Options for Jowls and Neck Fat?

I am a healthy 42 year-old-male, concerned with the removal of fat around my jowl and neck. This is a common problem found in my immediate family. What treatment(s) would work best for my situation? I am a VA resident, who would prefer to locate a board-certified clinic in my area.

Doctor Answers 14

Face/neck Lift Required for Jowls and Neck Fat

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Thank you for your question.

Liposuction can be used to remove neck fat.

However, correction of Jowls requires a Face and Neck Lift. There are important nerves around the jowls and mouth that could be injured if Liposuction is attempted to correct Jowls.

Face and neck in Virginia

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Soudns like you need a facelift and neck work odone,. Youc an find a plastic surgeon in your area by goingto the ASPS or ASAPS websites.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Necklift: options for jowls and neck fat

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hello Great Scott 

A necklift is not a singular procedure with a singular method, but rather is an umbrella term describing a large range of operations with varying incisions and skin-lifting techniques, which have been developed and improved upon over the years.  Your board certified plastic surgeon will be familiar will be able to pair you with your perfect match of surgical approach based on your skin type and desired results.  #jowls #fat

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

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Jowls and Saggy Neck Need Surgery

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It is a difficult to assess your full situation without photos or an in-person consultation. However, if you have jowling, the only satisfactory solution is surgery: either a full facelift or a mini lift. As for the neck, liposuction may be sufficient if it is only fat that is bothering you. If there is any sagging (and I suspect there may be, based on the jowls), your best solution is a neck lift with plastysmaplasty and liposuction. This will tighten the muscles of your neck, preventing them from sagging, plus remove excess skin. The liposuction would remove the excessive fat and the neck lift would give you a tighter, sleeker jawline. I hope this helps.

Jowls & neck fat are best addressed by face/neck lift

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Jowls and neck fat are best addressed through a comprehensive face-neck lift. The jowls cannot be adequately removed with only liposuction. If the jowls are very mild, consideration can be given to a neck lift only, with the inferior-most portion of the jowls being removed at the time of the neck lift. A neck lift will not address excess skin; it will tighten the muscles in the front part of the neck and remove fat only in the neck. A comprehensive face/neck lift will address removal of fat in the neck, tightening the muscles both in front and behind the neck, and lifting the facial muscles and SMAS, along with tightening excess facial skin.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Jowls and Neck Fat

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If fat is truly the predominant problem in the neck and jowl area, liposuction may well be a good option for treatment. With the use of a liposuction cannula, I free up the skin of the entire neck and lower jawline jowl area prior to the liposuction. Leaving a cuff of fat on the undersurface of the skin, I judiciously and conservatively liposuction the excess fat taking care to avoid over-liposuction. I then have my patients wear a velcro elastic chin strap for several days and then as much as possible for the next couple of weeks. If there is only a small amount of pre-surgical skin laxity, the skin will tighten a small amount with this widely undermined procedure.

On the other hand, if there is substantial skin laxity as well as platysma muscle banding in the neck, a face/neck lift procedure, in combination with conservative liposuction, would yield better results than with liposuction alone.

Male jowls and sagging neck

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The bearded skin of a male is quite different in its retractability after liposuction than a woman's. You may have less tightening of the sagging tissue with liposuction than a woman. You should see a plastic surgeon who could evaluate you for a neck lift and face lift for the jowls. Alternatives of surgical lifts or liposuction of the neck and jowls, are: botox along the jaw to help lift the jowl (off-label use), Thermage radiofrequency tightening of the neck, and Botox for neck muscle (platysma) bands if they exist. The latter treatments would not be expected to provide nearly as long lasting results as the surgical procedures, nor as great an improvement for most patients.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Jowls and Neck Surgery

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Well lucky for you I am in your area in Fairfax, Va. Without a picture it's a little difficult to say what you need. However, men have different issues and concerns then women. I try to make limited incisions in men. The best option is to make a small incision under the chin (which is not visible). From here liposuction of neck fat can be performed as well as tightening of the muscles. As we are the same age I doubt that you have excess skin that needs to be taken out with an incision around the ears.

So call my office at 703.752.6608 next week to set up a consultation and we'll discuss your neck and jowls.

Neck Fat Needs Neclift if Older Than 30

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In younger individuals (under 30 years of ag) neck liposuction alone can fix the problem of extra neck fat and the skin being elastic snaps back up. However, in older individuals the skin will wrinkle up after fat has been removed. In order to prevent that problem a necklift is the solution. It is very similar to a facelift except that it only involves the lower half of the face and recovery, bruising and swelling is a lot less.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Options for jowls and neck fat?

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With out photos or a detailed medical history going over ALL the options and combination of these options could be a chapter in the Clinic of Plastic Surgery. Needless to say you can have many types of liposuction, direct sub mental surgical fat removal, with or without Platysma plication, neck lifts, face & neck lifts, combinations of the prior lists. The examination allows the plastic surgeon to determine your skin elasticity and amounts of fat vs skin ratios. Best of Luck Regards and Merry Merry!

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.