Which procedure would be best to target my neck and jowls? 68 y/o male (photos)

Question

I'm a 68 year old male who's never smoked and is in good health. I hate my jowels and neck but I'm not sure what procedure to look for.

Thomas Trevisani, MD · Answer

In person exam is essential. Based on limited photos- it appears that you may benefit from a facelift/ neck lift with muscle tightening. In the right hands- you can expect a more rejuvenated look as well as a masculine neck contour . I suggest that you seek an experienced Board Certified PS and review the details during your consultation

Muhsin Yilmaz, MD, FEBOPRAS · Answer

At 68, if your main concerns are jowls and a loose or aging neck, I would definitely look into a lower facelift with neck lift rather than trying to treat each area separately.
A well-planned face and neck lift can address the jowls, lower-face laxity and neck together, giving a much more defined jawline and a natural overall improvement.
Non-surgical treatments may provide some improvement if the laxity is very mild, but they cannot reposition significantly descended tissue or remove excess skin.
The best procedure for you can only be determined with an in-person assessment, but I would start by consulting a facial plastic surgeon who has extensive experience with facelift and neck lift procedures in male patients. At your age, good health and never smoking are certainly positive factors when considering surgery.

Semih Yildiz, MD, FEBOPRAS · Answer

From the photos, your main concerns appear to be jowling along the jawline, loose neck skin, and platysma/neck banding. For this pattern, the most effective procedure is usually a lower facelift combined with a neck lift rather than liposuction alone or a non-surgical treatment.

A well-planned neck lift can tighten the platysma muscles, improve the cervicomental angle, and remove or redrape loose neck skin. The lower facelift portion helps lift the jowls and restore a cleaner jawline. In some patients, a small amount of submental liposuction or fat contouring is added, but skin and muscle laxity are the main issues in your photos.

Non-surgical options may give modest improvement, but they are unlikely to correct the neck bands and jowls to the degree you seem to want. An in-person consultation with a board-certified plastic surgeon or facial plastic surgeon who performs male facelift/neck lift surgery would be the right next step.

Giray Genc, MD · Answer

Hello you have severe sagging on your neck. You should get facelift and necklift together in my opinion. Maybe with platismoplasty also

Stephen Prendiville, MD · Answer

Based on the photographic indications, I would suggest a Deep Plane facelift as the best solution for the jawline and neck.  This offers a very natural result that elevates soft tissue and allows for appropriate neck contouring. A consultation and physical examination would be necessary to confirm your suitability for the procedure.

C. Blake Perry, MD · Answer

A lower face and neck lift is the really the only surgery to help improve the jowls and neck. This surgery utilizes incisions around the sideburn, down in front of the ear (in males), and behind the ear. An additional incision is made under the chin. This will allow the cheek and jowls to move up and the sagging neck to get tightened.

Lexie Wang, MD · Answer

At the very least, you need to consider a facelift and facial fat grafting. Beyond that, it is up to you how aggressively you want to treat other aspects. For example, based on these angles (granted you are looking down), it looks like you could also benefit from an upper bleph possibly. I would strongly consider skin resurfacing and also getting onto a good skincare regimen bc some of your midface especially is showing some deeply inset lines that can be improved (not removed) with aggressive skin management.

Steven H. Wiener, MD · Answer

Thank you for question and photos. You will certainly benefit from a facelift. This involves incisions in front and behind ears, and a small incision under your chin. The deeper tissues of your face are elevated and tightened, followed by repositioning your skin. This will eliminate your jowls, and tighten your neckline and jaw line. Visit with a board certified plastic surgeon to have questions answered in person.

Timothy M. Rankin, MD, FACS · Answer

There are many devices out there marketed for neck rejuvenation, but very few have any clinically significant results that make the cost worth while. 
As a surgeon, I am biased but I would recommend a facelift. This will allow for the surgeon to reposition the soft tissues that have migrated with age back into a more youthful position without making you look like a different person. 
The downtime is relatively brief and a good High SMAS or Deep plane facelift can last for up to 20 years.

Gary M. Horndeski, MD · Answer

You are an excellent candidate for a facelift, which will also lift your neck.

Best Wishes,

Gary Horndeski, M.D.

Which procedure would be best to target my neck and jowls? 68 y/o male (photos)

Answers (20)

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