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.
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