Would a submentoplasty or full neck lift/lower face lift be best for me? (photo)

Thank you for your question and photos!It seems that lower facelift will be a great decision for you. I do perform submentoplasty and neck lifting together for tha cases like you. It will help to lift your cheeks, the corners of your mouth, reduce jowls and marionette lines, as well as provide a significantly better neck contour. Your result can be perfect, I wish you good luck!

There is no perfect solution to rejuvenating the neck. Because you have loose skin you really need to remove it and unfortunately this requires incisions. The only acceptable location for these incision at your age would be around your ears . These are well camouflaged and very acceptable for most patient. This would be a formal neck lift , a significant plastic surgery procedure and you will need to consider if you are prepared for thisbest of luck

Thanks for asking this common question. Non-invasive
procedures have limited utility for loose skin underneath the chin and neck.
Submentoplasty is best for people who have significant amounts of fat or
looseness of the underlying platysma, characterized by platysma bands. It also
leaves a submental scar. In general, some version of a neck lift or lower
facelift through an incision that is very well hidden around the ears can offer
a sustained correction of 10 years or more, with a recovery of less than 2
weeks. The procedure can be offered under local anesthesia with sedation, and it
can be done without an incision below the chin. That would be my tentative
recommendation, although an in-person consultation would help. However, to get
improvement in the skin laxity, which I see in the lower neck as well, a
submentoplasty would be an inadequate solution. Good luck.

A lower face and neck lift will improve the neck and jowls to the greatest extent.
Find a board certified plastic surgeon who performs hundreds of
facelifts, necklifts, and facial procedures 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

Thank you for your photos!  Based on your photos the best option would be to have a facelift with a necklift.  You have some obvious platysmal banding in your neck so I would recommend a platysmaplasty with your necklift to give you the smoothest neck appearance.  In the end, your surgical options will give you the best results, but more importantly, it will make you the happiest.  Also, your photos show that your lower face and cheeks have lost volume so any attempt at a surgical procedure without adding volume to your midface will result in recurrence of the marionette lines and nasolabial folds in your face in a year so adding fat or a synthetic volumizer at the same time would make your neck and face look much better.  If you are only looking for a mild improvement, placing botox in the platysma muscle of your neck and using volumizers such as Radiesse and Juvederm Voluma in the face can give you an improvement without trying surgery though in the end putting that money towards surgery will be the most cost effective way of getting what you want long-term.  Good Luck!

If you weren't interested in a surgical procedure, Ultherapy might give you a modest improvement.  Ultherapy's results are better than Thermage; however, if you are looking for the best result, a face and neck lift would be the way to go.  A submentoplasty alone would not address the loose neck skin nor the jowls.  Best of luck with your decision.

You should do the lower face/neck lift since it will make such a big improvement and is so easy to go through under local anesthesia with dramatic results. There is minimal bruising and swelling compared to gen. facelifts and much less complications. Cost is roughly $8800 on special. Sincerely, David Hansen,MD

Unfortunately, non-surgical treatment options for the neck are limited in effectiveness. Ultherapy provides limited tightening for the neck and botox can soften the platysmal bands in the middle of the neck. Again, these are limited in effectiveness.Fortunately, surgical options can provide a great results. From the pictures that you have provided, I think that you would benefit from a formal neck lift with incisions behind the ears and under the chin. These incisions typically heal very well and are very well hidden. 

Hello and thank you for your question.Your photos are
very limited, but it does appear that you would benefit most from having a face
and necklift. Procedures similar to the non-invasive one that you sought will
probably not give you the results that you want. I recommend that you see
a board certified plastic surgeon in consultation to get more specific answers
to your questions which can best be addressed after a thorough history and
examination is performed.
Best of luck to you

A lower face/neck lift will address skin laxity, tightening up the neck skin and jowls, and removal of any fat deposits in the neck.  For many examples please see our facelift Photo Gallery link below