Am I a candidate for a neck lift or will another procedure work? (Photo)

Question

I am 45, just lately I have noticed laxity in my face but more annoyingly the sagging of the skin under my chin. I had fat dissolving injections but it made no difference so I am assuming it's skin? How can I fix this?

Tanveer Janjua, MD · Answer

You are a good candidate for Chin Liposuction and Thermitight
Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
Click on the video link below
Regards
Dr. J

Jason Emer, MD · Answer

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Derek Fletcher, MD · Answer

Thank you for your question. A detailed, in-person examination is necessary to accurately answer your question. However, your photos suggest you have a significant amount of sub-platysmal fat. Fat under the chin is positioned in two planes,]: under the skin and under the muscle (platysma). Fat dissolving injections do not reliably correct neck contour in either position and almost never correct fullness resulting from fat deep to the muscle. A well planned and executed deep plane neck lift will correct your contour!

Lucian Ion, FRCS · Answer

Thank you for your enquiry and sharing your photographs.

A deep plane neck lift would be the more powerful approach. This would be particularly true if when you flex the neck and bring the chin down the problem becomes more noticeable. It could be related to some fatty tissue or the anterior belly of the digastric muscles.

In a clinical examination it is possible to understand whether there is some fatty tissue under the skin that can be treated with liposuction or whether the layer of fatty tissue is too thin to work on.

In general, if a deep plane neck lift is used to contour the area, there is a degree of change also in the jawline with increased definition.

Nelson Castillo, MD · Answer

Thank you for sharing your question. Based on your picture alone this deposit appears to be more fat than skin and you may be a liposuction candidate.

Zoran Potparic, MD · Answer

It would be very difficult to decide, based on this photo,  whether neck liposuction or neck lift would be more appropriate? In person consultation with board certified plastic surgeon with expertise in facial rejuvenation is recommended. Good luck.

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