Richard Baxter, MD

Of course you would have to be seen in consultation in order to make any sort of recommendation, but here are a few things to go on: For a younger patient, liposuction alone might suffice. This is of course surgery but can usually be done under local anesthesia. For someone a bit older with skin tone not as tight (say in their 40's to early 50's) then lipo plus immediate Thermage is sometimes a good option. (See photos on my profile page at Real Self). An older patient usually needs a facelift, so don't be sold on anything without a proven track record. I can't tell you how many patients I have seen who have had mesotherapy injections, or various laser procedures for neck fat with NO results.