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Neck and Chin Lipo Without the Resulting Loose Skin

Is 42 too old to have chin and neck Liposuction without ending up with a sagging skin? My skin is in good shape for my age, and I have always had this fat deposit in my neck and chin area, no matter how thin I am. I am just concerned about having too much loose skin after the procedure.

Asked 33 months ago by missesteelaura in Evansville, IN

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chin neck loose

Jawline and neck liposuction should make a dramatic difference for you.

Liposuction under local anesthesia with the micro canulas should make a dramatic difference for you and is easy to undergo for roughly $3000. Sincerely, David Hansen,MD

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David Hansen, MD

Beverly Hills Dermatologic Surgeon

The older the patient the more likely liposuction of the chin will result in loose skin.

From your picture and your stated age, I would guess that you will have at least a little loose skin after liposuction. Laser assisted lipo might help a bit but I remain skeptical of this technology.

Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon

ASAPS ASPS

You look like a neck lift candidate.

Hello, You look like you have a fair amount of excess skin for lipo alone. Get a few consultations with qualified doctors who do both to get your best opinions. Best Regards, John Di Saia MD

John P. Di Saia, MD

Orange Plastic Surgeon

Liposuction of the neck

Liposuction of the neck can be very successful in many individuals. You are very perceptive to be concerned about skin retraction. It already looks like the skin is a bit loose and it may not spring back. You may need a neck lift as well. This certainly can be staged if you want to avoid the additional incisions.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

You will have some loose skin with liposuction only.

Your skin is loose now and if fat only is removed, you will have more. Having said that, I find that some patients are very satisfied with that because their expectations are less than mine. So you have to decide if that will satisfy you, not the surgeon.

Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

Neck lipo vs. platysmaplasty vs. other procedures

Liposuction alone would in my opinion give you a modest result, even if done with the laser. Liposuction alone by any technique does nothing to tighten the platysma. Your platysma looks loose. There are several platysmaplasty procedures available, procedures that tighten the platysma muscle. We prefer the Neck-Lace procedure, a wide interlacing procedure that avoids the central banding of the corset platysmaplasty. For your very best result, it may be advisable to consider a facelift along... more

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Smart Lipo can provide additional neck tightening

Liposuction generally can give very pleasing results in the chin and neck area. We often will supplement this with laser tightening (Smart Lipo). Evaluation by your surgeon will help determine if liposuction is a reasonable option for your chin and neck.

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Christopher J. Peers, MD

South Bend Facial Plastic Surgeon

I have seen significant skin tightening from liposuction alone

The neck is an area where I have seen reasonable skin tightening from liposuction alone even in patients who I wouldn't have thought would get such a good response. Follow the link below to see a few examples.

Lawrence A. Osman, MD

Woodland Hills Dermatologic Surgeon

Chin and Neck Liposuction

Liposuction is a very effective means to remove disproportionate fatty deposits along the neck and under the chin. The best results are when the overlying skin is tone, then you expect a degree of skin retraction. Good skin tone is common the younger you are, or can be related to genetics. In your 40's the skin retraction can be less predictable. If you realize that your contours will be improved with liposuction, and you don't expect complete skin retraction, you will be pleased... more

Hayley Brown MD

Henderson Plastic Surgeon

ASAPS ASPS

Neck liposuction without getting loose skin

Neck liposuction can create dramatic change in the neck contour. As you pointed out the issue is not to get loose hanging skin. Based on your photo I believe a skilled surgeon can achieve significant improvement in your neck contour without getting droopy skin. The technique would involve either laser or ultrasound instrumentation to manage the skin, and careful and deliberate liposuction removal of deep (sub-platysmal) fat layer.

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Boris M. Ackerman, MD

Newport Beach Plastic Surgeon

ASPS

Liposuction using Smartlipo will help tighten neck skin

I recommend the Smartlipo procedure to my patients who want to tighten neck skin without having a big procedure. The results have been very encouraging. Smartlipo will help melt the fat (which then needs to be removed with classic suctioning), but more importantly, I have seen incredible skin contracture after the procedure. I would love to show you some examples, but you'll need to check out the neck lift and liposuction pages on my website to do that. ... more

Thomas P. Sterry, MD

New York Plastic Surgeon

ASPS

Neck liposuction results depend on your skin quality

If you have good elasticity of your skin, you should not have loose skin after liposuction based on your age and the photo above. However, it is difficult to determine the best treatment for you without examining you in person. You may require tightening of your neck muscle (platysma) in addition to liposuction to achieve an even better contour. The skin of the front of the neck usually responds quite well to liposuction provided your skin tone is adequate; something that a... more

William Bruno, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

A great result from neck and chin liposuction depends on the quality of your skin

Liposuction is an excellent technique to be performed in the area under your chin and neck. However, the most important factor to obtain a great result is the quality of your skin. If your skin still has enough elasticity and will contract after the surgery liposuction may be all that is necessary. However if your skin is loose, liposuction may make this appearance worse and you may be best served by a small neck lift. Your best bet is to be evaluated by a board-certified plastic surgeon... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Your fears are well founded, loose skin results in loose skin

As I look at your pictures I see that you not only have fatty deposits under your chin and neck but you also have loose skin. Liposuction will removed the skin but only a face lift will handle the excess skin.

Carl W. "Rick" Lentz III, MD

Daytona Beach Plastic Surgeon

ASAPS ASPS

The real question is your definition of "too"

It may sound trivial and ridiculous to quibble about the definition of the word "too" without invoking an image of President Clinton, but "too" is a very subjective word and cosmetic surgery is predominantly an endeavor based on subjectivity. A surgeon would need to examine you in person. No one can give assess the quality and anatomy of your neck with a single photo. Also, liposuction is merely a generic term describing a general procedure, it does not indicate how it is... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

You're the perfect patient for Smartlipo.

Based on your photo and brief description I think you would be an ideal candidate for Smartlipo. This is an additional step to liposuction which uses a laser to help melt and disrupt the fat before it is removed. The laser energy also helps to shrink and tighten the skin more than traditional liposuction alone. Make sure that your doctor is a board certified plastic surgeon.