Neck lift or liposuction - Which procedure would be more effective at delivering a sharper, tighter neck and jaw line?

The choice between a neck lift and liposuction for achieving a sharper, tighter neck and jawline depends on several factors, including the specific concerns you want to address, your skin elasticity, and the underlying cause of the problem. Here's a comparison of both procedures to help you decide which might be more effective for your goals:

Neck Liposuction
Procedure:

Liposuction of the neck involves the removal of excess fat deposits from the neck and under the chin using a cannula.
The procedure is minimally invasive and can be performed under local anesthesia or sedation.
Pros:

Effective for individuals with good skin elasticity who have excess fat but minimal skin sagging.
Less invasive than a neck lift.
Shorter recovery time compared to a neck lift.
Lower risk of scarring as the incisions are small and hidden.
Cons:

Does not address significant skin laxity or muscle banding (platysma bands).
Results depend on the skin's ability to contract and tighten after fat removal.
May not provide a dramatic improvement for individuals with significant sagging or loose skin.
Ideal Candidate:

Younger individuals with good skin elasticity and localized fat deposits in the neck area.
Those looking for a less invasive procedure with quicker recovery.
Neck Lift (Cervicoplasty or Platysmaplasty)
Procedure:

A neck lift involves removing excess skin and tightening the underlying muscles to create a smoother, more defined neck and jawline.
It can be combined with liposuction to remove excess fat if necessary.
Pros:

More comprehensive solution for individuals with significant skin laxity, muscle banding, and excess fat.
Provides more dramatic and long-lasting results compared to liposuction alone.
Can address multiple issues simultaneously: excess skin, fat, and muscle laxity.
Cons:

More invasive procedure with longer recovery time.
Higher risk of scarring, although incisions are typically well-hidden.
Higher cost compared to liposuction alone.
Ideal Candidate:

Individuals with moderate to severe skin laxity, muscle banding, and excess fat in the neck area.
Those seeking a more significant and long-lasting improvement in the appearance of their neck and jawline.
Combined Approach
Combination of Both: For many patients, a combination of neck liposuction and a neck lift provides the best results. Liposuction can remove excess fat, while the neck lift can address skin laxity and muscle tightening.
Consultation with a Surgeon
To determine the best procedure for achieving a sharper, tighter neck and jawline, it's essential to consult with a board-certified plastic surgeon. During the consultation, the surgeon will:

Evaluate your skin elasticity, fat distribution, and muscle condition.
Discuss your aesthetic goals and expectations.
Recommend the most suitable procedure or combination of procedures for your specific needs.
Summary
Neck Liposuction: Best for younger individuals with good skin elasticity and localized fat deposits.
Neck Lift: Best for those with significant skin laxity, muscle banding, and excess fat who desire more dramatic and long-lasting results.
Combined Approach: Often the most effective for achieving optimal results in individuals with both fat deposits and skin laxity.
Choosing the right procedure involves a thorough assessment by a qualified plastic surgeon who can tailor the approach to your unique anatomical features and cosmetic goals.

Hi from Istanbul! Liposuction can effectively aid in skin redraping when performed conservatively, which is beneficial for long-term outcomes. Additionally, a small chin implant could further enhance the results that you want. I often recommend combining these two procedures to achieve a sharper and tighter jawline and neck. Hope this helps!

After reviewing your photos, I believe that neck liposuction could be an excellent option for you. This procedure can effectively remove excess fat from the neck area, helping to redefine your jawline and create a sharper, more contoured appearance.

In many cases, neck liposuction alone can achieve significant improvements in the neck and jawline, even for patients who are slightly older. While a neck lift is sometimes necessary for patients with more significant sagging or excess skin, it sounds like your main concern is refining the jawline, which neck liposuction can address effectively.

I have no doubt that you'll be pleased with the results of neck liposuction, as it can provide you with the sharper, tighter neck and jawline you desire. However, it's essential to discuss your goals and expectations with a board-certified plastic surgeon during a consultation to ensure that neck liposuction is the right procedure for you.

Sincerely,
Dr. Katzen

Great question? Because of your beard, I cannot see your neck below your jawline because of your beard. I also cannot see neck skin to see whether you have elastic skin or lax skin or extra skin that requires repositioning, that is, surgery. Be sure to review these issues with your board certified Plastic Surgeon. Good luck!

Hello and thank you for your question and photos. It does appear that you are too early for a facelift procedure. You would need in person assessment to see if you are a neck/jowl liposuction candidate. Neck/jowl liposuction is a great option for debulking the submental/jawline and jowl area and creating a tighter more chiseled look.

Liposuction alone will not achieve what you are desiring in your photograph. You will need skin tightening as well.

Best Wishes,

Gary Horndeski, M.D.

It is impossible to make a good evaluation in this regard. Liposuction can help to a certain degree but if indicated, neck lift is a safer option and provides more control. Hope this helps.

if it seems like there is a fatty pad or excess in this area then liposuction could be sufficient but my guess is that neck lift is more likely to sharpen the cervicomental angle in the way that you hope for.

At your age, I would suggest liposuction with minimally invasive radiofrequency skin tightening like Renuvion or FaceTight for improving contour. I do not recommend at facelift at your age.

If the fullness in your neck is from fatty tissue and you have good skin elasticity then you should have nice results from liposuction. You can consider adding Morpheus8 to improve overall skin tone and texture. This treatment combines RF technology with microneedling and is performed in the office.