty consisting of submental excision, midline platsymal placation and cutaneous Z-plasty using only minimal oral sedation and local anesthesia. This procedure can be a safe alternative to a face-lift for a select group of patients.