What Is the Least Invasive Way to Remove the Neck Wattle? (Photo)

The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine if you are a #candidate for #rejuvenating the neck. Chin deficiency with the neck and jawline are also taken into consideration. A weak #chin implies a lack of chin support for the skin along the neck line. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.Patients who desire facial rejuvenation that is affordable, quick, and effective should also consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift, individualized for each patient, that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.The best candidates for #LiteLift are non-smoking patients 35-60 years old with early changes of the lower face and the neck. But whose skin has elasticity with well defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™.A board certified plastic surgeon should evaluate both your anatomical features and aesthetic goals to suggest which procedure best suits your needs. In some cases there may be more than one option to choose from. If you are not a candidate at the time of your #consultation, your board surgeon can recommend non-surgical alternatives to address your concern.

Removal of the neck fat and skin tightening with a formal necklift will provide the most dramatic and lasting improvement for redundant neck skin and fat.  However, with the advent of new technology such as SmartLipo Triplex, many patients can achieve very nice outcomes with a much less invasive procedure.  Typically, this is done on an out-patient basis, under local anesthesia with minimal downtime.  Results may vary depending on how much fatty tissue is present and the patient's skin elasticity.  I have seen many patients your age that do not want a face or neck lift and have been very pleased with the results achieved with SmartLipo.  Good luck to you.  

"These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​"

The neck ages rapidly compared to other parts of the face. This is because the fan like platysma muscle is extremely mobile and the constant turning and lifting of the head and neck leads to redundant skin, fat and muscle.
Non surgical options in my hands include thermismooth, ultherapy, liposuction, sculptra, fat transfer and botox. The first two refill the volume while botox can be used to relax plastysmal banding.   Laser resurfacing can be used to treat very fine rhytids of the neck though this is more successful for the fine lines of the perioral and periocular areas. It will give a modest amount of tightening to the most superficial skin of the neck and face.
Surgically we offer a neck lift and plastysmaplasty. The neck lift is one of my favorite procedures. This is because the results are natural and the patients do so well. The incisions are hidden near the ear and in the neck and behind the ear hairline.
I hope this helps.
Best of luck,
DrC

This is really a wonderful question and one that I get asked all the time.  For most patients, a direct neck lift is quick and can typically be done in the office under local anesthesia. There is nothing better than directly cutting out the skin exactly where it bothers you and this is the most dramatic neck option. Usually there are no drains, no outside stitches, and patients can go out in public the same day, although I usually recommend they low for the first couple days. Most of the initial swelling is from the numbing medicine and your body absorbs it within the first 4-6 hours. Obviously the body heals with swelling and inflammation and usually that maxes out at two days and then starts getting better. Most of these patients take no pain medicine and usually feel very comfortable going out in public within a few days.  I usually call my patients the night of surgery and check on them the next day. If everything is fine the next day, I then let them shower and they do not need a dressing over their incisions. They can usually start using make up after a few days.  At the two week check up, I usually have people start working out and then after six weeks they can do whatever they want. I routinely tell people to take a few days to a week off work and to hide out but some people are very nervous especially celebrities and I usually tell them to hide out for two weeks. As with any scar on the human body, initially scars are red, hard and raised and it typically takes six months to a year for them to become a soft thin white line. I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results.I hope this helps. If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

There are no good non-surgical options to improve extreme neck laxity. There are many non-surgical treatments available, and some might be helpful to reduce fatty tissue in the neck (such as Kybella injections, Cool Sculpting, etc), but these do very little to tighten the neck. Neck laxity is often due to not just loose skin, but loose muscle under the skin.A consultation with a surgeon specializing in facial aesthetics can be very helpful to discuss realistic goals and treatment options in detail.All the best,

 Congenital laxity of the soft tissue of the neck often results in excess skin and fat which appropriately evaluated can help to determine which solution will deliver the best and most long-standing results   
 A neck lift in such a situation can often results in dramatic improvement of neck contours and resultant apparent visual decrease in age. Combined treatment with laser liposuction has resulted in a excellent hybrid approach to neck  rejuvenation. The combined laser light bow suction with skin excision and redraping in the area behind the ear can result in a dramatic improvement in appearance without the telltale incisions in front of the year and up underneath the sideburns. This isolated neck lift can dramatically improve patients appearance. 
Attempting anything less surgical such as Kybella or liposuction alone may provide a modest improvement however while patients are often impressed with the minimal results they often return to the office looking for a more substantial improvement.
Counseling them on the more substantial results from a surgical neck lift will help them achieve their optimal desired results.

While a direct neck lift is a minimally invasive and effective option, I would not normally recommend it because it will leave a visible scar on the neck. Instead, I would most likely recommend a regular neck lift or lower face lift. There are more incisions, but the scarring is much less visible and the results are dramatic. When performing a face or neck lift, I use the most minimally invasive techniques and prioritize patient comfort and satisfaction while still performing the most thorough and effective surgery possible. I always tighten the deeper underlying tissues as well as redraping the skin to create long-lasting results, and patients find that they look much more youthful with practically invisible scars. If your turkey wattle is caused mainly by fat, then liposuction or Kybella, which is an injectable fat-melting treatment, could be great options as well. I hope this helps.

The direct neck lift, sometimes called an anterior neck lift, would be a decent option if you are more interested in getting rid of the neck tissue but are not too concerned about the resulting scar which is difficult to hide.  The direct necklift provides a better functional option that is less invasive and takes care of the problem but it creates a scar that is visible. Another more recent option is the use of Kybella in the neck to give you some tightening and fat removal at the same time without surgery. 

Thanks for sharing. Current neck rejuvenation treatments:Surgical Neck lift* with a lower facelift would be the gold standard and get you the best resultsSurgical Neck lift* would be the next best procedureNeck liposuction and or laser lipolysis if only fat removal is required, typically in a younger patientUltherapy is an FDA approved non invasive tightening using ultrasound technologyKybella is a new FDA approved injection that melts fat under the chin*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles. Based on your photos option 1 would really be needed to get the results you are likely desiring. Talk to several board certified surgeons experienced in face and neck lifting.