Face lift? Liposuction? For a 22yr old (Photo)

Question

What I should do about my "turkey neck"? As you can see in the pictures I have a horrible dropping jawline. All the skin is tight and full of fat below my chin. It's visible from the front but even worse from the side. I am 22, 5'5 and 125lbs. I am very healthy, i work out constantly and eat clean. What should I do to fix my problem??? I have the money to make the improvements I'm just not sure what to do. Any input would be great. Is this a common occurrence? Thank you.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. RF microneedling is an excellent option for tightening and rejuvenating the skin. RF microneedling enhances the skin by encouraging the body’s natural collagen production, with results that can be long-lasting. If submental fat is a concern, you could also consider Kybella injections. This treatment uses deoxycholic acid to dissolve fat cells under the chin to create a more contoured jawline. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concern and suggest the best option for you.

Sam Speron, MD, FACS · Answer

Hello and thank you for your question and pictures!  In reading your question, it seems like you are the type of patient who has more aging of the neck and chin area as opposed to the upper face and midface. Aging of the neck is very common before aging of the face.  It's one of the things that is most frustrating to many patients.

There are many changes to the face and neck as you age. Some of the changes are specifically at the skin level, and some at the deeper levels of the fat, retaining ligaments as well as the muscles. There are many nonsurgical and surgical options to treat each of these different areas. Some can be done together and it really depends how much improvement you want to see as well as what specifically bothers you. If there is significant sagging, surgery is usually the preferred procedure but can still be combined with injections and laser treatments.

In general, think of surgery as addressing any excess skin and laxity as well as removing fat.  Think of laser as tightening the skin levels. Again, injections like Kybella can nonsurgically help diminish the fat and offer improvement and there are all sorts of laser procedures that can tighten different layers as well.  Moreover injectables can be used to give you a more snatched looking jawline.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid surgery but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope my answer helps and if it does, please take a moment to upvote this answer on the “response” button on the top right. Have a great day.

Mansher Singh, MD, FACS · Answer

I would very strongly suggest chin and neck liposuction with energy device such as facetite. I believe it will make a significant difference in your neck contour.

Alan Gonzalez, MD, FACS · Answer

Hello @zoeeericeee thank you for your question and showing your pictures. Liposuction! You are in the prime of youth a facelift is too much aggressive procedure because you skin has elasticity. I suggest you consider a surgical facial contouring with chin liposuction plus TID and buccal fat removal. Another option are non surgical treatments with Rádiese to improve cheek bones and chin projection plus Ultherapy to produce skin tightening. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Jeffrey H. Spiegel, MD · Answer

What you have is a genetic predisposition to a certain neck shape.  We can treat that with neck contouring done through a short incision under your chin. The fat is removed, tissues contoured, and a bandage is placed.  People typically get excellent results and are very happy.  People in their 20s have been frequent patients for this.

Seung Ki Youn, MD · Answer

Hello;-)With over 10 years experience, V.LIF has a reputation for excellence in Korea.We do not perform all the plastic surgeries at V.LIF.We are face&neck lift specialized plastic surgery clinic.Our surgeons dedicated soley to only lifting field. So they have high knowledge and experience with lifting surgeries.
In your case, maybe mini facelift(Partial part of your face lift)+Playsmaplasty(Making a small incision under your chin and tightening your platysma which is weaken and separated, thus resulting in saggy and wrinkly neck)
V.LIF's Mini Facelift means lifting partial part of your face considering individual condition.We devide face into 3 parts. 
1. Mid face2. Lower face3. Double Chin+Jawline.
Depending on your face condition(How much your skin is sagging and loose), we recommend how many parts you will need to elevate.
Mini facelift at V.LIF is not a short lasting facelift elevating just your skin layer with minimal incision which is performed at other clinics.It's not a mini facelift with minimal incision which is performed at other clinics.V.LIF's Mini Facelift is a long lasting surgery which lasts more than 5years-10years(depending on the scope) 
We dissect wide range of SMAS layer and cut off retaining ligaments which is essential and excise saggy skin

Mark F. Blake, MD · Answer

Good Morning,
I would recommend non-surgical options such as kybella or Coolsculpting. Both can provide great results. You could also do some non-surgical skin tightening such as RF Microneedling. We did coolsculpting on a young girl with photos on our website and her results look very similar to what I think you could expect. 
Good luck on your journeyMark F Blake, MD

Dean P. Kane, MD, FACS · Answer

Dear zoeeericeee,

Keep up the great work! Thanks for sharing your photos. 
Skin laxity begins when normal collagen restoration diminishes, the fabric of the skin stretches and gravity pulls the tissues downward , developing folds, adding to the jowl, softening the jawline and neck skin drooping. 
Consider the following options to tighten the skin and restore collagen, elastin and replacing the fibrous suspension of underlying tissues. 
1.	Consult with a full breadth, skilled Board Certified Plastic Surgeon for non-surgical and injectable, minimally invasive options. 
2.	Begin a Zein Obagi, MD, ZO Skin Health program with retinoids to stimulate skin turnover and collagen formation
3.	Sculptra injectable skin tightening and firming  
I hope this helps. All the best!

Scott C. Lindsay, DO · Answer

Thanks for your question! It's likely genetics causing your "turkey neck". It is fairly small, so perhaps a noninvasive treatment like CoolSculpting or Kybella might be a nice option. I would suggest an in-person consultation. Good luck!

Gilbert Lee, MD · Answer

Thank you for your questions and photos. Based on these photos I would recommend liposuction and Face Tite. The liposuction is done with a very small cannula to sculpt the area under the chin and jawline. The FaceTite is a radiofrequency device that works to schrink wrap the tissues. This procedure can be done under local anesthesia in the office. I recommend scheduling a consultation with a board certified Plastic Surgeon who has experience with the Face Tite device. In our office we offer 3D imaging to give our patients an accurate idea of what their final result will look like. Good luck!

Face lift? Liposuction? For a 22yr old (Photo)

Answers (10)

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