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

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.