An unattractive neckline may have many causes: loose skin, excess fat, large glands, a short jaw bone or under projecting chin. A combination of these factors often exist. Improving the neck can be accomplished by correcting the cause. Liposuction with skin tightening can be accomplished with minimal incisions and is usually effective for mild aging changes. Surgical correction may be indicated for more prominent necks, and this may include open fat removal of the deep fat, tightening of the platysma muscle or suspension of prominent submandibular glands, and modification of the bony jawline, usually with a chin implant. Usually, skin is removed to tighten the neck skin. Whatever the cause of your dissatisfaction with your neck, it can be improved!
There are 2 locations of fat in the neck, these are sub-platysmal, and sub-mental. As long as the skin tone in the neck is adequate, a neck lift will address removal of both of these deposits of fat in addition to a platysma-plasty. A platysma-plasty will be required after the sub-platysmal fat has been removed. Choose your surgeon wisely based on extensive experience, since this is much more complicated than just simple liposuction. Please see the link and the video below for examples