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.

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.