Neck liposuction is used to remove excess fat from the neck area and minimize skin sagging. Small cannulas and multiple entry sites are necessary to achieve even fat removal without ridging or deformity. Tumescent anesthesia is key to reducing pain and bruising while facilitating fat removal. Liposuction of the neck is a procedure that is straightforward, takes 1 hour or less, and is rapidly healing with few complications. It is often a stand‐alone procedure or it can be combined with other procedures that may be indicated in the aging patient or those with pre‐existing anatomic factors. Proper selection of patients with fat in front of the platysma muscle and good technique that avoids overresection are key elements for achieving optimal results. Because aging of the neckline and drooping jowls are often the first major complaint of the aging patient, it is incumbent of the dermatologic surgeon to achieve mastery of this technique as it is likely to become one of his or her favorite procedures to perform.