I am 40 and have been plagued with a double chin my whole life, even at my lowest weight. It is taking a toll on my confidence. I look at my relatives and know that I'm not going to age well. Just looking at this, what are your thoughts about procedures? Would deep plane be too much at my age? I'm afraid with just lipo I'll have loose skin afterwards..
July 2, 2022
Answer: Consider a deep neck lift (different from a deep plane facelift) Good morning!If your #1 goal is to improve your neck contour, you should consider something called a deep neck lift. Quick (non-boring) anatomy lesson: there is a sheet of muscle in the neck called the platysma and there can be a variable amount of fat both above it and below it. Liposuction only removes that superficial layer of fat when in your case, there likely is a considerable amount of fat/soft tissue deep to that muscle that is causing your "double chin". Through an inch incision under your chin, we can address all of the layers within the neck and achieve a contoured neck line and jawline.For most people under the age of 40, the skin redrapes and contracts without any laxity. After the age of 40 there tends to be some skin laxity so depending on the person, this may or may not need to be combined with a deep plane facelift. A deep plane facelift will also address jowls, marionnette lines, nasolabial folds, skin laxity in the face and neck, etc, but if those don't bother you, I would advise waiting on that procedure. Just because you do a deep neck lift, this doesn't stop you from getting a deep plane facelift in 5-10 years if you become bothered by those changes. I would suggest you consult with a facial plastic surgeon who performs these procedures so they can assess your skin laxity and review your goals. I hope that helps! Happy holiday weekend from the nation's capital!Jigar Sitapara, MDChevy Chase Facial Plastic Surgery
Helpful
July 2, 2022
Answer: Consider a deep neck lift (different from a deep plane facelift) Good morning!If your #1 goal is to improve your neck contour, you should consider something called a deep neck lift. Quick (non-boring) anatomy lesson: there is a sheet of muscle in the neck called the platysma and there can be a variable amount of fat both above it and below it. Liposuction only removes that superficial layer of fat when in your case, there likely is a considerable amount of fat/soft tissue deep to that muscle that is causing your "double chin". Through an inch incision under your chin, we can address all of the layers within the neck and achieve a contoured neck line and jawline.For most people under the age of 40, the skin redrapes and contracts without any laxity. After the age of 40 there tends to be some skin laxity so depending on the person, this may or may not need to be combined with a deep plane facelift. A deep plane facelift will also address jowls, marionnette lines, nasolabial folds, skin laxity in the face and neck, etc, but if those don't bother you, I would advise waiting on that procedure. Just because you do a deep neck lift, this doesn't stop you from getting a deep plane facelift in 5-10 years if you become bothered by those changes. I would suggest you consult with a facial plastic surgeon who performs these procedures so they can assess your skin laxity and review your goals. I hope that helps! Happy holiday weekend from the nation's capital!Jigar Sitapara, MDChevy Chase Facial Plastic Surgery
Helpful
June 20, 2022
Answer: Lower face and necklift... Based on the photos, you are a great candidate for lower face/neck lift. Your anatomy puts you at a little bit of a disadvantage because your laryngeal cartilages are a bit lower (creates a more oblique neckline). However, a well performed lower face/neck lift will improve the contour of the neck as well as the jawline. Be sure to see a facial expert for consultation.
Helpful
June 20, 2022
Answer: Lower face and necklift... Based on the photos, you are a great candidate for lower face/neck lift. Your anatomy puts you at a little bit of a disadvantage because your laryngeal cartilages are a bit lower (creates a more oblique neckline). However, a well performed lower face/neck lift will improve the contour of the neck as well as the jawline. Be sure to see a facial expert for consultation.
Helpful
