Mid-30s, healthy weight, chin liposuction or deep plane neck lift? (Photo)

Question

Mid-30s, healthy weight, have always had this 45 degree angle between neck and chin. There’s fat in there for sure, not just loose skin. I’m wondering if liposuction + skin tightening would produce a good result, or should I go for a full on Platysmaplasty/ deep plane neck lift?

Jeffrey M. Darrow, MD · Answer

An in person examination would help to determine the thickness of the fat in your neck as well as laxity of the platysma muscle.  I would always favor doing a conservative treatment first. A carefully performed liposuction of your neck should improve your neck contour and define your jawline This is minimally invasive, would have a relatively short recovery period and should give you improvement in your neck contour. Adding an energy based skin tightening should also be of some help as well.  Best wishes.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding your neck, particularly considering your age in the mid-30s, being at a healthy weight, and whether chin liposuction or a deep plane neck lift is the best alternative for you. I appreciate the history and pictures you provided.
Based on your pictures, I highly suggest VASER neck liposuction. I believe you will achieve an excellent result. This procedure can be performed under general anesthesia and typically takes about one hour to complete. Drains are not necessary. During VASER neck liposuction, an incision is usually made behind your chin and sometimes behind each earlobe. The neck is crisscrossed, and fat from the neck is reduced and permanently removed. The VASER technique is exceptional in the neck area. It helps to melt the fat and maximally tighten the skin.
Postoperatively, it will be important for you to wear your neck garment continuously for two weeks. After this period, your neck should appear more contoured and defined.
At this time, I do not think you need a deep neck lift. Perhaps, you may consider it in 30 to 40 years. However, currently, VASER neck liposuction should suffice to achieve the results you desire.
I hope this has answered your question regarding what to do with your neck, specifically regarding chin liposuction or a deep neck lift.
Good luck.
Sincerely,
Dr. Katzen

Jacob Tower, MD · Answer

Hello, hope you are well. Thank you for submitting your photo and questions! Based on the limited view of your neck in this photo, I would recommend a surgical neck lift. Neck lifts can be designed in many different ways to address the problems at hand--in your case, deposits of adipose tissue (fat) in different layers of the neck. Removal of both subplatysmal fat and subcutaneous fat will provide the best contour achievable. In your mid-30's, additional skin tightening would be of marginal benefit but there are minimally invasive options to consider. You would also see improvement with liposuction and skin tightening alone, but better results with a neck lift.
Best,Dr. Tower

Lexie Wang, MD · Answer

A lot will be dependent on your physical exam - feeling how much fat there is and most importantly where your hyoid is located. If you feel like you've always had this, it is posible that your hyoid bone is just in a unfavorable location, which means that even with aggressive surgery, it can only improve so much. This is something that can only really best be determined by feeling in person. Based on your photos, I don't think lipo/skin tightening will do enough for you - at the very least you need some deep neck contouring to try to maximize what you can get with your hyoid position.

Zoran Potparic, MD · Answer

Decision about which procedure would better address your neck issue can be made only on the basis of a thorough in person evaluation. There is no doubt that deep fat underneath platysma muscle has a role in your neck deformity. It is very likely that neck lift with platysmaplasty may be a procedure to consider. Good luck.

William Portuese, MD · Answer

From the one limited photograph, you have significant fat deposits located both above and below the platysma muscle in your neck. Liposuction alone can only remove the fat compartment above the muscle which will be insufficient for you. You're gonna need a deep plane neck lift procedure to remove both compartments of fat above and below the muscle which also includes a platysma plasty to significantly improve the jawline.

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