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 36 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.

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!

Submentoplasty or Neck Lift for Fat and Sagging Under Chin

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A neck lift is a general term used for rejuvenating the neckline to create a more youthful attractive appearance. Factors which are considered during your consultation to determine if you are a #candidate for #rejuvenating the neck include: 

•Visibility and amount of excess fat below the chin and along the neckline.
•The presence of banding down the front of the #neck.
•The amount of #excess skin and condition of your skin.
•Chin Deficiency.
•Presence of Prominent Digastric Muscles (a.k.a. submandibular gland fullness).

During the examination the chin will be evaluated along with the neck and jawline.  A weak #chin means there is not adequate chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local anesthesia. For individuals with signs of aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.

If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend non-surgical alternatives to improve your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible. 

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 123 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.

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.

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.