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Loose Neck Skin, What Options do I Have other than a Full Neck Lift?

asked 8 months ago by julia8989
Latest answer by Amiya Prasad, MD
Question viewed 548 times
Tags: alternative, loose skin

I dont need a facelift but I have a small amount of loose skin under my chin and 2 folds on my neck. I don't want or need a neck lift as its only loose skin nor do I need lipo as its not fat. As its minimal I would like a local anaesthetic, why do doctors not want to do these minimal corrections? when sometimes these small defects affect peoples self confidence like big problems? I am sick of wearing scarves because I hate my neck folds.

19 answers to Loose Neck Skin, What Options do I Have other than a Full Neck Lift?

Neck lift

First, I would have to examine your neck to get an accurate idea of what can be offered. A Mini-U-Lift(TM) can certainly be done under local for minor corrections. If it is the platysmal bands causing the problem, Botox can be beneficial at times or they may required excision (also can be done under local). RF ablation of the mid line area under the jaw can be done under local without incisions. Find a Board-Certified Facial Plastic surgeon for a complete consultation... more

David Alessi, MD
Beverly Hills Facial Plastic Surgeon

A Limited Necklift will do the Job!

Most patients come to my office for one of three neck complaints; 1-Too much fat 2-Too much excess skin 3-Sagging of the platysma muscle - the vertical folds or bands that you talk about. If you have too much fat - Then Liposuction! If you have sagging plastysma muscle then Platsymaplasty. For many of my patients with little excess skin or fat, I can perform a corset platysmaplasty through a small scar under the chin under local anesthesia. If you have execss skin -... more

Robert M. Freund, MD
New York Plastic Surgeon

Loose Neck Skin, What Options do I Have other than a Full Neck Lift?

Removing some of the excess neck skin can be accomplished with an incision under the chin. This can be combined with liposuctuion to remove excess fat (if present). The incisions and healing time is a fraction of that associated with a formal Neck Lift. You might want to try this first and see if you're happy. Many of my patients have this and don't want a full neck lift although this could always be done afterwards if you did.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Alternatives to Neck Lift Surgery

First, your cosmetic surgeon should evaluate to your particular aging pattern and anatomy. And of course, it is important to understand your goals such as acceptance of surgery, recovery and your desired longevity of the improvements. Options range from non-surgical treatments such as Ultherapy to a comprehensive neck lift. And then there are a variety of surgical modifications possible. Consult with an experienced face and neck lift surgeon (or two) and have him/her outline... more

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon

www.drfechner.com

Limited Neck Lift under Local Anesthesia

A photo or a proper examination would help determine the best way to treat the loose neck skin. From your description, as an Oculofacial cosmetic surgeon, I might recommend a limited neck lift may be the right choice for you to improve the appearance of your neck to reduct sagging skin and tighten the overall appearance of your neck. At my practice in New York (Manhattan / Long Island), we perform neck lift surgery under local anesthesia with light IV sedation, which is safer than general... more

Amiya Prasad, MD
New York Oculoplastic Surgeon

www.prasadcosmeticsurgery.com

Options other than neck lift

It is very difficult to answer your question without seeing your pictures – you should consider posting images showing your areas of concern. It may be that you do need a surgical face/neck lift. As far as other options, smart lipo can sometimes tighten skin without the need for cutting skin out.

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Options for loose neck skin

The reason most doctors dont want to perform these interventions is that the results are very poor. To retain a natural look the removal of skin and new support vectors have to be spread in a natural way. there are many options that can be comppleted under local including a full neck lift in the right patient. Stay away from the 'mini' interventions offered mostly by para-plastic practitioners. Find a Plastic and reconstructive surgeon that you trust and ... more

Rian Maercks, MD
Miami Plastic Surgeon

Procedure to address excess neck skin

It's hard to say what the best method to address your concerns is without examining your neck. Your age and skin quality are important factors. There are several methods to address loose neck skin. The most direct, which can be done with local anesthesia, is to directly excise the excess skin from the midline neck. Of course, this would leave a scar there, though, so depending on your goals and skin appearance this may not be a good option. If a loose platysma muscle is contributing... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

For extra neck skin you can do a lower face neck lift in a minimal fashion

You can do a minimal procedure instead of a full neck lift. This would entail a face lift done to treat the lower part of the face and neck. It can be done in probably an hour or so. Below is an example of a video that helps to answer this question for you to watch and a link to see more informative videos: see video

Philip Young, MD
Bellevue Facial Plastic Surgeon

www.drphilipyoung.com

Limited neck procedure can work.

Limited procedures can work very well depending on how much of a problem you have and how much of a result you want. A more limited procedure would mean a 1" incision under your chin with elevation of the skin off or the muscles over the mid part of your neck. This exposes the muscle bands that are causing the folds that you see in your neck. The muscle bands need to be sewed together and then divided at the lower part to give you a much better neck line.... more

E. Anthony Musarra II, MD
Atlanta Plastic Surgeon

Neck Surgery?

Thank you for the question. Unfortunately, without examination or good quality pictures it is not possible to give you accurate advice. It is difficult to generalize but well experienced and ethical physicians may not want to do “minimal corrections” because the degree of deformity is relatively small whereas the risks associated with procedures can be significant. If I were you I would be more concerned with surgeons who offer gimmicky technology that are... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Loose Neck Skin Options

Hi and thank you for your question. Patients with sagging neck skin or excess fat generally may benefit from a neck lift or lower face lift with liposuction. Direct neck lifts with incisions directly under the chin are typically reserved for specific patients and carry the risk of visible scarring. Other options that may be appropriate to improve the neck without face lift surgery include Botox Cosmetic for active neck muscles or silicone chin implant for a weak chin bone structure.... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

Neck lift for excess neck skin.

You sound like you need a neck lift. Most women who try to just have a little skin removed under the chin end up with bulges at the sides of the neck and are unhappy. See several experienced surgeons for an opinion.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Loose Neck Skin, What Options do I Have other than a Full Neck Lift?

Of course I would need photos to advise you intelligently. Why don't doctors want to do "these minimal corrections"? Often it's because the correction involves more than you'd think to get a good result. I will decline to do a procedure if I don't believe a minimal treatment or operation will deliver a result that the patient will be happy with. Beware of some of the non-surgical promoters who will promise correction with injectables and lasers. These... more

Eric Pugash, MD
Vancouver Plastic Surgeon

I hate my neck!

There are a variety of possible approaches to management of aging features localized to your neck. The best approach depends not only on your anatomical presentation and complaints, but your budget, risk tolerance, and available recovery time. Neck bands can be treated with Botox, Dysport, or Xeomin. Skin tightening radiofrequency treatments may help in combination with the above injectables. Surgical options include suction lipectomy (office procedure under local... more

Steve Laverson, MD
San Diego Plastic Surgeon

Submentoplasty May Provide Some Neck Fold Improvement

While your neck problems may seem minimal in terms of ease of correction, it is rarely so. Your loose skin is located in the most difficult area to improve in the neck, that of the area right under the chin or the central neck. Short of some form of a neck lift, there are no minimal corrections that will fix these neck folds. One approach, a submentoplasty with skin excision, may provide some improvement but it will be far from working out every bit of loose skin.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Neck lift vs. Liposuction of the Neck in Los Angeles

Liposuction of the neck delivers amazing tightening and shrinkage of the neck in YOUNG women. liposuction of the neck when performed by an experienced board certified plastic surgeon in los angeles or beverly hills can give outstanding results to women who have good skin ellasticity and have not yet shown signs of joweling or facial sagging. The alternative is a neck lift which can be done with or without neck muscle tightening depeding of the extend to neck looseness.

S. Sean Younai, MD
Beverly Hills Plastic Surgeon

A MACS-lift can correct the neck in most cases

Dear Julia, the MACS-lift short scar lifting technique which I developped together with my associate Dr Tonnard is well fitted for correcting mild to moderate neck laxity, through a small scar along the ear, not behind it neither into the hair. However it is impossible to assess whether you are a good candidate for the technique without proper pictures of your face and neck in a frontal, oblique and side view.

Alexis Verpaele, MD
Belgium Plastic Surgeon

" I don't want or need a neck lift "-why do doctors not want to do these minimal corrections?

Without a photograph it is impossible to begin to advise you on what may work for you. People being different have very variable perceptions and live in different realities. As Plastic surgeons we have all seen 250 pound 5'2" women walk into our offices wanting liposuction to correct that condition, we have seen the 115 pound 5'11" woman who is mortified by the beginning of minimally loose skin of the lower tummy which would not go away despite 7 days a week at the gym... more