I am 45 years old. Would it be best to do Liposuction and Laser Tightening or Neck Lift? (photo)
Doctor Answers (13)
Facelift, liposuction or laser tightening for 45 year old?
Neck Improvement: Laser, Lipo, Neck Lift - how to decide.
1.Amount of excess fat (needs lipo or direct removal).
2.Presence of Significant Platysmal Banding (requires playsmaplasy or Botox)
3.Amount of excess Skin and condition of your skin. For example younger age, darker skin colors and no large weight loss history means there will be better elasticity and therefore better post surgical contraction. In milder cases if not too much fat is present there will be enough skin shrinkage with just lipo alone. However for moderate and severe skin redundancy a neck lift or lower facelift is needed with or without lipo for best results. Mild to minimal skin tightening using non surgical means like the Sciton Laser SkinTyte procedure, Ultherapy or Thermage could also be considered.
4. Chin deficiency (without adequate chin support your neckline will suffer)
In your case on the basis of your photo your best result would be with liposuction and a lower face/neck lift Lasers such as the Sciton BBL SkinTyte, or even IPL afterwards could be used for maintenance of your results.
Custom Neck Lift Surgery
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Neck lift with or without skin removal
- You are not a candidate for either liposuction or laser resurfacing of your neck. The former will leave you with hanging excess skin and the later bad scars. You need a facelift with fat removal and platysma muscle tightening of your neck. I doubt if anything less would produce a satisfactory result.
Lower face/neck lift is so easy to under go under local.
Best Neck Options
I'm not sure liposuction by itself will make a significant change in your neck contour. However, you could certainly try the energy based treatments without the risk of skin incision scars but in my opinion you will be best served with an open, laterally based, surgical neck lift with division and resuspension of the platysma. Best wishes.
I am 45 years old. Would it be best to do Liposuction and Laser Tightening or Neck Lift?
Possible laser facelift candidate
Necklift and liposuction are both possible, but patients will have difference level of improvement.
The most important thing is to discuss your needs, wishes, recovery time constraints, and budget limits with an honest and experienced surgeon, and receive bias-free personal advice. ALWAYS consult a surgeon who is certified by the American Board of Plastic Surgery, to ensure the highest standards of ethical practice and safe surgery.
Reza Momeni, MD FACS
* The above commentary is not personal medical advice, and is intended for general education on the internet.
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