Submentoplasty or Neck Lift for Fat and Sagging Under Chin?

In these current times there is so much emphasis on "mini" this and that it is not what the consumer should be focused on. You have both issues: submental and excess skin laterally. In doing facelift surgery for more than 30 years I try to give patients the best result, not the "mini-est". This means addressing both problems.

A neck lift is a general term used for rejuvenating the neckline to create a more youthful attractive appearance. Factors which are considered during your consultation to determine if you are a #candidate for #rejuvenating the neck include: •Visibility and amount of excess fat below the chin and along the neckline.•The presence of banding down the front of the #neck.•The amount of #excess skin and condition of your skin.•Chin Deficiency.•Presence of Prominent Digastric Muscles (a.k.a. submandibular gland fullness).
During the examination the chin will be evaluated along with the neck and jawline.  A weak #chin means there is not adequate chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local anesthesia. For individuals with signs of aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.
If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend non-surgical alternatives to improve your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible. 

It is possible that you may be a candidate for what I have termed, "The Laser Assisted Weekend Necklift:" It is a minimally invasive procedure. Cervicofacial Liposculpture is first employed to contour the unfavorable fatty changes seen in the face and neck as time passes by, such as the ‘Turkey neck’ and ‘double chin’.Careful attention is then turned to tightening the neck muscles and eliminating neck bands. Finally, I employ laser technology to ‘resurface’ the underside of the neck skin, thereby ‘shrinkwrapping’ the skin of the neck restoring a youthful contour.A consultation with a board certified facial plastic surgeon or board certified plastic surgeon will help determine which procedures will provide the best results for you.

You are an ideal candidate for a necklift. This would include liposuction of the neck and area under the chin, tightening the muscles under your chin, and skin tightening as well.  This is considered a pretty standard necklift and will give you a nice, smooth contour of your jawline and neck.

When discussing neck rejuvenation, there are usually several options. The difficult part is the terminology that is used may differ by surgeons. Generally speaking, a facelift with necklift will provide the best outcomes in neck contouring. However, lesser involved procedures may also provide a good result. I would recommend several consults until you are satisfied that you understand the terminology and what each option will provide. Best of luck!

The question often arises, "would this procedure help" or "which procedure would help more?", especially in this area of the face. To makes matters more confusing, some doctors consider a necklift to be a procedure performed just under the chin; other doctors consider it to be a lower facelift addressing primarily the neck. How is the patient to know the difference?
Our focus is," what procedure or combination of procedures will give the patient their BEST result."
In my opinion, your best result will come with a combination of two procedures, one to tighten the neck muscles and deeper structures; the second to reduce extra skin vis incisions behnid and around the ears.
A corset platysmaplasty with removal of fat (often called a necklift or submentoplasty) will do just that, tighten the deep layer and reduce extra fat below the chin.
Our version of the submental necklift is the Neck-Lace(TM), an interlacing procedure for underneath the neck. This procedure , in our practice, is either step one of a necklift and facelift for problems such as the ones in your picture; or as a standalone procedure for patients in their twenties and thirties who have a "double chin".
A facelift will tighten the extra skin away from the submental area. A (submental)necklift alone will NOT tighten the skin, the drawback of using a necklift (or submentoplasty) alone to rejuvenate the neck.

For fat and excess skin under the neck, submentoplasty is not the best option. For any extra skin the best way to remove it is by pulling it behind the ear and excising it in that area. Excising extra skin under the chin always causes small dog ear pouches.
You can also benefit from platysmaplasty which is easier to do with a necklift.
Regards

The modality to be used to im-prove neck contour  is based on the physical exam. Non-invasive therapies are only useful for minor corrections. Skin only incision are not useful because skin is elastic and will only relax over time. Any excess skin will have to be removed but that is only half the solution. More often than not, the underlying structure (muscle, deep and superficial fat) need to be tightened, some removed and repositioned. This type of lift tightens the neck muscle (platysma) if they are loose or splayed. During this procedure a 3cm incision is made just behind the chin crease and the muscle in the neck is accessed and tightened with sutures in way a corset would be tightened. Chin implant and liposuction can be done through this same incision. See a board certified plastic surgeon for a treatment plan specific to your needs.

Based on your photograph, I would be concerned about remaining skin looseness with a necklift but no skin removal/redraping across the entire neck. I would lean toward necklift.

It looks like fromthe one photo that you posted that you could benefit from neck skin redraping at the minimum. You may also require some fat contouring as well.  As for muscle work, I would have to evaluate you.