Well, lower face and neck lift help my neck? (Photos)

Hello,

Thank you for sharing your question and photographs. Based on the images, it appears that you have some laxity along the jawline, moderate fullness under the chin, and a degree of skin laxity in the neck area.

Given these concerns, I believe that a combination of a deep plane facelift and a deep plane neck lift would offer significant improvements. Here’s why:

1. Increased Jawline Definition: The deep plane facelift technique can provide a more defined jawline by addressing the deeper layers of the face. This approach allows for a more natural and longer-lasting lift.
2. Reduced Neck Girth: The deep plane neck lift can significantly reduce the fullness under the chin both above and deep to platysma and tighten the skin around the neck. This combination can create a smoother, more youthful contour.
3. Vertical Lift Vector: The laxity directly under the chin is generally better addressed with a vertical vector lift. Extending the facelift scars to the edge of the temporal hairline can help achieve this, enhancing the lift’s effectiveness and ensuring a more cohesive result.
4. Overall Candidacy: If your health is good, you appear to be an excellent candidate for these procedures. The deep plane techniques are known for their ability to create significant and natural-looking improvements in facial and neck contours.

Before evaluating patients' cases, I generally prefer to conduct a physical examination. From what I can gather from your photos, you seem to have jowls on the lower face and sagging skin on the neck area. Even though the photos are not sufficient (more angles would help) you seem to be a suitable candidate for facelift and necklift surgery. Correcting the area known as jowls in the lower part of your face with a facelift will make you look younger and healthier. Especially in the context of facelift surgeries, it's crucial to carefully assess the patient's muscle tissue, skin structure, and facial shape. However, it's important to have a one-on-one discussion with the patient and conduct a detailed evaluation to determine a precise treatment plan.

Yes, a face and neck lift will definitely help. You have excessive rolls of skin of the neck that need to be pulled up as well as the lower face.

Best Wishes,

Gary Horndeski, M.D.

Your neck problems may be related to structures under the platysma muscle, such as the sub platysmal fat pad, and the digastric muscle. Does not look like your submaxillary glands are involved. You need to seek a surgeon who is a specialized facial plastic surgeon, sophisticated in complex neck lifting.

Hello, thanks for posting your question and photos. From what can be seen in the photos, you would be an excellent candidate for a facelift and neck lift. A facelift can be designed to primarily address the lower face and neck, or it can be designed to include the midface as well.
Best,Dr. Tower

Based on the photos shown, a deep plane facelift with deep neck lift performed by an experienced Facial Plastic Surgeon will provide great benefit to your lower face and neck. The obliquity in the neck is related to laxity of the platysma muscle (which starts in the lower face), subplatysmal fat, and possibly ptotic digastric muscles. Liposuction alone and/or energy devices will not be comprehensive in addressing this problem.

Based on your photos, it looks like you could greatly benefit from a 3D Y-SMAS lift (which is a deep plane facelift but more sculptural and that lasts longer).

Best of luck !

You are an excellent candidate for a deep plane facelift. There is significant laxity in the neck and jowl area that could be well addressed. The procedure would require an incision just beneath the chin to deal with the deep fat and possible other tissues beneath the platysma muscle. We would aim for a mostly vertical vector in the cheeks. Repositioning the lax neck tissue requires that the incisions be placed in front of the ear (in our case behind the tragus) to create a smooth transition from the neck to the face. Medical recovery would be about 1 week with another week or two for any bruising to resolve.

A necklift only addresses the neck skin laxity. It will not improve the jowls or cheeks. A mini-lift and a midface-lift also vary significantly in what is done, depending on the surgeon performing it. They are usually performed in patients with minimal laxity and would not improve the neck. The terms facelift and lower facelift mean different things to different patients and vary in their extent from surgeon to surgeon. A facelift or a lower facelift which would include the neck area would have the potential to produce the best cosmetic result of the neck, central cheek and jowl area.

It is important to realize that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you.

Robert Singer, MD FACS

La Jolla, California

Yes, indeed, a lower face and neck lift would accomplish tightening loose, facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the fat compartments in the neck located both above and below the platysma muscle in the neck itself. This also includes a platysma plasty to significantly improve your jawline. Choose your surgeon wisely, based on extensive experience producing natural results.