What are my neck lift options?

This is a very good question and brings up a number of very good points.
The two general types of procedures that would be discussed with you in my practice are a "Minimal Incision Necklift" and a Facelift; I will explain the difference. Direct removal of skin via a Z plasty is also possible but generally only applies to a small sub-category of patients willing to have a mid-line scar.
A "Minimal Incision Necklift" involves an incision just under your chin, below the chin crease, roughly 2.5 cm in length (this will vary according to the patient) and a 1.5 cm incision behind each ear. The general concept is to judiciously remove fat excess, stitch together the platysma muscle ( a paired, thin, long sheet of muscle visualized when you strain your neck) and place an interlocking suspension suture from side to side to help to maintain the contour of the neck. No skin is removed, because generally more skin is required to fill a concavity than to maintain a convexity. This axiom holds true up to a certain limit. I would agree that wth other posters on this topic that most patients in their late 50's are getting to to the point where the degree of excess skin cannot be addressed by this technique and skin removal becomes necessary.
For patients with this certain degree of skin excess, a traditional facelift is generally the best approach because it allows for removal of excess fat, a platysmoplasty/ muscle resuspension, and removal of skin excess via concealed incisions. Any good facelift surgeon should be able to make the incisions look inconspicuous by following a number of time honored surgical principles. As I tell my patients: If your incisions don't look good, I don't look good, and I do not want to have that happen. A responsible, ethical surgeon who takes pride in his work has a vested ineterest in an excellent outcome for his/her patients.

There is another type of neck lift that I routinely perform in my practice that hides the neck lift incisions behind the ears – specifically, in the crease of the ears where the ears meet the back of the skull. My female patients always appreciate being able to wear their hair up without incisions being obvious, and male patients appreciate this camouflage because most men have shorter hair. As a board certified plastic surgeon, my belief is that all patients must look as if no one has touched them, which is why I work very hard in the operating room to provide the best results possible. I suggest consulting in person with another board certified plastic surgeon for a second opinion to see if a different technique would be recommended. .

A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.

There are several different types of neck lifting procedures that are available, and some may be more appropriate for one patient than another. Facelifts typically are long-lasting procedures, and most patients will go at least 5-10 years before considering any sort of "tuck up" procedure. Of course, each patient is different. In some cases, a minor revision could produce a very nice improvement.A consultation with a surgeon specializing in facial aesthetics can be very helpful to address your concerns. All the best,

It's certainly possible to have a neck lift separate from a facelift and vice versa. Typically, it's best to wait 6 to 12 months depending on the reason for #revision. During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.The type of necklift incision will depend upon your gender, your hairline and preferred hairstyles, any scars from previous surgeries, and a variety of other factors.  As a general rule, a #necklift #incision starts right in front of or within the hairline on the temple, follows the curve of the front of the ear, travels underneath the earlobe, and ends at the hairline behind the ear.  There are also shorter #scar techniques preferred by many patients, which do not have incisions in the hairline.  Some patients who wish to have liposuction or tightening of their neck will need an additional incision under their #chin, which can be hidden in a natural skin fold. Your board certified plastic surgeon will be familiar with the various neck lift techniques and able to pair you with your perfect match of surgical approaches based on your skin type and desired results.  

A neck lift  for rejuvenation will remove and reduce the fine lines and wrinkles. Some patients have animation of their neck muscle which is called the platysma muscle. This can be a significant frustration for some patients in the postoperative period. While the initial results can be excellent, the early results at one  year may show signs of the soft tissue skin relapse which can be a result of the excessively stretched skin and loss of elastin. For patients with poor skintone often the desire is for a repeat neck lift. While in certain cases this may be indicated and a small Touch Up procedure at the level of your ear lobule may deliver the desired improvements. Sometimes the best approach is to combine nonsurgical options such as Fraxel lasering or micro needling or even skin tightening Pelleve treatments. 
 Even neck firming skin tightening creams can deliver powerful improvements. The most important thing is to work closely with your surgeon whom you've developed a strong relationship and search for a mutually beneficial solution. Remember aging is constant and therefore rejuvenation treatments which Involve an ongoing treatment algorithm will often deliver the best results.

The most common reason for a facelift revision is excess skin that appears in the neck.  There are several reasons for this.  After a facelift, most patients do get some relaxation of the facial and neck skin from the pulling of the original surgery.  Usually, this is not enough to upset patients and most of them consider it minimal or a very natural look.  In your late fifties, you are also looking volume in your face annually.  Volume loss in your face can cause neck laxity below.  In addition, we also have to take into account the existing skin elasticity, genetics, and skin quality at time of surgery.  The best option is to consider using fillers to add volume or a tuck up minifacelift with your surgeon.  

Thanks for sharing. Current neck rejuvenation treatments:Surgical Neck lift* with a lower facelift would be the gold standard and get you the best resultsSurgical Neck lift* would be the next best procedureNeck liposuction and or laser lipolysis if only fat removal is required, typically in a younger patientUltherapy is an FDA approved non invasive tightening using ultrasound technologyKybella is a new FDA approved injection that melts fat under the chin*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles.  Talk to several board certified surgeons experienced in face and neck lifting.

There are a multitude of surgical options for tightening the tissues of the face and neck.  In my experience of several thousand of these procedures, I believe the key to a successful and durable procedure is addressing the deeper tissues, fascia and muscles.  Performing a plastysmaplasty addresses the central laxity of the chin area and provides for outstanding definition of the jawline and neck.Make sure you consult with a surgeon who has vast experience and is able to show you a number of before and after pictures.Best of luck!

                  Your
history suggests the development of recurrent skin sag with neck wrinkling
following facelift surgery. This situation can occur for a variety of reasons
including continued facial aging or inadequate treatment of the original
problem. Since this issue has occurred within a year of the original procedure,
failure to address the anatomic structures of the mid neck is probably the most
likely explanation.

                  Under
these circumstances it’s difficult to make a recommendation without pictures or
a physical examination. The treatment of this condition depends on the cause and
severity of the anatomic deformity.

                  In
the majority of cases, this type of deformity can be treated with a neck lift
through a small one inch transverse chin incision. Through this approach the
underlying platysma muscles can be repaired and the central neck recontoured.
In severe cases the facelift may need to be repeated with simultaneous repair
of the midline neck muscles.

                  When
this situation occurs consultation with a board certified plastic surgeon is
appropriate. This surgeon should be able to make an appropriate recommendation. 

A neck lift procedure rejuvenates the face by lifting soft tissues of the face that have descended with facial ageing as a consequence of descent of soft tissues, laxity in soft tissues of face and skin, volume loss. A neck lift is effective to treat characteristics of the face including:Soft tissue beneath the jaw often includes fat that can be removed with a combination of liposuction under the chin and surgical removal.Vertical bands in the neck, are bands that are formed from laxity in a sheet of muscle that extends from the collar bones to the jaw (termed the platysma)Excess skin in the neck (secondary to laxity)Other consideration include local anatomy, for example a low position of an individual’s natural salivary glands can require attention in neck lift surgery to give an optimal resultThe facial ageing changes occur usually present from forties, however are dependent on environmental factors (including smoking, sun exposure, poor nutrition and stress) and genetic factors. With neck lift surgery the sharp angle between the jaw line and neck can be restored. There are a variety of surgical techniques that can be used to rejuvenate the neck.Non-surgical treatments including the use of botulinum toxin and hyaluronic acid fillers have been substantial innovations in the past decade that have advance cosmetic surgery. Patients with early signs and symptoms of facial ageing including dynamic wrinkles (wrinkles on facial expression) and early soft tissue changes along the jaw line (termed jowls) may be effectively treated short-term with non-surgical treatments. The changes described above including vertical bands in the neck, skin laxity and soft tissue changes below the jaw line are not effectively treated with non-surgical methods and require neck lift surgery to give a natural looking rejuvenation.