Would I be a good candidate for a lower facelift or neck lift? (Photos)

Question

38 yo female 2 years post op chin lipo. Since the lipo, I’ve had this loose skin (possibly loose platysmal banding) under my chin. I am so ashamed to see photos of myself bc I feel it makes me look so much older than I am. Would I be a good candidate for a lower facelift or neck lift? I have already tried the Botox method that did not help.

Richard G. Schwartz, MD · Answer

Your photos show different situations, so it's hard to determine whether you mainly have a loose platysma muscle band or also loose skin.  A physical exam is needed to assess your condition and offer the best option.  However, if your skin has decent tone without much looseness, than a limited surgery on the front of your neck via a short horizontal incision in a natural neck crease would allow the surgeon to tighten/lift the platysma muscles, correcting the banding.  If there is indeed loose or excess skin, then a standard necklift would be necessary in addition to the muscle work.

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.​  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Peter Chang, MD · Answer

Thank you for your question and photos submitted. Based off your information provided, you would be a candidate for a lower facelift and/or neck lift to improve the laxity that is causing the loose 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. 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.

Jonathan Kulbersh, MD · Answer

Thank you for your question. You may be a good candidate for a lower rhytidectomy, or neck lift surgery. This procedure can address laxity concerns by tightening the skin through cervicoplasty, which requires a small incision. Platysmaplasty can also be performed to tighten the muscle bands in the neck. This dual neck lift procedure can improve the elasticity of your skin and reveal the natural contours of your jawline. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon to go over your desired results and plan the best treatment option for your specific needs.

David Hansen, MD · Answer

Tightening up the lower face/neck under local and also doing the Morpheus8/TCA peel for the face, neck and chest is great and so easy to undergo for roughly $20,000 on special. You will be so glad you did it. Even 2 days later you look amazing with almost no bruising or swelling.

Zoran Potparic, MD · Answer

Based on these photos, you seem to have both skin and muscle laxity in the neck. My first choice would be lower face/neck lift; second choice would be extended, posterior neck lift where scars are placed behind the ear and underneath the chin. In person consultation with a board certified plastic surgeon with good reputation in face/neck lifts, is recommended. Good luck.

Brian K. Machida, MD, FACS · Answer

You are a candidate for a face and neck lift. A neck lift might not be enough and I might recommend a deep plane lift

Thomas Trevisani, MD · Answer

Based on your photos- it appears that you are a good candidate for facelift/neck lift with muscle tightening. In the right hands, it will significantly rejuvenate your face and produce a long lasting pleasing result. I suggest that you seek an experienced Board Certified PS

Tanveer Janjua, MD · Answer

Yes, the loose skin is improved only with facelift and neck lift. Tightening lasers and devices are helpful but cannot improve as much. Although you are young, a facelift/neck lift is still the best option. 
Regards
Dr. J

Darryl J. Blinski, MD · Answer

Yes based on the posted photos you are a candidate for full open neck lift with mini facelift + SMAS plication/ Ha fillers or nano fat grafting to naso labial folds+. Fee $12,000. Best to virtual consult with...