Can I get away with deep plane neck lift only? (Photos)

Question

I don't want the scars in front of the ears. I'm 40. I believe my cheek area is in decent condition, where deep plane facelift is not really warranted yet. I had jawline lipo and didn't give me the definition I wanted. I think I have deep neck fat, maybe glands that need trimming. Is my hyoid high? I'd like to get deep plane necklift with incision under chin and behind ears. I keep reading from some surgeons, neck lift only does not work or last, just because SMAS is connected with platysma. If you are removing deeper structures that add bulk and tightening the platysma, it should last many years, despite not doing a facelift. I'm also considering maybe doing a ponytail facelift in conjunction with deep plane necklift, but concerned about raising of lateral canthus of eyes, potentially feminizing the eyes? I would do the deep plane face and neck, if it wasn't for that ridiculous scar in front of tragus, as a man, we are more prone to scarring, keloids, is unacceptable for a younger man and people will notice the scar even with makeup

David Hansen, MD · Answer

Getting a neck tuck under local would be great and make a significant improvement.  The incision is hidden under the chin.  I also do lipo and morpheus/quantum of the jawline at the same time for added skin tightening.  I would recommend shaving the straggly beard off but keeping the fu man chu.  You will never achieve the sharp jawline with that hair on the side of your jawline.

Zoran Potparic, MD · Answer

It is difficult to see how much improvement you have achieved with neck liposuction but there is definitely some! In order to avoid pre-auricular scar and further improve anterior neck and jawline,  a posterior extended neck lift may be a good option. Scar is placed underneath the chin as well as behind the ear. This exposure allows for tightening of anterior platysma by means of platysmoplasty as well as control of jawline, jowls and removal of posterior neck skin if needed. Full manipulation of the neck portion of SMAS and lower jaw is possible as needed. In person consultation with a board certified plastic surgeon familiar with this procedure is recommended.

Philip S. Schoenfeld, MD, FACS · Answer

At your age you are certainly a candidate for a deep plane neck lift only.  Your beard does obstruct some of the anatomy that we would like to see in an assessment but your lower face can absolutely be modified with incisions under your chin and behind your ears.  From the limited photos you have provided I might also suggest fat grafting to the midface while you are getting your neck addressed as you have some projection and definition issues with your midface that won't be changed with just lifting.

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Can I get away with deep plane neck lift only? (Photos)

Answers (3)

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