What kind of Neck Lift would benefit me? (photos)

As a board certified plastic surgeon, I am often asked questions like this and unfortunately, the liposuction of your neck likely wasn’t the right approach. 99% of all people in their 50s do not have enough collagen and elastin needed for a good result, so what you see is hanging skin that has been defatted rather than a sharp, youthful jawline. The better approach would have been a formal neck lift during which liposuction would take place along with a resection of the skin that would tighten and redefine the jawline. Just based on your photos, it appears that you would likely be an excellent candidate for a lower face- and neck lift, which would in turn help improve your marionette lines, jowls and neck. I recommend consulting in person with a board certified plastic surgeon to discuss your concerns and expectations.

Based on your photos, you are a great candidate for necklift along with the jawline lift. This will tighten the muscle and lift up the skin, making it appear much more youthful. Be sure to see a facial specialist for consultation.

From the photos that you have provided, I believe you may be a good candidate for a lower face and neck lift. A lower face and neck lift would address the sagging around your neck and jowls and allow for a youthful rejuvenated look. The best part is that you will be able to enjoy this refreshed look for many years to come as we typically expect the results to last 8-10 years, as opposed to non-surgical options that typically last about a year. As for your visible platysma bands, deep muscle work can be performed during the procedure to lessen the appearance of them. Going forward, I would recommend you to complete multiple in office consultations with a board certified facial plastic surgeons to discuss your ideal outcome. This way, they can assess your goals in person and determine the best treatment for you. Best of luck! Kian Karimi MD, FACS

You would look so amazing. There is nothing going to make the lower face/neck look fabulous now other than a great mini Lift under local. It is so easy to undergo and you look so amazing in just 2 days . You are wrapped up for 1-2 weeks though but there is almost no pain during or afterwards. A little filler in the oral commissure areas would compliment the results nicely as well as a face/neck/chest resurfacing with Morpheus8 and a medium TCA peel.

Hi Nursedebbie, neck/chin liposuction for a double chin often times deflates the double chin, but results in vertical muscle bands (clench your jaw to show all your lower teeth and you will see two vertical neck muscles protruding through the neck skin) and loose skin.
It is not unlike a person who loses an extreme amount of weight then left with a lot of loose skin which can only be “tailored” out with a tummy tuck. If we had clothes which we wore when we are heavier then lose weight/fat then our clothes won’t fit nicely. The clothes can be take to a tailor to make them fit nicely without making it look like we are swimming in the clothes.
The platysma muscle is the like the liner of a sport coat. To do the job right, both the skin and the platysma muscle needs to be tailor fitted.
In the past, some surgeons would try to do a facelift to pull up the excess skin on the sides of the face and neck but it would leave the excess/stretched platysma muscle untreated/tailored. To prove this try lifting the cheeks and sides of the face while looking at your profile in a bathroom mirror. Note the loose muscle bands and neck skin is never smooth out out enough. The profile view doesn’t get the loose skin under the chin smooth and flat just by pulling on the cheeks and temple.
After adding the Corset Platysmaplasty to my “toolbox” back in 2006, which sutures the muscle bands at the front of the neck together, my results became much more consistent. Lifting from the sides with a facelift alone would help remove some excessneck skin but would not change the muscle bands since they were essentially untreated.
Many lower facelift and mini facelifts, are simply operations on the sides of the face rearranging the SMAS tissue, but less to nothing was done on the front the neck. Maybe some liposuction which may help remove fat, but sometimes only reveals the muscle bands which in some ways makes the neck look older than just having a double chin which just looks like the person is heavier, but not older.
Hope this provides some value to you. Keep doing your research and good luck in your neck rejuvenation journey. Best, Dr. Yang

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

Thank you for your question. Based on your photos, you are a good candidate for a surgical face an neck lift, which will remove and tighten your loose skin, treat your platysma bands and enhance the structure of your face to achieve a more youthful appearance. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

You would benefit from a face and neck lift, in particular I would recommend a deep plane lift. Depending on the physical exam, you may benefit from a midline tightening like a platysmaplasty although this is not usually necessary with a deep plane.

Beside visible muscle bands, you have moderate skin laxity in the neck and lower face, jowls and fat deposits along lateral neck and jawline. For all these reasons, face and neck lift would be best option for improvement. Good luck.

When you were 54 and had liposuction of the neck it may not have been the best procedure for you since the skin often will not shrink after the procedure. At this point the platysma bands bother you and a formal neck lift and face lift is likely the best procedure for you. Most often the bands are sewn together with back cut so the bands do not tend to come back. Good Luck!