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

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

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

Hello Courageous156440!A face and neck lift would definitely correct the areas you mentioned. Anything less would likely not provide satisfactory results. In addition, facial fat grafting could add back the volume you have lost with aging. This would not provide abnormal volume, but just enough to give a more youthful appearance. You may also benefit from a blepharoplasty procedure for your eyes, as your left eye appears to have significant extra skin. Great skin care would round out everything. Find a good board certified plastic surgeon that you feel comfortable with and be courageous.

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.

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.

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.

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.

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.

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

Best Wishes,

Gary Horndeski, M.D.

Thank you for your photos. Your concerns are very commonly voiced. As everyone ages there is a loss of volume in the midface, the jawline isn’t straight and defined due to the jowls and a fullness can develop underneath the chin, which is a combination of some loose skin, relaxed muscles and fat, creating an obtuse neck angle, which is the opposite of a youthful neck contour, which is closer to a 90° angle. To fully correct all of your concerns, I would recommend an extended SMAS flap, which would smooth your jowl, straighten your jawline and help improve the redundancy of the muscle underneath your chin. In addition to that, for the best result, I believe you would require a small incision just under your chin so that some of the extra fat in that area could be removed to deepen your neck angle as well as approximate the loose muscles of your neck to give you a better neck angle. This should give you the most complete facial rejuvenation. This procedure is usually done under conscious sedation plus local anesthesia, and most patients can go home that afternoon or you may wish to opt for one overnight stay in the facility for monitoring. Best wishes.