When the neck area does not match the upper facial appearance, a neck lift may be a good solution. The loss of youthful contours in the face and neck can be due to a variety of factors including heredity, gravity, environmental conditions and stress. Some people feel they are not ready for a full facelift because the upper face is still pleasing. However, many patients will note excess wrinkling of the neck skin or double chin. Neck lift surgery may call for local anesthetic. In some cases, it may require general anesthesia as a personal preference.