Facelift: Q&A
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Will I Need a Facelift to Fix my Neck?
Will I need a face lift to fix my neck, I am only 42 and have extra skin on neck when I look down. Is it possible to do just a neck lift?
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39 Doctor Answers |
Asked by
diane42
in mississippi
+2
Facelift or necklift is probably not needed here.
Your photos do not seem to show excessive facial laxity or jowl formation in the one photo where you are not flexing your neck forward. BTW, even a child will get a "double or triple chin" when trying to touch the chin to the chest!
At your age, need for facelift/necklift is possible, but unusual. Rather, you have a relative microgenia (small chin), and if you do not need orthodontia or jaw surgery (dentist or oral surgeon will know if you don't already), a modest extended...
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Facelift vs. Necklift
In general, if performing a necklift you will need to perform the lower facelift with the necklift. However, in the isolated patient that has good facial tone and only extra skin in the neck one can do an isolated necklift with plastysmal plication, however, this is done only in a small percentage of patients.
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Facelift needed?
You can get a nice improvement of your neck contour with just a neck lift requiring an incision under the chin. This would not allow removal of any skin but would allow contouring of the neck. A face + neck lift with incisions also around the ears wold allow for skin removal and would get you an even better result - but for a price (more incisions, more recovery, more cost)
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Face Lift
Usually a facelift is needed to help get rid of the extra skin from pulling the neck up and back. See a Board Certified Plastic Surgeon to guide you in this decision.
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Options for rejuvination of the neck
Flexing your neck will always distory your appearance. Regardless of what type of facial or neck rejuvination surgery that you chose you would always have some laxity and foling of the skin when you flexed your neck.
Your left profile picture shows a slight degree of platysmal banding. The front profile picture shows a slight amount of jowling on the left. The more apparent problem is the submental fullness (excess fat under the chin). Again, this is natural when you flex your neck and I...
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Neck lift or neck liposuction are possible without a facelift
It is, in fact, possible to do a neck lift alone. However, at age 42, a simpler procedure such as neck liposuction may be all that’s required to address your concerns. The post-operative inflammation following liposuction in this area will cause the skin to shrink, eliminating the appearance of “extra skin” and improving the natural contours of your neck. This is likely all that’s required in your case.
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Customized approach to Facelifts
A good surgeon does no two surgeries which are identical . Each facelift plan requires analysis of your unique facial change that needs to be corrected.
Since your problem area is excess skin on your neck only, you will need just neck lift. However to blend the transition from face to neck y some tightening of lower face will also be needed. However if you were to give this procedure a name, it will be called NECK LIFT. A good surgeon will always analyse, plan and...
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Necklift is a good option
Yes, you might be a good candidate for a lower necklift. An easy way to tell is if you like what you see when you pull in the mirror, you may be a good candidate.
Very few people look good with their chin touching down to their chest, so I do not recommend judging yourself this way. Consider that you never really talk to people that way, you typically have your chin neutral or pointing slightly up.
Of course, you do need a consultation with an artist/surgeon that...
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Extra skin on my neck with I look down...
Unfortunately you will probably not like my answer, but... That extra skin is there so you can look up...
The reality is, we need some degree of extra skin in order to move our limbs, trunk, head and neck.
Too tight and we would be stiff, restricted by the lack of flexibility of our skin.
Sagging or loose neck skin when in a resting position is best treated by surgical excision, or a neck lift.
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Patients in 40's can consider neck lift rather than facelift
Patients in their 40s can undergo a neck lift alone without having to do a face/neck lift. The neck lift operation is designed to address fat in the neck both considered submental and subplatysmal (fat above and below the platysmal muscles) as well as tightening of the platysmal muscle. It will not address any excess skin. The face/neck lift operation is usually done for individuals in their 50s for tightening excess skin in addition to addressing fat removal in the neck...
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Facelift to fix Neck
Pushing your chin down accentuates the amount of fullness and sagging in the neck. Even a young person will look like they have a double chin when doing this. With that said, it does appear that you have some mild to moderate sagging even when you are not doing this. 42 is certainly not too young for a facelift but is an age group in which facelifting surgery is performed much less frequently. The under 45 age group represents less than 7 percent of my patients...
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A Neck Lift and Chin Impant should give you the result that you want
A Neck Lift combined with a Chin Implant will lengthen and tighten your jaw line. However, when you bend your head foreword as you have done in the photo you will always create the roll under your neck even after a Neck Lift and Chin Implant.
Liposuction will not solve the problem so if it is recommended see another Board Certified Plastic surgeon who is experienced in Neck Lift surgery
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Facelift surgery for extra skin on face and neck
Based on your photos, it appears you'll need a face and necklift to help the appearance of your neck. A proper consultation may better determine the appropriate surgery to achieve the results you ultimately seek. At my cosmetic surgery practice in Manhattan, New York and Garden City Long Island, I have developed the "Quick Recovery" Facelift designed for the modern lifestyle that gives maximum gain, minimal discomfort and little downtime.
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Face lift, Neck lift or both when to do which
A face lift is good for removing extra skin, lifting up the jowls, and softening the nasolabial folds. A neck lift is good for tightening up the neck bands, removing fat in the neck, and sculpting the whole neck region. In my opinion, they are totally different procedures that can be combined. The face lift can improve the neck to a subtle degree and less so the other way around (neck lift does not improve the face that much at all). In this particular situation where you have...
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Lower face and neck go together
To me, a face lift is that procedur that corrects the jowl/cheek area and the neck at the same time. It's possibe to do an isolated cheek lift or neck lift, but most commonly one leads into the other for the best result.
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Palm beach minilift
Judging from your photos, you appear to be a candidate for a necklift or even better, a lower facelift which actually, in your case, would consist of primarily of a necklift but with some additional tightening of the jowls along your jawline. the vast majority of your face would be left alone during surgery. you may also require some neck liposuction at the same time depending on the amount of fatty tissue which can only be adequately assessed during an in person evaluation....
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Palm Beach Facial Plastic Surgeon
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Necklift or Neck Liposuction
Yes, you can do just a post-auricular necklift in your case. I would also suggest mild neck liposuction also. The incisions can all be behind your ear and in the hair to stay hidden. And years from now if you need more work it can be done again as needed.
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Neck too fat or chin too small?
Will I need a face lift to fix my neck, I am only 42 and have extra skin on neck when I look down. Is it possible to do just a neck lift?
there is a new procedure called TPP, trampoline platysmaplasty. I think looking at your photos you may be a good candidate. it's completely non-invasive. save the facelift for your 50's. good luck
Boca Raton Plastic Surgeon
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Facelift vs. neck lift
From your photos, it appears that a cheek lift (facelift) combined with a neck lift would be your best option. Although it appears that you would benefit most from a neck lift, the cheek lift would help to address jowl formation and lower facial laxity. Understand that this assessment is limited, based only on your photos. I recommend a formal consultation to understand what you need.
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Face and Neck Rejuvenation
Concerns and complaints about the neck are quite common and often times are more of a concern than aging changes of the face.
42 years of age is not too young to consider rejuvenation of the neck area. Neck lift can be performed by itself, without addressing the face area. However, looking at the most common treatments, neck and facelift combined are far more common than a simple neck lift by itself. When performing a neck lift by itself there is a small risk of...
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A necklift can be a great option!!
Hello,
At 42yo a necklift can be a great option for you. In many cases a necklift can be performed through small incisions under the chin and behind both ears. Liposuction can be used to further contour the neck. Careful assessment by a facial plastic surgery specialist can help you with your decision. Remember, however, that a necklift does nothing for any concerns you have above the jawline.
Good luck,
Dr. Shah
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Do You Need A Facelift at 42? Probably Not
When anyone looks down, they will always have redundancy, even children. The redundancy is affected by your skin's elasticity, fat under the skin, and the positioning of your underlying anatomy (voice box, saliva glands, floor of mouth muscles).
Specific to you, I see someone with reasonable skin elasticity, modest excess fat, and less than ideal underlying anatomy. In your situation I would suggest not jumping right to a facelift. Instead, I would consider a neck...
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Facelift vs necklift
Based on your photos it appears you would benefit from both a necklift and facelift. The necklift will tighten your platysma muscles (front of the neck) and the facelift will elevate the soft tissues of your midface and cheek area which will give a more youthful appearance. It's difficult to determine from these photos if you need a chin implant or not. Occasionally a fat transfer is done at the same time as a facelift which can restore more volume to the midface area that is lost...
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Can't do just Neck Lift for excess neck skin.
The excess skin, of your neck, is over-emphasized when you bring your chin inward towards your chest however, the relaxed pose does show excess skin of the neck as well as the face. This means that the Neck Lift can't be done without creating a pleat, of excess, skin unless an incision is opened along the front contours of the ear to remove this excess skin. Look in the mirror and pull your neck skin upward and backward. You will see pleats of excess skin develop...
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Will I Need a Facelift to Fix my Neck?
People are born with different proportions and expression of their anatomy and age at different rates. We have all had the experience of looking at people we had not seen in a few years and be shocked by the way they look; either much aged or hardly changed. The "fairness' of this issue aside, your chronological age is only a small factor in the decision of what you should have. The major decision needs to be made on what bothers you, what it takes to correct that anatomy and are...
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Multiple Options to Correct Neckline Depending on Your Exam
First, as was mentioned by others, anyone who looks down will have excess skin in their neck...kind of like the elbow skin, it looks different when flexed versus extended.
Second, based on your photos, I see the following: not significant redundancy of the skin, reasonable skin turgor, some extra fatty tissue beneath the skin, and a short chin. What I cannot assess is what is going on with the deeper structures. For example: do you have early...
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West Palm Beach Plastic Surgeon
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Many options for neck skin tightening
Everyone has some extra skin when they look down. You need enough skin so that when you look up you can have full range of motion. There are several types of non invasive skin tightening procedures which work to some degree. Surgical results will give you the most effective and long lasting options. A plastic surgeon can give you the best options after he sees you in consultation.
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Other options may be better
A face lift with neck lift helps to tighten and elevate sagging skin and soft tissue in the jowl and neck areas. The degree of change depends on how advanced the sagging is in the first place. From what i can tell from the photos, your degree of aging is mild to moderate. So techinically the surgery could be performed but may not deliver a dramatic change. That is ok as long as you think you would be pleased with a subtle improvement. But some individuals feel...
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Yes, a facelift is what you need
In order to get the best result from your photos, a facelift by an experienced and well qualified Board Certified Plastic Surgeon would in my opinion give you the best result.
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Facelift to fix neck with excess skin.
Facelift to fix neck with excess skin as well as the excess skin in the cheek is what would improve your face. Seek an experienced facelift surgeon who does natural, non-surgical looking facelifts.
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A personal consultation with an experienced facelift surgeon will be best for you.
Diane
Much depends on what you are looking to achieve. You do not possess an ideal neck angle. This will limit what can be achieved with a neck lift. You might like the improvement achieved with a neck liposuction. However, it is not as powerful a procedure as a cheek/neck lift. Do your home work to find the right surgeon and listen careful to what is being proposed. Feel free to check back with the Realself community if you have any questions.
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Facelift will fix the neck
Facelift in many forms will fix the laxity in the neck. The difficulty in your question lies with expectation. Everyone will have loose skin or lines when they bend the chin or neck far forward. When your head is up straight front and center all looks fine. Tight as you can be, you will still have some laxity as you pull the chin to the chest.
Best of luck,
peterejohnsonmd
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Necklift
Before recommending a specific course of action you would need to know if the rounding at the junction of the neck and jaw is from excessive fat, a short mandible (retrognathia), submandibular salivary glands that have descended from their normal position inside the mandible (ptosis), or a forward position of the hyoid. The hyoid is a U-shaped bone directly above the larynx that suspends it and the trachea. If the hyoid is too forward then it can cause your particular neck-jaw...
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No
Based obn the pictures you provided I think neck lift alone will provide significant improvement. The jowel can be corrected and neck band will be corrected also. You will need three incisions. One below your chin and one behind each ear. The procedure can be combined with liposuction or fat can be removed by direct excision. Your plastic surgeon will be able to advise you on the procedure that is best for you. There is no dout that combining neck lift with a face lift will give a better...
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Significant improvements possible with facelift
Based on your photos, a facelift involving incisions around the border of your ears, along with neck muscle tightening and fat removal would give you a dramatic result. I am not so sure a chin implant would be beneficial for you but instead may make you appear too manly. A thorough examination is necessary to address other considerations that could effect your outcome, like your particular pattern of jowling, your salivary glands, and your neck skeletal anatomy. Have a nice day!
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A necklift would do well, with caveats
A necklift would improve your neck, but may leave your jawline wanting. If you did choose to avoid ear incisions and go necklift alone, I would very strongly recommend a chin implant at the same time, through the same incision, for maximum balance and effect.
You best bet, however, would be a facelift with necklift and chin implant. Your result will be the best possible this way, and last years longer than a necklift alone.
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Facelift corrects neck.
Hi.
1) A neck lift, done through an incision under your chin, will not fully correct your sagging.
2) Based on your pictures, you need a Facelift which will not only correct your neck but will also make your face look fresher and younger.
3) It looks like you have early jowls, and your neck has redundant skin, excess fat, and droopy muscle (platysma) bands.
4) There are two key concepts in Facelift to get a natural, long term result. First, it is...
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Yes
It will take a facelift to redrape your neck skin into a tighter position. Trying to do incision on the neck to take care of your problem will leave unsightley scars that are hard to camoflage. You will also get the side benefit of tightening of the facial skin if you have the whole facelift.
Thanks for the question,
Dr T
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Yes, you can do a necklift.
Facelift, necklift, cheeklift, etc. are terms that can be confusing. The terms are sometimes used by both patients and surgeons interchangeably. The neck and cheek lifts refer to their respective areas. The facelift sometimes refers to a cheeklift and sometimes to a combination of the necklift and cheeklift.
Based on your photos, you appear to have more neck and less cheek (or jowl) issues. You can probably do only a necklift. This would involve a...
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