Just chin lipo or neck lift with it - what is recommend? (photos)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Thank you for providing all of these helpful photos. I would recommend a combination of surgical procedures to achieve optimal results. You appear to be a good candidate for a deep neck liposuction, buccal fat reduction, and a possible lower face and neck lift. The buccal fat reduction would aid in slimming your face overall. The liposuction would address the stubborn fat in the submental area but not the excess skin, whereas, the lower face and neck lift would address the sagging skin around your neck, jawline, and jowls. Notably, the procedures I have mentioned may change based on a multitude of factors such as your age, preexisting medical conditions, etc. Going forward, I would recommend you to complete multiple in office consultations with board certified facial plastic surgeons to discuss your ideal outcome. This way, they can assess your face in person and determine the best treatment for you. Best of luck! Kian Karimi MD, FACS

Dear Imaginative207596,
it is hard to tell for sure without an examination. Based on your photos, it looks like you could try chin liposuction. If you are considering a surgery, I would suggest you to 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

More information is needed such as your age. The limited photographs demonstrated fat deposits above and below the platysma muscle in the neck which will require a neck lift procedure. You also appear to have loose and inelastic skin in the neck,and if that's the case, then a lower face and neck lift is required to tighten that loose facial and neck skin. Simply removing fat in the neck will make the skin issue worse

If you want the most impressive results than a neck lift a.k.a. facelift is a far better procedure.

Liposuction simply reduces fat and fat distribution is not really causing that much problem for your neck in the first place. Removing fat can help and some people significantly. This is especially true for young people who are slightly overweight.

As patients get older other issues like the underlying platysma muscle and the lack of skin elasticities become much bigger problems and should be treated to get the best result. Typically around the age of 50 is when patients stop being reasonably good candidates for just liposuction.

In the end it depends what you’re trying to achieve and what you’re willing to go through. If you want a very subtle improvement in Liposuction may do just that.

If you want to well-defined neck and jaw line than a neck lift will do a much better job at it.

As always I recommend multiple in person consultations with local board-certified plastic surgeons. During consultations ask providers to show all of their before and after pictures for the procedure you’re interested in. Experienced providers should have no difficulty showing 50 or more sets of before and after pictures. Avoid providers with any significant number of justified negative reviews on various physician review websites. The absence of justified negative reviews is far more telling and important than an abundance of positive reviews.

Best,

Mats Hagstrom MD