Jaime AlfaroIf there’s one thing that sneaks up on you fast, it’s neck sagging. A friend of mine recently went through this. She spotted her profile in a store window, froze, and said it looked like her neck “gave up without sending a memo.”
After trying every cream and gadget the internet promised would work, she finally realized she needed real solutions.
That’s why having a solid list of the best clinics for neck lift in San Antonio matters. With so many options out there, it’s hard to know who actually delivers results and who just has good lighting on their website.
If you’re ready to tighten things up and skip the trial-and-error stage, this roundup will point you straight to the clinics people trust.
How much does a neck lift procedure cost in San Antonio?
Neck lift procedures in San Antonio usually cost $8,000 to $12,000, depending on the surgeon and technique. Additional fees, such as anesthesia or facility charges, may increase the final price.
1. Advanced Aesthetics
Address: 18322 Sonterra Pl #107, 78258
Contact Details: +1 210-903-1661
Operating Hours:
- Monday to Friday – 8:00 AM to 5:00 PM
- Saturday to Sunday – Closed
Advanced Aesthetics’ Dr. Manuel Lopez brings strong credentials. As a board-certified facial plastic and reconstructive surgeon with training in otolaryngology and facial plastic surgery, he pays close attention to shaping the neck and jawline.
I was struck by how he goes beyond tightening skin. He often combines a neck lift with liposuction to address excess fat under the chin or along the jaw.
Dr. Lopez personalizes each procedure. During the consultation, he reviews your goals and medical history, explains anesthesia options, and guides you on preparation. This includes medication adjustments and smoking cessation.
During surgery and recovery, his aesthetic eye is evident. Incisions are placed to minimize visibility. Patients receive clear instructions on managing swelling and bruising, using the compression garment, and following activity restrictions.
The main drawback is administrative. I spoke to some clients who mentioned scheduling and follow-up frustrations. While these are logistical rather than clinical issues, proactive communication can help smooth the experience.
Everyone is overly qualified
“Excellent staff. Kind and friendly. I would recommend any and everyone to be taken care of by the Lopez aesthetic family. Everyone is overly qualified and all work together to make it the best experience going through surgery. Thank you again”
– Francis Vanwisse, Google Review
Wonderful and extremely helpful staff
“PA Ashley is always so wonderful and professional! I love her recommendations and care she provides at every appointment. The entire staff is wonderful and extremely helpful.”
– Amanda Staggers, Google Review
2. Kenneth Yu Facial Plastic & Reconstructive Surgery
Address: 23119 W I-10 Building 11, 78257
Contact Details: +1 210-876-6868
Operating Hours:
- Monday to Friday – 9:00 AM to 5:00 PM
- Saturday to Sunday – Closed
Dr. Kenneth Yu is double board‑certified in Head & Neck Surgery and Facial Plastic & Reconstructive Surgery. What sets his practice apart is its exclusive focus on the face, head, and neck. So every staff member, protocol, and piece of equipment is tailored to these procedures.
The on-site surgical suite is accredited and private, offering modern equipment and licensed nursing staff. I like that it provides more privacy and potentially lower infection risks than a hospital operating room.
Neck lifts are done outpatient, with anesthesia either general or local with sedation. Incisions are discreetly placed behind the ears, in the hairline, or under the chin.
Follow-up care is handled personally by him, not assistants. I spoke with a patient who shared that the recovery was smoother than expected, and that Dr. Yu’s detailed post-op instructions made a huge difference.
The only downside is his schedule, which can be booked weeks or months ahead, so planning is essential.
Went over my extensive medical history thoroughly
“Let me start by saying I didn’t go into this neck and face lift lightly. I researched surgeons off and on for 2 years. I met with three others prior to Dr Yu and they were definitely more chatty and outgoing but I was very uncomfortable with their almost salesperson approach. When I met Dr Yu he came across incredibly professional and quietly confident. He never rushed me. He went over my extensive medical history thoroughly. We booked the surgery which I had to postpone for a year due to a new medical issue that arose. His office staff handled everything quickly and professionally. Now a year later I finally got to have the neck lift/ facelift. This precious doctor called me 6-7 times prior to surgery to alleviate any concerns. He communicated with my cardiologist and rheumatologist. He met me after hours to check on an issue that arose after the surgery (no fault of the surgeon- I have an autoimmune issue that affected my response). The poor guy even texted with me in the middle of the night on his vacation. I cannot imagine ANY other doctor would have been this attentive- EVER ! Seriously- don’t look for another doctor. He is the BEST. My results are very natural looking and don’t have that weird wind swept look some plastic surgery in less competent hands results in. My pain level was next to nothing. I am six weeks out and most scarring already barely visible. I thought this type of surgery was only for the wealthy but the costs were extremely reasonable. I am very happy I decided to take the leap and do it but even more thankful I took the time to find the most caring and capable doctor around. Beautiful facility, kind personnel, an exceptionally skilled surgeon- why would you ever go anywhere else?!”
– Kim McKnight, Google Review
Informative first consult, pre-op, post-op, and follow-up
“It has been 2-months since my neck & face-lift. I am delighted. I had lost a lot of weight and it showed on my saggy 69-yo face. Dr Yu gave me back my jawline and a smooth neckline. He also performed a lower bleph, which eliminated serious dark circles under my eyes. His care from first consult, pre-op, post-op, and follow-up has been kind, informative, and patient. I highly recommend Dr Yu for any face work. I am, as I said, delighted.”
– Cherie Rhoad, Google Review
3. Dr. Jeneby Plastic Surgery
Address: 19323 Stone Oak Parkway, Floor 2, 78258
Contact Details: +1 726-240-6800
Operating Hours:
- Monday to Friday – 9:00 AM to 6:00 PM
Dr. Thomas T. Jeneby’s credentials are immediately reassuring. He’s Board-Certified in Plastic Surgery, Ivy League trained, and has performed thousands of surgeries since 1996.
Safety is clearly a priority here, with procedures done in certified surgical facilities that maintain strict compliance and independent accreditations.
What stood out most to me, and to a patient I spoke with who recently underwent a neck lift, was the clinic’s attention to both safety and comfort.
The “cell-saver auto-infusion” technology and non-opioid pain management with EXPAREL made recovery smoother than expected for many.
The technology, which recycles the patient’s own blood during surgery, really demonstrates their attention to detail and emphasis on minimizing transfusion risks.
Follow-up care is handled at the clinic’s dedicated post-surgical facility, which is convenient and professional.
However, I did notice that during busier times, staff attention might not be as hands-on as in smaller, boutique practices. If personalized aftercare is important to you, it’s worth discussing it before booking.
The staff and doctor treated me very well
“I had a mini facelift, neck lift and rhinoplasty two weeks ago. I’m 55 years old. The first week was rough but I’m happy with the results and I’m sure in time once all the swelling goes away I’ll love my results. Doing everything at once is not for the faint of heart, I would recommend doing it in two separate times. The staff and doctor treated me very well. Highly recommend Dr Jeneby for these procedures.”
– Estela Gearlds, Google Review
Best money I’ve spent
“Today marked my 6 month checkup. I wanted to wait to document my review, so that I could really know & experience what this location had to offer. My initial consultation went well. Dr. Jeneby answered all my questions thoroughly. I did my research with 5 other locations. I was impressed with what I saw & read. Yes, there were both good & not so good reviews, but Dr. Jeneby impressed me. The staff at Spa Black are all top notch. Lena at the front desk, the nurses, PAs, & assistants are awesome. Bottom line, I would have my services done again & again as long as Dr. Jeneby & Dr. Phillips are my doctors. You ALL made this decision & experience well worth it!! Best money I’ve spent. THANK YOU DR. JENEBY!! I love you guys. Blessings to all.”
– Caroline Sewell, Google Review
4. Jose Barrera, MD
Address: 14603 Huebner Rd, Building 1, Suite 101, 78230
Contact Details: +1 210-468-5426
Operating Hours:
- Monday to Friday – 8:00 AM to 5:00 PM
- Saturday to Sunday – Closed
Dr. Jose Barrera isn’t just another board-certified facial plastic surgeon—he’s internationally recognized, with over 70 academic papers published. His expertise shows in the care he takes with each patient.
What stands out most is his individualized treatment plans. During consultations, he evaluates anatomy and goals to create a tailored plan for each patient. One person I spoke with appreciated how their neck bands and jawline concerns were specifically addressed.
Procedures are performed in either the on-site American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)- certified surgical facility or at Christus Santa Rosa Hospital. Advanced options include corset platysmaplasty, which tightens neck muscles for a more refined jawline.
He also offers the rare incisionless Genioplasty Neck Lift, using intraoral access to minimize scarring and a low-profile plate to stabilize the chin. It’s a technique few surgeons provide.
But it’s important to note that the level of expertise, advanced techniques, and highly individualized care come at a premium price point.
I could not be happier with the results
“I had a face lift, neck lift, brow lift, and blepharoplasty done by Dr. Barrera in July 2025. I could not be happier with the results. From the very first consultation, Dr. Barrera took the time to listen carefully to my concerns, explain the options, and answer every question with honesty and kindness. The surgery itself went smoothly, and the recovery was exactly as Dr. Barrera described. I felt supported every step of the way by his team, who were compassionate, professional, and always available when I needed reassurance. The results are truly amazing—natural, refreshed, and exactly what I had hoped for. Friends and family have noticed how great I look, but no one can tell I’ve had “work” done—they just say I look rested and vibrant again. I am so grateful to Dr. Barrera for his skill, artistry, and care. I would highly recommend Dr. Barrera to anyone considering facial plastic surgery.”
– Paula Vogel, Google Review
I am so very happy with the outcome
“I am soooo very happy with the outcome of my Facelift/Neck Lift and Rhinoplasty! Dr Barrera and his staff provided me with all the information I needed to make the decision to have surgery and and made the recovery process easy. Thank you Dr Barrera!”
– Eva Herrera, Google Review
5. San Antonio Plastic Surgery Institute
Address: 414 W Sunset Rd Ste 215, 78209
Contact Details: +1 830-402-5133
Operating Hours:
- Monday to Thursday – 8:15 AM to 5:00 PM
- Friday – 8:15 AM to 1:00 PM
- Saturday to Sunday – Closed
At San Antonio Plastic Surgery Institute, neck lifts are performed by board‑certified surgeons Michael E. Decherd, MD, and Matthew H. Isakson, MD.
During the initial consultation, they carefully assess neck anatomy, skin laxity, and fat distribution. They also include the overall health to decide whether a full neck lift or a combination of liposuction and tightening is best.
I spoke with a patient who had the procedure recently, and they appreciated how the surgeons explained why certain areas needed more attention and tailored the plan to their specific anatomy.
The procedure often includes fat removal, skin trimming, and platysma tightening to create natural, refreshed results. The clinic emphasizes “natural‑looking results,” aiming for subtle rejuvenation rather than dramatic changes.
Post‑surgery, patients are monitored and typically discharged the same day.
However, a few clients mentioned feeling rushed during follow-up appointments, with limited time for questions. This is something to consider if you value extra guidance after surgery.
Made the entire process completely comfortable
“Dr. Decherd and his staff are absolutely amazing! Everyone was so kind and made me feel completely comfortable through the whole process. I had a mommy makeover and couldn’t be happier with my results — I honestly wish I had done it sooner! I feel so confident and like myself again. Don’t wait… you’ll be in the best hands with Dr. Decherd and his team! 💕”
– Katie B, Google Review
Professional, yet still kind and friendly
“Business attitudes go downstream and knowing how adept and kind Dr. Dechert is, it is not surprising that his staff from Heather and Sarah, to the assistants to the receptionists, are all the same, professional, yet still kind and friendly. Superior experience.”
– Larry Schwartz, Google Review
