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The neck and jawline are among the first places age becomes visible, but the changes don't look the same in every patient. Men tend to develop pronounced platysmal banding (the thick vertical cords that form along the front of the neck) alongside heavier submental fat deposits that resist even significant weight loss. Women more commonly present with finer submental skin laxity and earlier softening of the cervicomental angle, the crisp line of definition between chin and neck, with a delicate crepe texture often appearing long before structural banding sets in. These are distinct anatomical stories, and they call for distinct surgical plans.
At Hill Country Plastic Surgery in San Antonio, Dr. Scott J. Farber and Dr. Amita Shah bring what few practices in the region can match: a board-certified plastic and reconstructive surgeon with craniofacial fellowship training, working alongside a double board-certified plastic and reconstructive surgeon, approaching every case together. This blog explores how that collaboration shapes the outcome, and why two perspectives consistently produce more natural results than one.
How the Neck and Jawline Age Differently for Men and Women
The platysma, a flat, sheet-like muscle spanning the front of the neck, changes over time in ways shaped heavily by individual anatomy. The aging patterns that matter most in the lower face tend to diverge along these lines:
- Men frequently develop more structurally prominent platysmal bands due to differences in muscle thickness and density. Submental fat often sits in deeper tissue layers and can be more extensive; the treatment goal is typically to restore a jawline that reads as angular and defined.
- Women more commonly experience finer-grade skin laxity and earlier loss of cervicomental definition. Platysmal changes tend to be subtler but no less disruptive to overall profile harmony, and thinner, more reactive skin can show crepe texture well before structural banding appears.
Treating both presentations by the same formula leaves precision on the table.
What a Craniofacial Perspective Brings to the Lower Face
Dr. Farber completed fellowship training in craniofacial aesthetic and reconstructive surgery at NYU Langone, where he worked on some of the most structurally complex facial cases in the country. That foundation gives him an unusually precise read on how bone structure and soft tissue of the lower face interact. For neck lift results that look genuinely natural, precision matters at every layer of the anatomy.
For male patients in particular, the goal is a jawline that looks strong and genuinely natural. Precision at that structural depth separates a refined result from an obvious one.
What a Reconstructive and Engineering Perspective Contributes
Dr. Shah is a double board-certified plastic and reconstructive surgeon whose background in biomedical engineering shapes how she evaluates tissue quality and behavior. Her work as an adjunct professor in the Biomedical Engineering PhD program at UTSA, with a specialty in biomaterials, informs how she anticipates tissue response and the way results settle over time.
Her reconstructive experience gives her a practiced eye for proportional refinement: restoring cervicomental definition and softening the chin-to-chest transition without any trace of the work that made it possible. Every surgical plan at Hill Country draws on both perspectives, something a single-surgeon practice simply cannot offer.
Meet Dr. Farber and Dr. Shah at Hill Country Plastic Surgery
For anyone considering a neck lift in San Antonio, who performs it matters as much as the procedure itself. Dr. Farber and Dr. Shah have built Hill Country on the conviction that outstanding results start long before the operating room, with meticulous planning and an approach tailored to each patient's anatomy. Schedule a consultation to see what two of San Antonio's most experienced board-certified plastic surgeons can achieve together.
This information is provided for educational purposes only and does not replace a consultation with a board-certified plastic surgeon. Outcomes, risks, and suitability vary from patient to patient.
