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Do I Need Neck Lipo or Neck Lift or Face Lift? (photo)

Here are my morphs done by a plastic surgeon

Questions: 1. Do I need a neck lipo or neck lift or face lift? 2. Do I have mouth protrusion(bi-max protrusion)? Is it severe needed to be corrected? 3. Do you agree with the implants? I am 32 male.

Doctor Answers 19

Submental liposuction the simple solution

An Xray will best answer your question regarding maxillary protrusion, and will provide more information regarding the relationship between your upper and lower jaw and the skull base.  This would be essential in patients entertaining the possibility of jaw surgery.  Younger patients will usually not be best served by a face or necklift.   Liposuction  of the neck with or without platysmal plication and a chin implant would be a reasonable solution.

San Diego Plastic Surgeon
5.0 out of 5 stars 12 reviews

Liposuction or facelift

The multifacial implants look fine in the simulation. Yes you do have bimaxillary protrusion and extraction and orthodontics is an option and you might look into it as you are young. We would suggest a chin implant or a chin advancement and liposuction rather than facelift at your age.

Best of luck,

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 37 reviews

Facelift surgery vs. liposuction.

Without feeling your skin and seeing you it is only a guess. Though you are young, I don't think you could get the neck shown after without a facelift to remove the excess skin. You could just do the liposuction and chin and after a few years the facelift. Cheek implants, etc. are indicated.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Face and neck improvement


Here's what I would say about what I can see in the photo without a physical exam.  I think you are relatively young (40 or less).  We'll take this area by area starting from the top:

1.  Maxilla and malar area:  Yes, this area is a little weak.  I would recommend malar/submalar implants for a nice improvement that would look something like your photo imaging.

2.  Your chin:  This would benefit from either genioplasty (cuts to the bone with advancement of the chin) or a chin implant.  The chin implant will be the easiest with less risk and a nice improvement.

3.  The neck & chin complex.  No matter what your do you should probably make the chin stronger.  Give your young age and good skin/tissue quality you could get a nice improvement of the neck and jawline with liposuction, preferably Smart Lipo.  The photo imaging you have created on your profile may not be possible with lipo or surgery if your hyoid bone is too low and forward but you can still get a great improvement.  Surgery for the neck would be more impressive but may not be worth the risk given your age and good candidacy for Smartlipo

Best of luck

Chase Lay MD

Chase Lay, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Neck Lift or Lipo

Interesting photos. I think you will do well with just lipo of your neck. You have pretty severe malar hypoplasia and would do best with alloplastic implants of one type or another. Not sure your lower eyelids will really rise as much as you have indicated but they will be better supported. Can't tell for certain about the bimaxillary protrusion without seeing your teeth but there is a good chance you have it. You should see a good oral surgeon for an opinion as to whether it is a dental, skeletal or combination problem. Hope this helps.

Submentoplasty and Cheek Implants

Based on your photos, you may be a candidate for a "submentoplasty" which involves reduction of fat under the chin through a small incision under the chin. This is more involved than straight liposuction and is dependent on your anatomy based on a proper physical examination. The cheek hollows may benefit from submalar or combined implants. An alternative to consider is a filler called Sculptra.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.5 out of 5 stars 49 reviews

Neck lift vs neck lipo

I would recommend liposuction and chin implant. Be aware that you results may not replicate the morphs.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Neck liposuction and chin implant

Thank you for your question and the photos.  Yes, it appears that with the recommendations you received, you may get benefit in the appearance of your facial proportions. The chin implant and sub-mental, neck liposuction will go a long way as a start.  It all depends to what length and what extent you are willing to go for what some would say is relatively minor improvement. No, I do not think that you need a facelift.  

Also, know that prediction tracings and images are not a guarantee of exactly what you will look like after surgery. Surgery is surgery and it carries risk. One of those risks is unsatisfactory cosmetic appearance.

I hope this helps.  Good luck.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 78 reviews

Liposuction, Facelift, or Necklift

Because of your youth I would recommend neck liposuction and a chin implant. With that approach we would be relying on contraction of the skin after reducing the neck volume. If you are not satisfied with the result a neck lift may be necessary. In your morphs it also looks like fillers or fat were placed in the grooves at the lower eyelid margin adjacent to your nose.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Should I get neck lipo?

Your pictures reveal a retrusive chin as well as excess submental fat. In combination, these both diminish the defintion of the jawline. I would recommend that you keep it simple and choose the options that will give you the best results, are least invasive, and have the least amount of downtime. In my opinion lipocontouring of the neck and a chin implant would fulfill the above criterion. Lipocontouring of the neck will remove the excess fat and enhance the jawline. A chin implant will create more projection which will further enhace your jawline and neck and create a nicely balanced profile.

From your pictures it appears that your midface region has some fat atrophy which means that the natural fat in your cheek region has shrunk. If this bothers you you may want to try fillers such as juvederm, restylane, or radiesse to replace lost volume. If you like the effect that these fillers give you then you may be a good candidate for fat transfer. I hope this helps.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.