Neck Lift with OUT Platysmaplasty? (photo)

Treatments for the neck can be confusing because there are so many options.  I tend to be pretty conservative with the neck in younger patients.  In the photos you provided, you do not appear to have significant jowling and you seem to be fairly young.  If that is the case, I usually will consider doing either simple liposuction or sometimes liposuction and platysmaplasty only (no incisions around the ear).  This works well mostly for younger patients (under 50).  How old are you?  Thanks.

It is hard to determine the best option with photos alone. The best options available to you can range from liposuction (minimally invasive) alone to a necklift with or without tightening of the platysma muscle. If you are concerned about the inconsistency in the recommendation from your plastic surgeon, it would be wise to seek a second opinion, if only to gain reassurance. It is possible, that liposuction alone would be effective without having to undergo a formal necklift procedure. However, only an in person evaluation could determine that. I hope this information is helpful.Stephen Weber MD, FACS