I'm 42 years old - What would be better for the skin fold on my neck: FaceTite or Deep Neck Lift? (photos)

Thank you for your question and photos. A neck lift is likely the best option to help you achieve your long-term aesthetic goals. This procedure can tighten the skin and remove any excess skin or submental fat to create a well-defined contour.
Plastysmaplasty can also be performed with a neck lift to tighten the neck muscles and optimize neck lift results. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can help you decide on the best combination of procedures.

These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​

It is difficult to decide , based on these photos, whether anterior neck lift or lower face/neck lift is better solution in your case? In person consultation with a board certified plastic surgeon with good reputation in facial rejuvenation is recommended. good luck.

Do not even consider a non surgical treatment when you know surgery is your only option. You have some very heavy neck tissues which will not be treatable effectively with a SMAS lift. Your best option is a deep plane lift although this is a difficult problem. It might even require a platysmaplasty which is not usually needed with a deep plane.

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

Dear hhtexasgirl, Thank you for your question and photos. You are a good candidate for a deep necklift. A deep necklift addresses the platysma muscle, deep neck fat and deep neck musculature. Your neck shape is genetic. It can be optimized. The limiting factor of how sharp your neck shape is your hyoid bone. I recommend you consult with a board certified facial plastic surgeon. I hope this helps!
All the best, Dr. Sanan, MD Double board certified facial plastic surgeon