Traditional skin-tightening or neck-lifting has been and still is a satisfactory method for correcting an unsightly neck. In cases of fatty neck, prominent platysmal bands, or both, additional measures must be employed if the defects are to be corrected. Excellent techniques have been developed in the past several years to correct these defects but are not without their own problems. A more conservative approach to the platysma has been used satisfactorily, but in all cases the patient should be appraised of the anatomic problems and provide some input into the approaches used.