Best Type of Neck Lift for a Female in Mid 20s? Is It Too Young for a Neck Lift to Correct a Hereditary Low Hyoid Bone? (photo)

A necklift is NEVER the best option for someone in their 20s. Liposuction is often perfectly adequate because a person of your age has good skin elasticity and the skin typically contracts following liposuction resulting in a tightening effect. If you do have a weak chin, a chin implant will also typically help improve the neckline and profile. Unfortunately, a low or forward-projected hyoid is something that cannot be remedied. Even a complete facelift in someone with a poorly positioned hyoid and voicebox will typically result in a sub-optimal result. In many cases, a chin implant and liposuction can create a measurable improvement in someone with your concerns. I hope this information is helpful.

Stephen Weber MD, FACS

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

Thank you for your question and photos. You have properly identified the anatomical problems. A small chin implant and a suture suspension neck lift would give you an improved neck angle as well as definition of your mandibular angle. It involves platysmal plication with suture suspension.  Best wishes.