Best option for my neck: Neck Lift, Mini Neck Lift, or Liposuction?

Question

What would you recommend to improve my neck (I am 54)? I would like to get rid of my double chin and have more definition around my jaw. Where would the incisions go… behind the ear, in front of my ear, under my chin? What is the difference between a neck lift and a mini neck lift? Thank you!

Vasileios Vasilakis, MD, FACS · Answer

Hello, based on the photos you are a very good candidate for face and neck lift. The word "mini" can be a confusing term, and I believe that you need a full face and neck lift in order to get the best possible rejuvenation. The incisions are designed to be imperceptible, right in front of the ear, as well as behind the ear. A small incision under the chin is also made. I wish you the best of luck. Vasileios Vasilakis, MD. Fellowship-trained plastic surgeon. Houston, TX.

Jonathan Kulbersh, MD · Answer

Hello and thank you for your question. Based on your age and photos, you’re likely a good candidate for a combined facelift and neck lift. You can expect minor incisions in front of and behind the ears, as well as below the chin, to achieve your desired results. Unlike less invasive skin tightening treatments, results from a surgical facelift and neck lift can last up to 10 years with proper care. I strongly recommend scheduling a consultation with a board-certified facial plastic surgeon to discuss your treatment options.

Brian K. Machida, MD, FACS · Answer

You are an excellent candidate for a face and neck lift with incisions in front and behind the ears and possibly under the chin.  Because of the jowl going over the jawline, a neck lift alone will not do what you want.    You should have excellent results with either a SMAS lift with platysmaplasty or a deep plane lift.

Jason Emer, MD · Answer

you ned a full face/neck lift.
 
if you want a dramatic change necklift/facelift, Implants and fillers will give you that on the neck and jawline contouring and tightening of the neck contour . noninvasive may  improve the area and slow down the aging process with  facetite or renuvion as an office procedure with liposuction or without downtime PDO or instalift threads, morpheus or pixel8 deep microneedling RF , and botox/dysport/xeomin to stop muscle movement of the platysma bands and fillers for jawline contouring and chin.  We also use diluated fillers or sculptra on the neck to improve collagen production like belotero and hyperdilute radiesse .
 
start at home dermarolling to tighten you r skin, see emeragecismetics where we do free skincare consults daily and recommend emerageskin roller with anteageMD ampules daily ( see link).  Peels like cosmelan or enlighten give more dramatic at home results in 7-10 days, for less downtime you can do EMERAGE SKIN AERIFY every 2 weeks overnight and get tightening and improvement in lines and discoloration. 
 
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or halo) or microneedling RF (fractora, morpheus, pixel8 ) can be performed to improve the crepe skin or wrinkles and combined together for best outcomes.  
 
 You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and MNRF and lasers for texture
2. botox, disport or xeomin to help platysmal bands and chin crepiness 
3. intensif , fractora , morpheus, pixel8 MN RF for crepe skin and lifting and tightening 
4. fillers like belotero, restylane silk, juvederm volbella , and hyperdilute radiesse  to improve lines and folds and collagen production 
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening with liposuction 
7. ultherapy and thermage for external tightening
8. regular radiofrequency facials like Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness (recommend twice monthly) 
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
 
S ee an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer

Bhupendra C.K. Patel, MD, FRCS · Answer

Sometimes, we make it difficult for our poor patients by coming up with mini-this and mini-that and micro-other and weekend-lift and quick-lift, and what-have-you.
Whether we like to be told or not, most of us (within a particular ethnic group), will age similarly, albeit with some changes more or less depending upon weight, weight gain and weight loss, smoking, diet, sun damage, etc. So, in someone with your age and ethnic background, you have what we see regularly: the loss of jawline definition, the obtuse angle of the neck visible in the side views, loss of facial fat, cheek ptosis, bands under the neck skin, etc. 
Your best bet is to get a good face and necklift with fat grafts and with the use of appropriate lasers as indicated. You also have the firm look because of your brows being lower (and asymmetric) with the "elevenses" which make us look severe and the surgeon can address that with injections or surgery or both. 
You will see the descent of the cheeks unveiling your lower eyelids with a groove. A well done facelift and also address that. 
The money in a lady is always in the neck: a beautifully performed facelift and necklift should make the neck look elegant. Your chin will need some minor modification to give it balance, as will your lips. 
Don't fall for the "quick" procedures which promise all and deliver less than all.
Good luck: get opinions from more than one surgeon. And go by recommendations.

Thomas Trevisani, MD · Answer

Based on photos- you appear to be a candidate for a facelift/ neck lift with muscle tightening. It is best to seek an in person consultation with an experienced Board Certified PS to go over your questions and details of the procedure

Patrick Flaharty, MD FAACS · Answer

There are no short cuts to success when it comes to lower face and neck lifting. "Mini" procedures usually yield "mini" results. Your photographs show significant laxity of the lower face and neck and the best solution is a thorough lower face and neck lift procedure. This would entail incisions inside the front of the ear and behind the ear as well as a small incision under the chin. Lifting the entire lower face and neck in addition to removing any excess fat with liposuction will yield amazing results which will last for many years. Consulting with a surgeon experienced in lower face and neck lifting techniques would be a great way to learn more about this procedure.

William Portuese, MD · Answer

The Photos demonstrate significant fat deposits in the neck along with skin laxity at age 54. You're going to need a lower face and neck lift procedure which accomplishes lifting the jowls, tightening loose facial and neck skin, tightening loose facial and neck muscles, and removal of the fat deposits above and below the platysma in the neck along with a platysma plasty to significantly improve the jawline. This is a very difficult procedure, so choose your surgeon very wisely based on extensive experience. Study your prospective surgeon's before and after facelift photo Gallery

Darryl J. Blinski, MD · Answer

Based upon the excellent posted photos you are a candidate for full open face & neck lift with muscle plication. See examples of the surgery on google/YouTube. Fees in the $20,000+ ranges.

Best option for my neck: Neck Lift, Mini Neck Lift, or Liposuction?

Answers (9)

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