Can a Neck Lift get rid of my excess chin fat and improve my jawline or do I need a Facelift? (photos)

Based on the photographs you shared, I can say that the issues that bother you most would certainly be addressed by a necklift, but you might also want to consider having a facelift performed in concert with your necklift, to better match the appearance of your lower face and neck to the upper two thirds of your face.

The results would make such a huge improvement. There is nothing going to make the lower face/neck look fabulous now other than a great mini Lift under local. It is so easy to undergo and you look so amazing in just 2 days . You are wrapped up for 1-2 weeks though but there is almost no pain during or afterwards. A little filler in the nasolabial areas would compliment the results nicely as well as a face/neck/chest resurfacing with Morpheus8 and a medium TCA peel.

In your case, lower face and neck lift would create better outcome. Having just anterior neck lift (small incision underneath the chin) may significantly change your anterior neck fulness and jawline, but not as good as inclusion of lower face lift. In person consultation with board certified plastic surgeon with good reputation in face/neck lifts would help. Good luck.

Based on your photos, you can certainly make an improvement in your neck and jawline with a lower face and neck lift. You have to have reasonable expectations because of the oblique direction of your neck. You will never have a 90 degree angled neck, but it can be significantly better with a well performed lift. It looks like the cartilage at the end of your nose is crooked and the tip is a bit big. These can be improved with rhinoplasty at the same time. Be sure to see a facial specialist for consultation.

To improve one's jaw line and chin, the excess fatty tissue is removed with liposuction and at times the deeper fat by direct inside with a scar in the submental/ chin crease. Patient's with good skin quality will often have adequate skin redraping with lipo alone. If excess skin, then skin excision is necessary with either a neck lift or facelift. A facelift best addresses the jawline by repositioning the SMAS and soft tissue.

For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift/neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:
1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production
See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals.

Best, Dr. Emer

Your photos demonstrate fullness of the neck and laxity of the lower face and neck. Best results can be achieved with a lower face and neck lift with liposuction of the neck to remove excess fat and improve the jaw line and neck line. In some cases you can achieve nice results with neck liposuction combined with a minimally invasive tightening technology such as Face Tite or Renuvion. This approach only requires only three small incisions (under chin and behind each ear) and as it is less invasive it has less downtime but generally the results will not be as good as a face lift.

As long as you're BMI is less than 30, you're candidate for elective neck surgery. At age 47 when all the fat is removed from your neck, it will deflate the current skin situation in your neck. A lower face and neck lift is going to be required to tighten the loose skin after all the fat has been removed. Most of the fat but you have presently in your neck is going to be located below the platysma muscle which will require a deep neck procedure to remove that stubborn fat deposits underneath the platysma muscle. Liposuction can remove the fat above the platysm muscle.

Anterior and lateral neck lift combination can give the best possible results for neck and jawline contour. For more info please click the link.

Start with weight loss, then since the non surgical or minimal surgery have benn unsuccessful for you. I would opt for surgical face/neck lift with muscle plication/sub mental liposuction/fat grafting using nano fat or HA fillers. Separately septaloplasty for deviated septum to correct your nostrils. Fees in the $25,000-$35,000 ranges.