31 Year Old Male Neck Lipo or Neck Lift? (photo)

              Liposuction or a neck lift would be the two alternatives from your description and photo.  You would likely benefit from neck liposuction.  Find a plastic surgeon who performs hundreds of facial procedures and neck liposuctions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

"A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​"

Neck Lift vs Lipo - How to DecideLipo vs Neck Lift or both? It all depends on your exam - Your plastic surgeon will evaluate you for three main features: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. If you are young as your photos appear, I would recommend just doing Liposuction as you can always later on do a neck lift if needed. Thermage and Ultherapy will not address the fat component of your problem and at best result in mild skin tightening in my experience.In your particular case probably just lipo and maybe a non-surgical skin tightening procedure would be a good place to start though an exam would be required for the best advice.

Looking at your photogram, I think you are a good candidate for liposuction of the neck.  It is pretty early to perform a neck lift on a 31 year old.  Liposuction is an effective and minimally invasive procedure, and recovery is faster.

Hello. I agree with your doctor. I would start out with a conservative liposuction procedure to the neck. You would be surprised how much "snap back" you get from the skin. You are too young to have loose skin, so I would try a simpler option first. Good luck.

Liposuction should do very good for you and is easy to undergo for roughly $2500 on special. Your skin should contract nicely and it will look much better than now. You can drive yourself home and be back at work in 1-2 days. Sincerely,David Hansen,MD

You may be able to get by with liposuction without removing the excess skin now. I need to feel this to give a better answer. 

Starting off conservatively with smart lipo would be the best first step.  You are young and should have good enough skin elasticity to tighten up a bit.  If that's not enough then think about surgery, but always best at your age to start off with the most minimally invasive procedure first and go from there.  ac

Hi Noahdee.  From your age and what I can see in your picture, I think neck lipo would give you a result that you would be happy with.  However, I suggest you see a plastic surgeon who can examine you before deciding what procedure is best for your problem.

At your young age you do not need a neck lift. Liposuction will tighten up some of your neck skin. Whether it will be enough to make you completely satisfied or give you the neck profile that you want can not be determined before surgery.