Should I get a mini face lift or neck lift? (Photo)

Hi I am considering a neck lift but when I went for a consultation (seen 2) the plastic surgeon recommended a mini face lift , my face looks good except a little jowling. But it is my neck that looks bad with lose skin , I am 52 yrs old most people think I am in my early forty's , my neck is what is bothering me and it doesn't match my face , will a mini face lift fix it or should I just get a neck lift

Doctor Answers 10

Minilift or face and neck lift ?

You are right, you definitely don't look 52 from your picture and the first thing I noticed was your neck banding. Without an examination or better pictures, it is hard to give specifics, however, a neck lift only could be an option.
The problem with a neck lift is that if you have even a little jowling now (its hard to see in your picture because you are smiling), the neck lift will not address that. So the other option is as you have mentioned, a lower facelift with a smaller incision (mini lift), combined with a neck lift would probably give you the best most long lasting results. Good luck!

New York Facial Plastic Surgeon
4.9 out of 5 stars 79 reviews

A "Mini" Face Lift or Neck Lift to Get the Best Neck Correction?

Your photo is not optimal, but it does appear to show that you have developed platysma muscle bands which will need to addressed as part of whatever type of facelift procedure is done. The terms mini face lift and neck lift are confusing and different surgeons use these terms in different ways, so it is really difficult to know what you are getting.

Really there is nothing that is "Mini" about any true facelift procedure. It is more a marketing gimmick then anything else. It seems to imply that it is less invasive, which it may or may not be. Usually a mini lift will take less time, but it also usually means mini result, which doesn't last very long. Not really good value in the long run, and it will not address your neck concerns.

While it is possible to do an isolated neck lift, the concept just doesn't make sense. All parts of your face age together and, as you have noted, you do have some jowling, so it would be important to correct this as part of an overall facelift procedure so that your face looks balanced. You do look youthful in your photo, but you are in your 50's, which is a point at which most people benefit from a more comprehensive approach so that all parts of your face match. So my recommendation would be to have a facelift that is performed to correct from your midface down to your neck, and which also specifically includes making an incision under your chin to correct the platysma muscle bands. This is something that is often left out by surgeons trying to do a mini procedure and the result is a neck that shows minimal improvement. Look for an experienced plastic surgeon who doesn't try impress you flashy terminology, but is thoughtful and thorough and has quality photos that demonstrate impressive results across a range of facial types.

Neck Lift or mini lift

You look very young and whatever procedure you have should be conservative and result in a natural look. I think the terminology used to describe the procedure is far less important than specifically addressing your concerns. In order to make an appropriate assessment, a plastic surgeon would need to see photos of your full face from multiple angles.  

By starting now, you may not be the "wow" before and after, rather, people will notice that you look great and youthful.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 110 reviews

Mini or regular lift

This depends on what technique is used for the mini lift.  If it a skin only procedure with a very small incision around your ear, it likely will not correct your neck or if it does, it wont last.  If it is done with some form of SMAS manipulation, preferably a flap or excision, it will be a longer lasting procedure that will address your neck.  Based on your photo I would recommend a comprehensive mini lift.

Should I get a mini face lift or neck lift?

Thanks for the questiohn and the photo. You seem to be an excellent candidate for a conservative face and neck lift. When done together and done skillfully they blend seamlessly with the best of all results.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 24 reviews

Should I get a mini face lift or neck lift?

Your face does appear youthfu, but it is best to see you when you are not smiling and can really see your face. Your neck does have some lines which can be bettered with surgery.  A mini-facelift will not address your neck at all.  Please visit an experienced facial plastic or plastic surgeon for best results!

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Minituck vs necklift

rng1, Sorry but from your photos I cannot give you a definitive answer. I would recommend that you see several facial plastic specialists (ie. surgeons that only operate on faces) and have them show you what they mean by a mini face lift using their own patients photos as examples. See my photo site as an example. Do your homework and you'll have a greater chance of having a good result. Good luck!

M. Sean Freeman, MD
Charlotte Facial Plastic Surgeon
4.8 out of 5 stars 45 reviews

Loose neck skin, muscle banding

A mini facelift will only result in minimal temporary improvement in the jawline and cheeks.
Tightening of the neck skin requires a direct approach to the neck.  Options include the Precision Tx internal laser to improve the wringling, tighten the neck and reduce jowls. Liposuction of the submental region and jowls will tighten and smooth these areas.  Botox or excision of Platysma muscle bands will improve subcutaneous banding.  A neck lift will tighten neck skin; some patients are dissapointed due to recurrence of the fine wrinkles under the chin.
Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Luis A. Cenedese, MD, FACS
New York Plastic Surgeon
4.5 out of 5 stars 19 reviews

Lower face/neck lift makes such an improvement and is done under local.

Even though the neck is the worse by far, when you get a neck lift it is best to do the lower face with it to be sure to blend the skin together nicely and it takes care of the jowls as well for roughly $8800 on special and under local.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.8 out of 5 stars 37 reviews

Facelift vs Neck Lift

Thank you for your question.  Your face looks quite young and beautiful on the picture that you've posted.  And the neck does look like it would benefit from a bit of tightening.  Most people in your situation would think that the neck lift alone would give them the best result and the facelift would not be necessary or possibly even harmful by causing "over-tightening" of the face.

In most situations, however, this would not be the case.  Despite your face looking so young, I would have to agree with your plastic surgeon.  The neck lift in conjunction with a facelift would give you far better result than an isolated neck lift.  Adding a facelift would not only enhance the results of the neck lift procedure, but would also help to make the result look far more natural.

Best wishes!
Dr. Konstantin

Konstantin Vasyukevich, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 36 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.