Neck lift or lipo with necktite? (Photo)`

Hello Witty023786 in Mesa, Arizona,
Thank you for reaching out with your question about the best approach to address your neck concerns. Based on the information you've provided and the images you've shared, it's important to carefully consider your options, especially in light of your goal to lose an additional 20 pounds.
From the analysis of your pictures, it appears that the primary issue is excess neck skin rather than excess fat. This distinction is crucial because neck liposuction, even with NeckTite, primarily targets fat and may not be effective for skin-related concerns. In your case, since there isn't significant fat to address, liposuction may not yield the results you're hoping for and could potentially worsen the appearance of the neck by leaving more loose skin.
As you plan to lose more weight, it's likely that the amount of excess skin in the neck area could increase, making the need for a surgical intervention more apparent. A neck lift, which involves the removal of excess skin and tightening of the underlying tissues, seems to be the most appropriate solution for your situation. This procedure can provide a more contoured and refined neck profile, aligning with your aesthetic goals.
Given that further weight loss might exacerbate the skin laxity, it would be wise to consider undergoing a neck lift after you've achieved your weight loss target. This way, the surgery can be tailored to the final contours of your neck, ensuring optimal results.
It's important to have a detailed consultation with a board-certified plastic surgeon who can evaluate your neck in person, discuss your goals and concerns, and provide a personalized recommendation based on your specific needs.
Best wishes as you make your decision and continue on your journey.
Sincerely,
Dr. Katzen

Thank you for your enquiry and sharing your photographs.
One of the difficulties with weight loss is that the distribution of the fatty tissue reduction does not accurately reverse the weight gain volume.
Your neck contours suggest relatively little fatty tissue under the skin and if you are losing more weight, laxity may become more obvious, but not always. I am not aware of any nonsurgical treatments that can address this problem very effectively but it is definitely worth having this conversation with someone that has experience with nonsurgical treatments and perhaps see some before and after photographs to understand your potential benefits from such treatments.
A neck lift intervention can direct the volume reduction under the platysma muscles and combine it with sculpting of the fat above the platysma just to produce a more even volume distribution. There are some areas where definitely fat should not be reduced in your neck even as it is now, let alone after more weight loss.
I suspect that a combination of deep plane volume reduction (under the platysma muscles) and skin tightening is likely to provide you with the more balanced outcome.
Since you are planning to lose more weight, it makes sense to do that first and then revisit your desired changes and treatment options.