Neck Lipo or Platysmaplasty or "Neck Lift"? Pros and Cons?

Thank you for your question. Without photos it is difficult to give you suggestions. It appears you have done your homework and visited with a few different surgeons. There are several options to address the neck including something like Kybella or Coolsculpting mini which are non-invasive options. Liposuction can be a good procedure as can a face/neck lift with a platysmaplasty depending on the patient. In order to remove the fat underneath the muscle and tighten and/or divide the platysma bands, a face/neck lift is a great option. You had asked about performing lipo in addition to the platysma work. In this case the more superficial fat would be exposed so it can be directly removed so no liposuction would be required. To improve your jaw line and your neck, the face/neck lift is probably your best option, but again this is my opinion based on no photos.

Platysma bands and submental fat are a major reason for facelift and neck lift surgery. Botox may be a nonsurgical option. Recent studies indicate that a deep plane facelift with separation of the platysma from the SMAS and suspension of the bands have a better result than plication of the bands. Of course, elasticity of the skin, amount of fat to be removed, and quantity of skin are all important considerations. 

Thanks for sharing. In general, current neck and lower face rejuvenation treatments include:

Surgical Neck lift* with a Lower Facelift would be the gold standard and gets the best overall results in the jowls and neck and indicated in middle age and older patientsSurgical Neck lift* which involves lifting and removing loose skin would be the next best procedureNeck Liposuction and/or Laser Lipolysis if only fat removal is required, typically in a younger patient. (A platysmaplasty can be added for further muscle tightening if needed)Ultherapy is an FDA approved non invasive tightening using ultrasound technologyKybella is a new FDA approved series of injections that melts fat under the chinCool Sculpting is FDA approved energy device to removed fat from under the chin as well. Botox to the platysma bands to decrease their activity and show*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles.  At your age option 3 would likely be the proper choice. Consult with several board certified faciall platic / plastic surgeons experienced in face and neck rejuvenation to discuss your options

Hello and thank you for your question. There are many options including liposuction, necklift, kybella, etc.  The best option for you truly depends on your individual anatomy.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Its difficult to say anything without pictures.  I find that all 3 are necessary if you truly want definition of the neck and your best possible result.  Its the way I've done the majority of my surgeries on patient's who request and need this..  If you want to have a tight jawline, you need to remove the fat, tighten the platysma in the midline as well as the sides, hence, the platysmaplasty with a neck lift and lipo.  Its best to seek an experienced surgeon for a personal consultation.

It's hard to determine without pictures. I do a combination of VASER Hi def lipo with ThermiRF for fat reduction, skin tightening and contouring and my patients LOVE the results.  Please see an expert for a formal evaluation.  Best, Dr. Emer.

it is impossible to answer this question without at least photographs. And examination would be better. It depends on how much fat there is in the neck and where it is located, and the elasticity of your skin. See a very experienced facelift surgeon for the answer to this question 

All that you have being told is truth .  The question is  what is best for  you.  If you are young and your skin has good tone and you have a excess of fat  in your neck you can provably be fine with just suction but  if   your skin tone is not optimal the skin will be loss.  Also the technique use is important .   If  the surgeons is to aggressive in taken fat out  the musculature can show  in your neck.   Difficult decision you need a skillful and experience doctor.

In our practice, a neck lift involves making three incisions each approximately 1 inch long, which are placed underneath the chin and behind each ear. This allows access to the neck so that open liposuction can be performed to remove the fat above the platysma muscle. When patients have fatty deposits underneath the muscle, that must be surgically removed through the 1 inch incision underneath the chin. Once the fat is been removed from underneath the chin, a platysma plasty is required.  A platysma- plastyand the fat removal from underneath the muscle will create a significant enhancement of the jawline, which is much better than simple blind liposuction. There is no skin removal. When patients require excess and loose facial skin removal, a lower face and neck lift is usually required on patients over 50 years of age. For more information  and many examples of neck lifts, please see the link and the video below

Thanks for your question.  You could have several choices depending on your specific anatomy.  Some options are liposuction, neck lift with band tightening and kybella.  It sounds as though you have researched this and seen different doctors for their opinions.  Sometimes the most difficult part is deciding which option to take.  Maybe see another doctor to get this final opinion is what you need to do.  Photos would make this easier to determine, but an in person visit to your board certified plastic surgeon is the best.  Good luck to you.