Lazerlift or surgical neck lift?

Question

I have saggy skin on my neck and jowls. I'm 66 yrs. old and thinking of a surgical neck lift but now I heard about Lazerlift. Which do you think is best?

Ross A. Clevens, MD, FACS · Answer

Thank you for your question, kokikoki. You seem like a great candidate for the Laser-Assisted Weekend Necklift, which contours and improves the appearance of patients' necklines utilizing laser technology and a small hidden incision placed under the natural folds of the chin. Please be sure to consult a facial plastic surgeon to receive the highest quality experience and outcome. Best wishes,

David Hansen, MD · Answer

The dramatic improvement you get with a lower face/neck lift is so worth getting and is done under local with a little iv sedation with less complications and quicker recovery.

John Mesa, MD · Answer

Saggy skin on the neck and jowls in the 60s (age) usually involves sagging of the mid face in addition of the neck fiscal findings. It would be logical for patients to think that only a neck lift is necessary to address this aging related fiscal findings.Doing a neck lift alone in patients in the 60s very likely will give an operated "pulled" look, since the neck will look stretched and the face will not. Additionally, a neck lift very like will not resolve the jowls when patients are in their 60s.A natural look is obtained when jowls and saggy skin is addressed in patients in their 60s with a FACELIFT and a Necklift. Skin tightening with lasers in the age bracket of 60s may improve a little bit the sagging of the skin, but very likely will never deliver the results of a facelift and neck lift. Facelift is king.Patients interested in neck rejuvenation in their 60s should make a consultation with a Board Certified Plastic Surgeon specialized in neck and face lifts.

John Mesa MD
Board Certified Plastic Surgeon
New York City (#NYC) & New Jersey (#NJ)

John Mesa MD
Board Certified Plastic Surgeon
New York City (#NYC) & New Jersey (#NJ)

Jason Emer, MD · Answer

I suggest posting photos and getting a formal consultation to see if you are truly a candidate for something non surgical, ultrasound/laser liposuction, or if only a surgical procedure would be helpful.  Best, Dr. Emer.

Zoran Potparic, MD · Answer

Without clinical evaluation or photos it is impossible to give you good advice. In general, laser procedures which may tighten deep layers of skin by means of building a collagen are better suited for younger patient who do not have much of sagging and skin/muscle laxity. In your age skin is thinner, less elastic and  muscles/fascia underneath the skin of face and neck need tightening and lift. For that reason surgical neck and face lift is your best option. Anything else will create minimal to no improvement and will be a waste of time and money.You should consult a board certified plastic surgeon with experience in facial rejuvenation and discuss your options. Good luck.

Thomas Trevisani, MD · Answer

Without seeing your photos and the benefit of physical exam- it's difficult to comment re/what you are specifically a candidate for. But in my opinion- there is NO non-surgical treatment that will effectively address this type of situation. The only most reliable and long lasting treatment to address excess skin - is a surgical facelift/neck lift. For more info- you can view this link:

Reza Momeni, MD, FACS · Answer

If your skin is very saggy, then it's not likely that the skin will be improved with lasers much.  There are good surgical treatments for this, and you need to find out your options by having a proper examination with a qualified plastic surgeon.  Be sure to discuss with your own surgeon about how this applies to you, and whether they have any special concerns in your case.

Gustavo A. Diaz, MD · Answer

Posting pictures would have given us a better chance to help you with this question. A neck lift is a surgical procedure that engages the SAMS and neck tissues to a higher position. We know the results that can be given with a surgical neck lift.Lazerlift is a fancy name that was given to a procedure that is performed with the SmartLipo machine (PrecisionTX). PresicinTX is a very effective procedure to decrease the fat volume of the neck and bring some tightness to it. I perform this procedure in my office and it really gives very nice results, but a neck lift brings better results on a very sagging neck.The most important thing is to go to a board certified Facial plastic Surgeon that is capable of performing both procedures, that way you will be able to select between the minimally invasive vs. the surgical option depending on which one fits better your concerns, physician exam, and butget.Hope this helps,Dr. Gus Diaz

Richard Sadove, MD · Answer

No scalpel, no stitches, no scars. I am sure that you would not buy a bridge of someone wanted to try to sell it to you.See comments of other respected professionals below.Over my 30 years of experience, I have seen so many people who regretted wasting their money on branded facelifts or worse yet suffered serious complications. You may see the admonition againest branded procedures in the websites of our professional societies.Please understand that laser liposuction was never scientifically proven to be superior to traditional liposuction and most of those machines are now in the junk pile.Happy Thanksgiving

William Portuese, MD · Answer

A the laser is no more than a cutting tool and offers no advantages during a facelift procedure. The goal of a lower face neck lift our practice is to tighten loose facial and neck skin, lift the jowls, tighten  loose facial and neck muscles, and remove the fatty deposits above and below the platysma muscle in the neck to accomplish a comprehensive facial rejuvenation. Anticipate 2 weeks of bruising and swelling after the procedure. For many examples, please see the video and the link below

Lazerlift or surgical neck lift?

Answers (17)

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