Is it time for a facelift/neck lift? (Photo)

Based on the photos, I would answer "No". However, you will probably find a Surgeon who will do it, so be careful. Surgery without indications is risk without benefit.

Hello and thank you for your question. In general, it is always a good idea to maintain a healthy lifestyle and do any intended diet and exercise prior to any potential elective surgeries, as losing the weight can result in distortion or asymmetries which can be corrected during your ultimate surgery. If you already have plans to lose weight, I would recommend this first before seeking out surgery. From what I can tell based on the pictures you have provided, there is a little submental fullness (underneath the lower jaw), more noticeable in the right profile picture than the left. If this is not fully resolved after your planned weight loss, you might benefit from some submental liposuction to that area to improve the definition of your cervicomental angle (the junction of the lower jaw to your neck). It is difficult to provide tentative surgical recommendations, however, as there is only so much information to be gained from the photos you have provided, and your appearance can change with weight fluctuations. Once you have lost the intended weight, if there is still a concern to your lower face/chin/neck region, I would recommend for you to come see me or another plastic surgeon for a formal consultation at that time to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!.Best wishes,
Dr. Donald Groves
Plastic Surgeon

As we age, the bones in the face shrink and the fat tends to atrophy over time. There are multiple options out there for facial volume loss and restoration. That being said as I have been practicing for over 25 years, I am starting to realize that autologous Fat Grafting is the best option available for volume restoration and facial balancing in the face. Additionally, fillers can be extremely costly when you start to need large volume and most of the time don’t look natural. In your case, fat grafting can create a very natural look but, all subunits of the face should be addressed simultaneously in order to maintain balance and shape.