Loose skin following chin lipo - Would a facelift or neck lift address this better? (Photos)

This is a tough situation. A full neck and lower facelift should flatten this out. Anything less you have tried already. There is one radical idea. If for some reason you absolutely do not want a face/neck lift then direct excision of skin in a horizontal direction will remove it. The scar is long but heals well, procedures is easier and quicker. You have some tough decisions to make. I wish you the best.
Regards
Dr Janjua

If the neck is your major concern, then a neck lift is definitely the best option to address this. A mini facelift would not address the neck at all, but would be focused primarily on your jowls and mid face. If the jowls also bother you, a full face and neck lift would be warranted. I highly recommend you see a board certified plastic surgeon in consultation to be fully evaluated / examined and have a discussion about the best options for you.

I am a board-certified Plastic Surgeon with special training in face and neck surgery. The procedure that will give you the best results is a Facelift with a Necklift to tighten the neck muscles and remove excess skin. I'm not particularly in favor of mini facelifts.