Submentoplasty or Neck Lift for Fat and Sagging Under Chin?

I'm considering submentoplasty or neck lift and wondering which one would be better for me. Some surgeon suggests neck lift, some submentoplasty. I'm 48 years old, normal weight, healthy woman. I have some extra fat under my chin and some sagging skin. I add the photo, where I'm swallowing, because then my neck look worse.

Doctor Answers 18

Neck Lift Best Option for Fat and Loose Neck Skin

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Thank you for your question.

There is loose skin on the neck below the submental area. You will need a Neck Lift to correct the loose akin and give you the best result.

Excess submental fat beneath the chin can be resected during the neck lift.

If you want the best result you will need both.

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In these current times there is so much emphasis on "mini" this and that it is not what the consumer should be focused on. You have both issues: submental and excess skin laterally. In doing facelift surgery for more than 30 years I try to give patients the best result, not the "mini-est". This means addressing both problems.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Neck options

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It looks like fromthe one photo that you posted that you could benefit from neck skin redraping at the minimum. You may also require some fat contouring as well.  As for muscle work, I would have to evaluate you.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Submentalplasty or Neck Lift

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There are several things I can tell from the picture you have provided (lateral and oblique views would also really help. First, you have the noticeable banding of the platysma. Next is the submental fullness. I understand that you say it's fat but it may be digastric muscle fullness and this can only be determined with an exam. Next, is the excess skin. And finally you have jowling, mild, but jowling just the same.

So here are your options from easiest and cheapest with the least results to hitting it out of the park. A submentalplasty can improve the banding and the submental fat or digastric muscle fullness. But the excess skin and jowling will still be present and therefore the result will be just okay.

A neck lift will do the above but remove the excess skin giving you a good, rejuvenated look. It won't address the jowling. Only a facelift will remove the jowling, the skin and the submental issues giving you a fantastic, youthful appearance.

Options exist.

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When discussing neck rejuvenation, there are usually several options. The difficult part is the terminology that is used may differ by surgeons. Generally speaking, a facelift with necklift will provide the best outcomes in neck contouring. However, lesser involved procedures may also provide a good result. I would recommend several consults until you are satisfied that you understand the terminology and what each option will provide. Best of luck!

Dean Fardo, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 15 reviews

Submentoplasty vs Necklift vs. Facelift

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The question often arises, "would this procedure help" or "which procedure would help more?", especially in this area of the face. To makes matters more confusing, some doctors consider a necklift to be a procedure performed just under the chin; other doctors consider it to be a lower facelift addressing primarily the neck. How is the patient to know the difference?

Our focus is," what procedure or combination of procedures will give the patient their BEST result."

In my opinion, your best result will come with a combination of two procedures, one to tighten the neck muscles and deeper structures; the second to reduce extra skin vis incisions behnid and around the ears.

A corset platysmaplasty with removal of fat (often called a necklift or submentoplasty) will do just that, tighten the deep layer and reduce extra fat below the chin.

Our version of the submental necklift is the Neck-Lace(TM), an interlacing procedure for underneath the neck. This procedure , in our practice, is either step one of a necklift and facelift for problems such as the ones in your picture; or as a standalone procedure for patients in their twenties and thirties who have a "double chin".

A facelift will tighten the extra skin away from the submental area. A (submental)necklift alone will NOT tighten the skin, the drawback of using a necklift (or submentoplasty) alone to rejuvenate the neck.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 194 reviews

Laser Assisted Weekend Necklift

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It is possible that you may be a candidate for what I have termed, "The Laser Assisted Weekend Necklift:" It is a minimally invasive procedure.

Cervicofacial Liposculpture is first employed to contour the unfavorable fatty changes seen in the face and neck as time passes by, such as the ‘Turkey neck’ and ‘double chin’.

Careful attention is then turned to tightening the neck muscles and eliminating neck bands. Finally, I employ laser technology to ‘resurface’ the underside of the neck skin, thereby ‘shrinkwrapping’ the skin of the neck restoring a youthful contour.

A consultation with a board certified facial plastic surgeon or board certified plastic surgeon will help determine which procedures will provide the best results for you.

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews


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You are an ideal candidate for a necklift. This would include liposuction of the neck and area under the chin, tightening the muscles under your chin, and skin tightening as well.  This is considered a pretty standard necklift and will give you a nice, smooth contour of your jawline and neck.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 29 reviews

Submentoplasty vs neck lift

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The modality to be used to im-prove neck contour  is based on the physical exam. Non-invasive therapies are only useful for minor corrections. Skin only incision are not useful because skin is elastic and will only relax over time. Any excess skin will have to be removed but that is only half the solution. More often than not, the underlying structure (muscle, deep and superficial fat) need to be tightened, some removed and repositioned. This type of lift tightens the neck muscle (platysma) if they are loose or splayed. During this procedure a 3cm incision is made just behind the chin crease and the muscle in the neck is accessed and tightened with sutures in way a corset would be tightened. Chin implant and liposuction can be done through this same incision. See a board certified plastic surgeon for a treatment plan specific to your needs.

Necklifts outperform submentoplasty alone if skin tone is poor

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Based on your photograph, I would be concerned about remaining skin looseness with a necklift but no skin removal/redraping across the entire neck. I would lean toward necklift.

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 230 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.