Would I be a good candidate for a direct/localized skin removal of excess neck skin and/or a mini neck-lift? (Photos)

You would be an excellent candidate for a surgical or non-surgical tightening procedure, and the choice of those would depend on your realistic goals and expectations. All of these options could be mentioned in consultation. To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.Cameron Chesnut #realself hall of fame Physician  

We do this frequently in our office and call it a cobra lift, we do skin removal, muscle tightening (platysmaplasty), VASER and J Plasma all to contour the chin/neck in one treatment. Best, Dr. Emer.

A facelift is often combined with a neck lift to lift sagging tissues and restore volume to the face. There are many types of facelifts with sometimes different names describing the same procedure. The most important aspect of a facelift/neck lift is to address the underlying tissue, called the SMAS. Many of the other nuances of facelifting do not make a great difference in the ultimate outcomes.
There are alternatives to the traditional facelift/neck lift. These include radiofrequency tightening technology, thread lifting, submental platysmaplasty, and occasionally filler and neurotoxin. The non-surgical options are less invasive but offer a less dramatic outcome and often are shorter lasting.
Gary Linkov, MD
Manhattan

Thank you for your inquiry and for attaching photos. In my opinion there is not a non-invasive procedure that is going to deliver the results you are looking to achieve. For the best results my recommendation would be a face/neck lift to tighten the neck muscles, tighten the excess skin of the neck, improve the jowls and give you a more youthful and defined jaw line. The mini-lifts are not great options and I tell patients "mini-lift" "mini" results. A mini lift will not tighten the muscles in the neck. I would certainly recommend a consultation with a board certified plastic surgeon who is a member of ASAPS. Additionally you would want to find a surgeon who specializes in face lifts/ facial rejuvenation procedures. Best of luck.

Thank you for your question;  After reviewing your pictures seems to me that you don’t look that bad now but the more time pass and if you loss more weight that condition just gets worse.  Now you have a condition of skin excess and skin elasticity but you also have a problem of the muscles under your neck that no minimal invasive alternatives will correct.  I advise you to have a neck lift that is going to solve your problem in a more permanent bases and also with better results.

There are many surgical options out there,  each with variable degrees of validity.  Think about what you want to correct.  Don't get overly focused on one aspect of your face and neck because that aspect also anatomically relates to other regions of your face.  Seek out a practitioner that you know has a good reputation and consult with them.  There should be several surgical options available to you.  Weigh the pros and cons with the consultant.Be well and best regards,Fred G> fedok, MD FACS

Dear angelbb66,A necklift using a small incision under your chin and behind you ears would spread out the skin and make it redrape very nicelyI would avoid a direct skin neck lift because the scar may be visibleWhen you are ready, please visit a board certified plastic surgeon who regularly performs this procedureBest regards,

Dr. Nima

Member, American Academy of Facial Plastic and Reconstructive Surgery

Board Certified Facial Plastic Surgeon

Board Certified in Head and Neck Surgery

 

You seem to be a good candidate for a face and neck lift. Direct skin excision is not recommended. It’s best to have a personal consultation.

Dear angelbb66,
Thank you for your question. It is difficult to make accurate assessment and recommendations based on photographs alone. I recommend you seek an in-person consultation with a facial plastic surgeon or plastic surgeon who can perform a thorough evaluation and discuss with you the best surgical options to meet your goals. You could pursue a z-plasty neck skin excision procedure where the skin is excised directly in the neck area. It involves less downtime but leaves the most prominent scar. A lower facelift and/or necklift will help to resuspend the lax tissue with more hidden scars close to and behind the ears. The surgery takes longer and has more downtime. 

Thank you for your question and photos. It depends what is your final goal. As you can see there are many options. One option to consider is ThermiTight of the neck, which is a minimally invasive radiofrequency procedure done under the skin with local anesthesia only.See a board certified plastic surgeon for an in person consultation/evaluation at which time the rest of the face can be evaluated with the neck. Good luck.