Can I get rid of my neck rolls? (Photo)

Question

I'm 32 years old and have the most annoying neck rolls. Even when I am in really great shape, they are still there. Is there anything I can do to address them?

Jason Emer, MD · Answer

I find that properly formed liposuction can help improve this. I recommend VASER with ThermiRF to remove the fat, lift the skin, and contour the jawline. I pretreat everyone with Botox 1-2 weeks before surgery to relax the neck muscles, allowing for better retraction of the skin after surgery. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Kenneth Hughes, MD · Answer

Liposuction carefully performed with small cannulae can improve those areas if fatty deposits are the cause.

Edward P. Miranda, MD, FACS · Answer

Thank you for the inquiry and photos. A consultation with a board certified plastic surgeon would be helpful to evaluate the amount of fat around the neck and what treatment modality would be optimal.  Liposuction would be a reasonable option, but there are also non-surgical options such as Kybella injections. Given your age and appearance of skin elasticity I would expect there to be good retraction of overlying skin after surgical or non-surgical options.

Daniel Barrett, MD · Answer

Dear Shellown,based on your photos, you might be a candidate for a neck liposuction. However, it is hard to tell without an examination. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Tim Sayed, MD, MBA, FACS · Answer

You may benefit from removing fat in the bulging areas and "lifting" or reducing the depth of the creases. Liposuction can reduce the bulges to soften the transitions on either side of the creases. The creases themselves may benefit from something called "subcision" where a sharp tool is used under the skin the break apart the attachments to the skin and create a space in which some fat could be grafted. Even without the subcision and grafting, liposuction could be very beneficial alone in reducing the prominence of the rolls.

Aaron Stone, MD · Answer

The problem is attachment of the skin to the platysma muscle and fat deposition between the attachments. The solution is to lower the hills and raise the valleys i.e. liposuction of the rolls, release the attachments and fat graft as needed into the creases. Positioning the access sites for the cannula where they will be least visible is imperative and release of the lower crease is more difficult because the jaw and collar bone limit angling of the cannula.I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

Joseph Raniere Jr., MD · Answer

It is difficult to diagnose the issue at hand from your photos and I would encourage you to consult with a board certified plastic surgeon to discuss options.  Many options may be considered, such as liposuction and various technologies/devises to treat focal areas of fat.  A complete examination is needed to determine the location and extent of the fat beneath your skin and the presence of attachments to the overlying skin to determine the best course of action.

Johnson C. Lee, MD · Answer

Thank you for your photos. It is best to have an in-office evaluation to determine what factors are contributing to the "rolls" It may be a combination of fat, loose skin, and/or genetics. Treatments such as liposuction, energy devices, and fillers can help treat the neck area. It may not be possible to completely remove the lines/rolls, but there are options to improve them. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee

Mats Hagstrom, MD (license on probation) · Answer

Creases or skin folds on a body are often associated with skin attachments.
You probably have a moderate amount of fat below your skin.
Liposuction would most likely help though some of the folds may still be present but would be reduced in size.
This is previously been stated an in person evaluation would be needed to make a more accurate assessment.
Best,
Mats Hagstrom M.D.

Lawrence N. Gray, MD (retired) · Answer

To obtain the best opinion, you should see a board certified plastic surgeon in person. It's unlikely at your age to need skin removed, but  you could probably have liposuction and may be a candidate for the cool mini (a Coolscupting or fat freezing treatment)  or kybella treatments, which is an injection which helps dissolve localized fat.

Can I get rid of my neck rolls? (Photo)

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