Facelift: Q&A
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Best Procedure for Firming Neck and Chin?
I'm about to turn 50. The skin on my face is relatively firm and in great condition for my age so I don't need a Facelift.
However, my neck and chin area doesn't look nearly as good as my face. What are my options for firming up the neck and chin area?
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28 Doctor Answers |
Asked by
Louise1734
in San Francisco, CA
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Neck lift for comprehensive neck rejuvenation
There are three components in the neck that must be addressed for a comprehensive neck rejuvenation. These components are excess skin, fat above and below the muscle, and the muscle itself. The anterior platysmal bands are tightened with sutures placed in the neck. Fat is removed above and below the platysma muscle, and excess skin is tightened through incisions behind the ears. A lower face/neck lift is the most appropriate operation since a neck lift alone will not address the skin...
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Best options for tightening the neck and chin
This is probably not the answer you want to hear but, in my opinion, the best option for firming up the neck and chin is a facelift. That having been said, it is not a popular option and many individuals seek non-surgical treatments such as Thermage. The problem with many of these treatments is that they may be capapble of tightening the skin. However, they may deliver a 1-2 on a scale of 10 when what you need is a 7-8. IF you select a less agressive approach, be prepared to accept a less...
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Options for tightening neck - surgical vs. nonsurgical
Patients are often faced with two choices: to do what gives you the best result, or do what is convenient, inexpensive and gives you some result, just not the best result.
In our practice, we encourage patients to seek a course of action that gives the best result. It saves that middle, money and hope-wasting step of a minimally invasive procedure such as laser lipolysis, liposuction alone, necklift alone etc.
Many 50-year old woman who notice changes of aging in the chin and jawline area...
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How to tighten the neck without a facelift
Many patients come to us asking for their neck to be improved when, in fact, it is actually the face that needs improvement and that procedure also improves the neck. However, some patients truly have very little sagging skin in the face but have some excess fat in the neck along with mildly sagging skin in this region.
The "neck" really refers to jawline down to the clavicle. If the excess skin is near the jaw line (jowls), then the only real treatment is a facelift. If the...
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Portland Plastic Surgeon
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Can neck skin be firmed without a facelift?
As the other replies to your question have noted, there are no nonsurgical treatments that do what a facelift does. Many people do not realize that a facelift includes the neck. Having said that, I have treated many patients in your age group with a combination of liposuction and Thermage. With this combination, there is more tightening than with Thermage alone. It can all be done under local anesthesia with very little recovery time. Your best bet is to see a specialist who can offer a...
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Options for Neck Lift without Facelift
Thank you for the great question. This is something that I am asked on a regular basis, and requires a two part answer. First, the best way to rejuvenate the neck, in an appropriate candidate, is really to perform a comprehensive face and neck lift. This is because the muscle bands and loose skin in the neck are connected to the facial tissues. In many cases, it is very difficult to achieve a natural-looking result in the neck without touching the face. In select candidates,...
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Cosmetic Surgery is an Art and a Science
With out an exam and a photo, it is hard to answer. Facelift with neck rejuvenation are the most common procedure we perform. This is an artistic achievement for the patient and the surgeon.At age 50 you are in a great position to start the process. Consult a board certified plastic surgeon in your area. All the best
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A Facelift is the Best Procedure for Firming the Neck & Chin Areas
It’s not unusual to see women who have significant changes in their neck area as a result of facial aging. In many cases this may be the primary manifestation of aging, with the face itself being relatively unaffected. These changes may include loss of definition of the jawline, loss of the sharp angle between the neck and jaw, laxity of the underlying neck muscles with the formation of bands called turkey gobblers, fat accumulation and of course excess skin. To obtain an...
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Best procedure for firming the neck and chin should be tailored to you
Isolated neck lift procedures can be done to address the neck, and to a lesser degree, the chin. However, it is important to understand that, anatomically, the neck and face are a single sheet of deeper tissue with an overlay of a single sheet of skin. Often the best approach is to include the jawline as part of the procedure to ensure an even, natural appearance. Sometimes, a submental incision can satisfactorily address the area, but that would be exceptional at age 50. A limited incision...
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Isolated Neck lifts
I do not believe most patients understand that the bands and looseness in the neck are connected to the face, In fact the SMAS (sub muscular aponeurotic system) is a fascia (like grissel on steak) runs from the cheekbone to the clavicle. It is like a curtain.
It is hard to push a curtain up from below and make it look optimal. It is best to pull a curtain up from the top of the curtain, which is the face. This may not be what you want to hear, but the best way to treat the...
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Firming neck and chin area
The neck area and associated chin problems can be and are best handled by a post-auricular neck lift ( behind the ear incisions ). There really is no other way to do any significant neck tightening by any other method . Laser is not recommended in the neck and radio frequency proceedures ( Thermage ) have limited results. A good post-auricular neck lift ( back half of a facelift ) can be accomplished by an experienced surgeon under local anesthesia in 1 hour with hidden...
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Options for Firming Up the Neck and Chin
In patients that have fairly good skin and slight skin redundancy, non-operative ultrasound directed therapies like Ulthera may work and have been shown to work reasonably well in this area as well as those that have some early post operative neck laxity after a facelift.
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Necklift
Neck Lift (Cervicoplasty / Platysmaplasty): restoring elegance to the face
If a person’s neck does not appear youthful, the face – no matter how limited the aging changes are – will often not be perceived as youthful either, unless the aging neck is concealed.
Even in the absence of other signs of facial aging, a poorly-defined or sagging neck can add years to a patients overall facial appearance. When performed expertly and with great attention to detail, a...
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Liposuction in the neck is a more conservative approach to firming up neck and chin
If you are not ready to consider a face/neck lift at this point and would like a more conservative approach, you may consider simple liposuction in the neck. The post-operative inflammation following this procedure will cause the skin of the neck to tighten up and any excess fat under the chin can also be removed to improve the contour of the neck without facelift surgery.
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Firming neck and chin
What to do about firming the neck and chin? It really depends upon how they look. More than likely at 50 you need a neck lift. The neck tightening lasers( and I have one) can probably tighten the skin by about 20%
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Best options for firming neck and chin.
To firm the neck and chin; the skin needs to be tightened, the muscle beneath the skin (platysma muscle) needs to be tightened and smoothed, and areas of excess fat need to be reduced and sculpted for a better neck contour. This is best accomplished by a necklift/lower facelift. By elevating the skin of the neck, removing unwanted areas of fat and tightening the platysmal muscle with sutures at the midline and out at the side, this will allow the skin to redrape over an...
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Best Options For Firming Neck And Chin
The best necklift (and facelift) is to reposition the platysma muscle in what is termed a modified deep plane facelift. As this technique requires extensive knowledge of facial anatomy, seek a surgeon (plastic or facial plastic) who focuses on faces.
see video
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Procedure for firming neck and chin area
In my opinion, the best treatment for firming the neck and chin area is tightening the skin and platysma muscle that lies beneath the skin surgically with a neck lift. This is likely to give you the best and most permanent results. The extent of the skin tightening depends on the amount of skin laxity you have. A consultation with a surgeon will help you determine the best option for your specifiic anatomy.
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Hmmm
Without a photo(s) I am at a disadvantage. However, you may want to consider a neck lift, which is the lower half of a face lift. If your cheeks are in good shape, you can go ahead and fix your "problem" area, and when the time comes, you havent burned bridges for the cheeks.
Other options may be available depending on your exam, including liposuction.
sek
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Tightening Neck aqnd Chin Area skin
1. Filler; Sculptra will restore the thickness of the skin which happens because of loss of volume (collagen) over time.
2. Chemical Peel; Mild peel like 25% TCA if you are a caucasian without any tan will help.
3. Laser; Titan laser or Thermage will help.
4. Surgery, Neck liposuction and necklift.
Regards
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Often fixing the chin will fix the neck
If you are fifty and have a good face and a poor neck and chin, the problem is often poor support in the area of the chin. If you have an overbite, with a week protrusion of the Mentum (chin) there is poor support along the jawline. This results in the appearance of an early sag in the lower face and upper neck.
If this fits your situation, it can frequently corrected by an extended chin-jowl implant and some minor liposuction along the jaw line.
We also will often combine this with a...
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Lower face and or neck lift or non-surgical skin tightening can improve neck and chin appearance
There are many options depending on what is bothering you.
If you have excess fat under the chin and neck area laser liposuction can remove fat and tighten skin. The addition of a chin implant can markedly improve results.
If you have banding--2 parallel folds running up and down the neck--then you will need a surgical neck lift. If you have any jowling a lower face and neck lift is required.
If you only have a small amount of skin excess along the jawline and neck-very minimal, then...
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Neck Firming
When you say that you neck and chin area do not look as good as your face, can you explain further. Is it just crepey skin with fine wrinkles, perhaps some mottling or sun damaged skin and fine lines? And perhaps some acne scars? If this is the case, consideration may also be given to the Fraxel re:Pair which is quite good for skin resurfacing to get a more even skin tone and complexion, improve the fine crepey skin and give you a minimal amount of skin tightening. The down time would be...
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Skin tightening without Facelift
In patients who neither want nor need a facelift I do feel there is an option. In the right patient with some excess fat in the neck and minimally loose skin I perform a combination procedure of liposuction and Thermage. I havae found that in the right patient this combination gives noticeable result although not nearly as much as a facelift. I like this combined procedure as it works well in the younger patient and there is very little down time.
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Neck lift or tightening
You have a common problem. You are happy with your face, but see the signs of aging in your neck. You have a few options. First, you can have laser treatment via Smartlipo or Acculift which passes a laser underneath your skin and slightly tightens your skin and removes any extra fat tissue. This is much more effective than external laser treatment. Your second option is a neck lift which involves making an incision under your chin and behind your ears and excision (removing the extra...
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See a plastic surgeon who is a facelift specialist.
Chances are that the excess neck skin will need to be removed. That is a form of facelift. The so-called tightening treatments of various sorts are painful, expensive and don't do much in my experience--you get what you pay for. See a facelift specialist who will tell you what you need.
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Facelift for the neck and chin
No one "needs" a face lift, but with all due respect at age 50, my guess is that you would have more improvement from a short incision lift than from other available options. Unless you are blessed with unusually strong facial bones, which can support the overlying tissue, the aging process inevitably results in jowling and loose skin under the chin and in the upper neck.
Having said that, I do periodically have celbrities such as a 55 year old TV star I operated on a couple of weeks...
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There are a number of options for your face
There a number of ways neck skin can be tightened without a Facelift. Of course which applies to you really depends on a personal examination by a Facelift expert.
There are a number of external devices that do tighten the skin a little. I have not been impressed by the overall results for a broad spectrum of patients. The SmartLipo device actually tightens the skin from underneath by directly heating the neck fat. Botox can relax the bands in front of the neck, called platysma bands....
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