Would a neck lift with liposuction give me the results I'm looking for? (photos)

Question

I am 29 years old and unsatisfied with my side profile. I cannot tell if the problem is loose skin, fat or both. If I pull the pad to the side it gives me the desired result and my neck/jaw look more angular and defined. I have already had chin augmentation previously but the main issue for me is the neck/jawline. What are my options?

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for providing your question and photos. Facial liposuction is a great option to remove excess fat from the neck area. In doing so, the neck and jawline can attain a more sculpted and contoured appearance. The results from liposuction are long-lasting as long as a healthy weight is maintained. 
A neck lift is generally suggested to reverse signs of aging and improve skin laxity, which may not be necessary at your age. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can help you decide on the best procedure to help you attain your aesthetic goals.

Zoran Potparic, MD · Answer

It would be very difficult to give you good answer without in person evaluation. Providing that you do not have low inserted neck muscles, which may contribute to obtuse neck, liposuction may be sufficient to improve contour of neck and jawline. However, if muscles position or deep fat is part of the problem, neck lift and platysmoplasty may be needed. In person consultation with a board certified plastic surgeon with good reputation in face/neck lifts, is recommended. Good luck.

David Hansen, MD · Answer

You just can't beat the beautiful jawline/neck that lipo/morpheus/facetiteRF gives with only 1 day downtime and immediate results that are dramatic and natural.

Richard G. Schwartz, MD · Answer

Based on your photos and age, I don't think a standard necklift is warranted, since I doubt you have enough loose skin to make that procedure worthwhile.  I would initially try a more limited option consisting of liposuction in the front of your neck via a short horizontal incision in a natural crease just under the chin.  Through the same incision, I would then tighten the platysma muscles (called platysma plication).  This is usually successful in accentuating the angle of your neck, as long as your skin has fairly good elastic tone.

Daniel Barrett, MD · Answer

Dear amadden46,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from neck liposuction. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tanveer Janjua, MD · Answer

Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
Click on the video link below
Regards
Dr. J

Akshay Sanan, MD, FACS · Answer

Hi amadden46,Thanks for your question and photos. To achieve that look requires a deep necklift, this procedure addresses the superficial fat (addressed in liposuction), muscle sculpting and deep neck fat and gland sculpting. Skin removal is not required because your skin is young and has good elasticity. I recommend you consult with a board-certified facial plastic surgeon. I hope this helps answer your question!All the best,Dr. Sanan, MDDouble board-certified facial plastic surgeonLos Angeles, CA

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