What procedure would I need to correct loose skin from under chin and neck? (Photo)

I have lost 146 lbs and I look so much older in my face. What can I get done to gain more of youthful look. Also I have hanging skin under chin and neck area. Would face lift or neck lift be needed?

Doctor Answers 31

Common problem following successful weight loss

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  • Following significant weight loss, I recommend waiting approximately 3-6 months at that weight to ensure good nutritional status which is so important as you heal.  That being said a standard SMAS cheek and neck lift should restore your lower face and neck regions to a more youthful appearance.

Lafayette Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Facial evaluation

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Hello and thank you for your question.  Congratulations on your weight loss.  In the photograph you show here, your face looks great.  Based on your description and question, I presume you are more concerned about your neck in the lateral profile view.   If you do have hanging skin in the neck, then a necklift may be very helpful.  If good technique is used, this can be done with minimal scarring and can result in a natural look, not over-done look, with rejuvenation of your face.  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

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 174 reviews

Lower face and neck lift after 146 pound weight loss

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Congratulations on your weight loss, that is a significant amount of weight! When patients have a massive weight loss such as this, the skin in the face and neck can become like a deflated balloon. Many patients even at a younger age can be benefited from a facelift procedure to tighten this loose and inelastic skin due to the massive weight loss. A full set of facial and neck photographs from all angles are required to make a determination about a surgical procedure such as a facelift. In our practice, a lower face and neck lift can accomplish tightening lLoose facial and neck skin, tightening loose facial and neck muscles, and removing any residual fatty deposits in the neck. For more information and many before-and-after results, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Facelift options

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Congrats on your weight loss. it looks like you might do well with just a standard type of facelift. Your brows look like they are in good position and your eyelids look pretty good. Of course it's hard to tell exactly from this one photo. That's why an exam is really needed. You should do  get a great result. Go for it. Good luck.

Face and Neck Lift Post Massive Weight Loss

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First of all, congratulations on your weight loss. What an achievement! Second, based on your photos, you don't look like you need a facelift. You look fantastic. But a photo is not an in person exam. So, my best advice would be for you to find a board certified plastic surgeon in your region and schedule a consultation to discuss your options. 


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 38 reviews

Determining the Facial Procedures Best For You

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During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed.

If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Facelift With Fillers or Fat Transfer Would Be Best

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After a significant weight loss, there will be excess skin, sagging jowls, and a deflated facial appearance. The best way to restore a more youthful look is to undergo a facelift and volume replacement. The facelift will elevate the sagging jowls, tighten the neck and restore a more youthful jawline. The volume replacement in the cheeks can be achieved by fillers (RADIESSE/JUVÉDERM/VOLUMA) or by fat replacement. Fat transfer is accomplished by harvesting fat from the belly or legs and then transferring it to your midface to improve the deflated appearance. It will provide the longest lasting result. In your case, I would suggest waiting at least 6 months before proceeding to make sure that you don’t gain back any of the weight that was lost.  

Consult With a Board-Certified Surgeon in Person

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Let me begin by congratulating you on such a great accomplishment. Losing a significant amount of weight often leads to concerns about the loose skin that remains. To be honest, though, you look great in the post-weight loss photo you've included, and I'm reluctant to suggest facial plastic surgery at this point. Of course, a consultation with a board-certified plastic surgeon is the only way to know for sure whether you could benefit from a neck lift or some other procedure involving the chin and neck. Good luck to you!


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facelift technique results in a younger and natural, but not "done," look. The surgery is done in a deeper plane which results in a full-thickness skin and subcutaneous tissue flap, which is redraped and elevated vertically over a repositioned SMAS layer. This avoids the "windswept" effect of pulling back too severely only the top layers of soft tissue.

Procedures for Loose Neck Skin

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Thank you for your question, and the pictures.

Congratulations on your weight loss!  From the pictures, it is difficult to say exactly which procedures would be best for you.  Some more views are needed to make specific recommendations.  The best thing to do is to have a consult with a local/regional plastic surgeon to discuss your options.  They may recommend surgical necklifting, or perhaps an energy device to help tighten the skin somewhat.

Best of luck!

-Dr. Michael Epstein

MAE Plastic Surgery

Northbrook, IL

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.