Chin/Neck Lipo or Facelift? (Photo)

You do have some facial and neck laxity but not much subcutaneous fat. The excess skin is best addressed through a short incision facelift or a "weekend" facelift. A more traditional lower face and necklift would better address the neck but the recovery is substantially more. There is insufficient fat for liposuction alone to be effective.

Hello, hope you are well. Thanks for posting your information and photos. I think you would be disappointed with liposuction alone. There is enough soft tissue laxity that tightening of the soft tissue envelope should be part of the approach. You could certainly accomplish a very good result with a facelift, but you would have to accept the scars of surgery, potential risks, and the investment of downtime, discomfort during recovery, etc. I would suggest a "middle path" procedure like FaceTite. This is a minimally-invasive procedure (no incisions) that will tighten the soft tissue envelope, slim/contour the lower face and neck, and reduce fullness from subcutaneous fat. It's ideal for a situation like yours. It is a smaller investment (time, money, discomfort, downtime, etc), and can be performed under local anesthesia. But, it's also a solution that's proportionate to the issue at hand. Good luck!

Best,
Dr. Tower

The limited photographs demonstrate a recessive chin profile from the side profile, and a prominent pre-Jowl sulcus. Consider placement of a chin implant to augment your chin both forward and slightly widen that area for better structural support for the soft tissues in your neck. You also have fat deposits located both above and below the platysma muscle in your neck. At age 39, your skin tone should be acceptable. Also consider a surgical neck lift to remove the fat deposits above the platysma muscle with liposuction, and surgical extraction of the fat deposits below the muscle, in addition to a platysma plasty to significantly improve your jawline. The chin implant can be done simultaneously.