54, Jowling and crepey skin after weight gain - Is a neck lift a good option for me? (Photos)

Question

Quick two-parter regarding the best surgical treatment for my lower face. I’m 54, and after a significant weight gain I’m troubled by the jowling and crepey skin that has developed under my chin. First, would a neck lift be sufficient to address these issues? Second, should I wait until I’m back at my normal weight before having the procedure? Thank you!

Elie Ramly, MD · Answer

Thank you for your question and for sharing your photos. You are really asking two important questions: whether a neck lift alone would adequately address your concerns, and whether it makes sense to have surgery before or after returning to your usual weight.
First, a neck lift can improve loose skin and contour under the chin and through the neck, but jowling is primarily a lower-face issue. When meaningful jowling and neck laxity happen together, I generally prefer to evaluate and treat the lower face and neck together. In the appropriate patient, a facelift combined with a neck lift can address the descended tissues contributing to the jowls while also improving jawline definition and loose skin and platysma in the neck. A neck lift alone in that scenario would leave the lower-face component undertreated.
Second, if you are planning significant weight loss, I would generally recommend getting reasonably close to your goal weight (within 5-10lb max) and maintaining a stable weight before surgery. Weight loss can change facial volume, skin laxity, and neck contour, sometimes substantially. Performing surgery after those changes have occurred allows the operation to be tailored to the anatomy you are more likely to maintain long term.
An in-person examination is important because photographs cannot show skin elasticity or determine how much of the fullness beneath the chin is related to superficial fat, platysma, deeper neck anatomy, or loose skin.
The goal is a natural transition from the lower face across the jawline and into the neck, which is why treating the face and neck together when both are showing anatomical signs of aging or weight changes, can provide a more balanced and harmonious result.

Muhsin Yilmaz, MD, FEBOPRAS · Answer

If you have both jowling and loose, crepey skin under the chin, a neck lift alone may not fully address the lower-face changes. In this situation, I would consider a deep plane facelift with neck lift for a more comprehensive correction of the jawline and neck.
Regarding your weight, I would recommend getting as close as possible to your stable, goal weight before surgery. Significant weight loss after a facelift can create additional skin laxity and affect the final result.
Once your weight is stable, an in-person examination can determine the exact combination of procedures you need.

Carl Truesdale, MD · Answer

Thank you for your question and photos. Based on the photos you submitted, you appear to be an excellent candidate for a deep plane face and neck lift to improve heavy jowling and the crepey appearance of the neck caused by skin laxity. This procedure lifts and repositions the deeper structures of the face and neck to create a smoother neckline and more defined jawline while restoring youthful contours.
The ideal timing for surgery is when you are at, or within about 10 pounds of, your goal weight. Additional weight loss after surgery can lead to further skin laxity, which may affect the final result. Being at your goal weight also allows fat transfer&mdash;performed at the same time&mdash;to be most effective for restoring volume where it is desired.
Fat transfer enhances contour, improves skin quality and texture, and further softens the appearance of jowls and deeper nasolabial folds, making the overall result more balanced and natural.

Andrew Miller, MD · Answer

Based on your photos, you are a great candidate for a deep plane lower face and necklift. The lower face should be done too because the jowls are sagging and everything including the neck can be lifted at one time. If you are planning to lose weight, it would be best to get within 10 pounds of your goal weight before doing the procedure. Be sure to see a facial expert for consultation.

Zoran Potparic, MD · Answer

There is very limited  information based on these photos, profile views will help. However, there is no doubt that you need lower face and neck lift. In person or teleconference consultation with a board certified plastic surgeon with extensive experience in facial rejuvenation is recommended. Good luck.

Darryl J. Blinski, MD · Answer

Based on your post of photos, always best to get back to you desired Waco before doing surgery. But the procedure you need is a full face neck, muscle plication facelift neck lift combination. Expect fees to arrange from $18,000-$35,000. Best of virtual consult with.

54, Jowling and crepey skin after weight gain - Is a neck lift a good option for me? (Photos)

Answers (6)

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