I'm 44 years old & I'm planning to do nefertiti or silhouette lift. Which is the best? (Photo)

Thank you for a great question and for sharing your concerns.  The aging changes in your neck appear significant enough to consider a more significant procedure such as a facelift or neck lift which will give you long lasting results. If you decide to proceed with a Nefertiti lift or Silhoutte lift, just be prepared for subtle changes lasting for a limited time. I hope you find this helpful.Consult with a Board Certified Fellowship Trained Facial Plastic Surgery Specialist."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Both of these named lifts are touted as easy and marvelous. They are both relatively new and may not deliver.   Suture suspension lifts have been tried and tried with different names.  I am not sure the recipe has been fully worked out yet.   

Thank you for your question and sharing your photo.  I would recommend visiting with a plastic surgeon who offers both non-invasive and invasive solutions for the neck.  Based on the photo, it appears that you have some fullness and skin laxity.  Both can be addressed surgically with a neck lift and will give you the most definitive results.Non-surgically, I could propose a combination of treatments such as Coolsculpting mini, Kybella or the Profound SubQ to help reduce some of the volume.  In addition, treatments such as Ultherapy or Profound can help restore some more tone and bounce to the skin.  Together with a volume reduction and skin tightening procedure, you should see great results, but still not quite as definitive as the surgical option.

These two gimmicky operations will disappoint you. I seldom see any good results. A well performed facelift should give you a neck some result in the neck as well as reposition the fat of the midface and malar area to a more youthful position.

A full face and neck lift will give you the results you want, nicely contoured mid and lower face and neck.  Based on your photos there are no good minimally invasive options to address your concerns. 

Based solely on your photos, neither procedure seems as if it will adequately address your issues. I would suggest that you schedule a consultation with a board certified plastic surgeon in your area (link below) to discuss a neck lift. I am afraid that you will be disappointed with both the Neferti and Silhouette lift. Best, Dr. Nazarian

Thank you for reaching out to the physician community.  Many docs (myself included!) will "brand" their facelift and call it something unique.  There is nothing wrong with this approach.  As a consumer, you need to dive a bit deeper and ask what is actually being done for your lift. Specifically, are the muscles of the neck (platysma) and jawline (SMAS layer) being tightened along with the skin? In my experience of having performed over 5K of these over the past decade, this is a must. I would encourage you to ask your doc to show you multiple before and after pictures of his branded lift to be sure you approve of the results he/she is getting.  I've attached a video here that hopefully helps as well.  I wish you the best! Doc L.

My advice is to worry less about the "technique" which is largely marketing based.  Rather choose an experienced Board Certified Plastic surgeon with a large number of exceptional results.

Some surgeons create catchy names to highlight the specialness of there technique.  Some very good surgeons do this and there is nothing wrong with this.  Just make sure that there actually is some specialness, some quality, some value, some safety behind the name.  My point is, find a good surgeon who can show you good results. 

Based on your pictures you seem to have excess skin that is contributing to the lack of contour in your neck area. A non-surgical approach will not give you long lasting or satisfactory results. Choosing the best technique for you is best done in consultation with a plastic surgeon. Good luck!