Will a lower facelift or neck lift fix my sagging crepey skin? (Photos)

Lower face and neck lift definitely helps with that but there is a skin surface issue of wrinkling involved as well. For that you need a skin resurfacing laser. The surgery followed by the laser is the best option.

Lower facelift and necklift
It is important to understand that the incisions used for achieving a good result in a necklift also give a nice lift to the lower face and jowls. The purpose of a necklift is to pull the extra skin side ways behind the ears and remove it. It is also sometimes combined with Neck Liposuction and Platysmaplasty.
The incision starts in the hair tuft in front of the ear and then curves in front of the ear hidden in natural curves of the ear, then next to the earlobe it goes behind the ear in the hidden groove and finally is taken over to the hairline of the neck.
The skin is then lifted to expose the underlying platysma muscle. It is then pulled back and tethered to the bone behind the ear. At this point the jowl area is also pulled back with stitches under the skin in deeper tissues. These maneuvers lead to excess skin on the sides which is then trimmed and stitched back in place.

Regards Dr. J

Based on your photos, you are a great candidate for lower face and neck lift. You don't have to wait for the neck to be really heavy. The goal of good plastic surgery is to keep you looking good in a manner that isn't detectable, so with a well performed surgery, you should do great.

The photos that you have provided show that you have very early jowl formation. The neck appears slim with fullness directly under the chin and some skin excess. From a surgical position, the only relaible way to address changes to the lower face and neck is with with a full face and lower neck lift. This surgery will address any jowls as well as fullness in the neck.Alternatively, a neck lift alone procedure can be done, however, as facial aging proceeds the jowls will be come more apparent.You may wish to defer surgery until the future when the natural changes of facial aging become more apparent.

Thank you for your question and photographs.

In general, neck lift and facelift scars tend to be relatively thin, as long as the tension applied to the flaps is not excessive.

In your situation, there is also some volume excess in the submental region which would not be corrected by tension and would require specific volume reduction which involves 3 cm scar under the chin.

Facelift and neck lift surgery together would provide better control for the marionette lines and jawline, but neck lift surgery alone is also a reasonable option.

The answer to this is both ! These procedures compliment each other. A scar is needed under the chin but this heals very well and is imperceptible in the long term. The neck is corrected by tightening the muscle in the neck called the platysma using a procedure called a platysmaplasty. The skin is redraped and tightened together with the facelift which means scars around the ear but again once healed you will hardly see these. A deep plane facelift is the most effective for providing the best results and for longevity. In essence the proble you have is treatable. There are examples of similar cases and worse cases on my website and here on my realself profile.

A neck lift will lift and tighten the skin on the neck. It will not improve the quality of the skin.
I recommend using sunscreen and medical grade skin care products and lasers (Halo for example) to treat the crepey skin. Once the skin is improving, you can consider a neck lift if there is too much skin present.

A necklift is a great option to help you achieve a more defined jawline.

Thank you for your questions and photos! You look great! To answer your question, you are a great candidate for a neck lift. The neck can get saggy for many reasons including a lot of sun exposure, weight gains or loss, pregnancy etc. Aging of the neck is very common before aging of the face. It's one of the things that can be very frustrating to patients of all ages.

The face and neck keep changing as you age. Some of the changes are at the skin level, some at the deeper levels like the fat, retaining ligaments or muscles. There are several 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 part really bothers you. If there is significant sagging, surgery is usually the preferred procedure but can still be combined with injections and laser treatments before or after surgery.

A simple way to think about it - think of surgery as addressing any excess skin and laxity as well as removing fat. Think of laser as tightening the skin levels. 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.

Most of these procedures can be done safely in the office and the results are very satisfying. An in-office private consultation and examination with a board-certified plastic surgeon would be the best way to fully see and address your specific concerns and determine the right treatment plan.

I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Thank you for your question and photo submitted. Based off your information provided, you would be a candidate for a facelift and/or neck lift to improve the mild to moderate laxity that is causing the loose/crepey skin to the lower face and neck. The face/neck is a cohesive unit of multiple working parts, so combinations procedures may be required to give you an overall facial rejuvenation. Depending on the procedures required, the scarring can be hidden within the earlobe crease and/or hairlines, and you will be left with a more defined neck and jawline that you are wanting. It is important to find a qualified and experienced Board Certified plastic surgeon to do a full facial evaluation and provide you with a designated treatment plan to reach your desired goals.

Hello, thank you for asking your question. Ultimately a neck and/or facelift will reduce sagging, but that is not your only option. There are many minimally or non-invasive treatments that can reduce sagging, wrinkles, and crepey skin without invasive surgery. Cutera Titan is a laser treatment that targets sagging skin and wrinkles on the lower face, jawline, and under the chin. It is a quick procedure that stimulates collagen production and does not require extensive recovery. A neck lift will give you more dramatic results and is still less invasive and less extensive than a full facelift. A neck lift requires small incisions and targets skin laxity and neck wrinkles. A combination treatment might be the best option for you, so you can address both the loose, sagging skin and the crepiness you mention in your question. A board-certified facial plastic surgeon can provide detailed options and a personalized treatment plan to meet your expectations and desires.

Hi and thank you for your question!
To get right to the point, I think you would be a great candidate for a lower facelift / necklift combination for that lax skin in the neck you are seeing in those photos. Submental liposuction as a part of this procedure will also help with the fullness underneath your chin.
Best of luck with your journey!

Hello, thank you for your question. Yes it would be possible to remove the extra skin around the neck area. Of course in place there will be small scars around chin and behind the ears. There are skin tightening procedures such as microneedling with morpheaus 8 and/or Jplasma. Keep in mind that this is a subtle result and may not be what you are looking for.