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Submentoplasty or Neck Lift for Fat and Sagging Under Chin?
I'm considering submentoplasty or neck lift and wondering which one would be better for me. Some surgeon suggests neck lift, some submentoplasty. I'm 48 years old, normal weight, healthy woman. I have some extra fat under my chin and some sagging skin. I add the photo, where I'm swallowing, because then my neck look worse.
Asked 28 months ago by
Foreigner in finland
+1
Submentoplasty vs Necklift vs. Facelift
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...
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+2
Neck options
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.
+2
If you want the best result you will need both.
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.
+1
Necklifts outperform submentoplasty alone if skin tone is poor
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.
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Options for fat and sagging under the chin
A neck lift will not address the excess skin that is present in the submental area of the neck. A submentoplasty is simply just tying the muscles together. A comprehensive lower face/neck lift addresses all of the above including the jowling that is present. According to the photo, there is fat present in the neck, along with early platysmal banding, so a neck lift would be better than a submentoplasty.
+1
Submentalplasty or Neck Lift
There are several things I can tell from the picture you have provided (lateral and oblique views would also really help. First, you have the noticeable banding of the platysma. Next is the submental fullness. I understand that you say it's fat but it may be digastric muscle fullness and this can only be determined with an exam. Next, is the excess skin. And finally you have jowling, mild, but jowling just the same.
So here are your options from easiest and cheapest with the least...
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+1
Options exist.
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!
+1
A Necklift will do more to reduce the wrinkles under your neck.
Since you have very little fat under your chin, but a lot of loose skin, I think the necklift would be best for you. The lesser operation might, in fact, make the skin bunch up more under your neck.
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Submentoplasty or Neck Lift for fat and sagging under chin?
On the photograph submitted you demonstrate some sub mental fat but the main deformity is the pillars of your neck muscle (platysma) associated with central facial descent which are visible despite your cocking your neck up (which would normally smooth milder deformities).
The best approach here would be a facelift combined with a neck lift. The results would be superior to anything else.
Good Luck.
Peter A Aldea, MD, FACS
+1
Neck Lift or Submentoplasty both can mean the same thing
They both can mean the same thing, so you should talk to your doctor and ask him to tell you specifically what he means when he used each of those terms. A submentoplasty doesn't have a definite meaning specifically assigned to it. Since it is part of the neck, I consider it a neck lift or a type of neck lift (or submentoplasty / necklift / platysmaplasty).
Sometimes, surgeons differentiate a submentoplasty as a procedure which is limited to an incision under the chin. This could be...
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Bellevue Facial Plastic Surgeon
+1
Necklift Always Better Than Submentoplasty
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
Bedminster Facial Plastic Surgeon
+1
Neck lift will help you
You will need to have a consultation with more than one plastic surgeon to go over the options. You will need surgery and the best treatment will be face and neck lift combined. the reason for the combined procedure is to give you more natural look.
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Facelift, neck lift, "submentoplasty" - what's in a name?
There are many names for procdures to improve your neck. The key is to find a surgeon whose necks you love in many many photos of their patients and let them do the procedure that gives those results regardless of what name you call it. Check the necks on my web site for examples.
