Is neck tightening possible with a smallish space between chin and neck? (Photo)

It would be a good idea to examine your chin anatomy and a bone called the "hyoid" in addition to the loose skin and fat accumulation. Hyoid position is really important because if it is positioned too low and forward then results will not be as good. If a chin is recessed, skin hangs tends to hang and make the neck looks shorter.

Recommendations to Improve your neck appearance depends on your exam - Your plastic surgeon will evaluate you for four main features:1.Amount of excess fat (needs lipo or direct removal).2.Presence of Significant Platysmal Banding (requires playsmaplasy or Botox)3.Amount of excess Skin and condition of your skin. For example younger age, darker skin colors and no large weight loss history means there will be better elasticity and therefore better post surgical contraction. In milder cases if not too much fat is present there will be enough skin shrinkage with just lipo alone. However for moderate and severe skin redundancy a neck lift or lower facelift is needed with or without lipo for best results. Mild to minimal skin tightening using non surgical means like the Sciton Laser SkinTyte procedure, Ultherapy or Thermage could also be considered.4. Chin deficiency (without adequate chin support your neckline will suffer)Many issues affect the price: where the procedure will be performed, anesthesia type and by whom, geographical location, experience of the surgeon, etc.

From your photos it appears that you have some looseness of the skin over the lower cheeks, jowls and neck. This would be nicely treated with a mini-facelift (S-Lift).

Good morning!Looking at your photos, I would suggest a lower facelift and neck lift to address the problems.  The muscle/fat layer that is giving you laxity in your neck is the same layer of tissue that is giving you the early jowling.  Elevation of these tissue will make a big difference in both your neck and jawline.I hope this helps.

It is great that you look good for your age.  Looking younger is always a good place to start when considering facial rejuvenation procedures.  Judging from your pictures, facelift would be the most effective rejuvenation procedure for you.  Neck lift alone would make your neck look better, but not significantly improve the jowls.Good luck!Dr. Konstantin

Many women in their mid forties have similar changes that you are seeing in your jawline and neckline.  As we age, the skin and underlying muscle develop laxity and often fat can deposit under the chin.  A lower facelift is typically the treatment I recommend to provide a long lasting and natural improvement to this area.  During this procedure, the skin and underlying facial tissue is re-positioned to restore a smoother jawline and give a more youthful contour to the neck. You would also benefit from a little liposuction under the chin to remove some of the fullness in that area.   From your limited pictures, you appear to be a great candidate for this procedure, but an in office evaluation and discussion is really the best way to discuss treatment option.  

The photographs show  the normal aging process of the face and neck with jowls, and fatty deposits in the neck. When there are only  fatty deposits located in the neck, a neck lift can be performed. When there are jowls present and fatty deposits in the neck and face/ neck skin laxity, a face lift will need to be performedFor many examples of neck lifts and face/neck lifts, please see the link below

In almost every case, neck tightening can be expected with a facelift and/ or necklift procedure. The question is how much tightening can be expected. During a necklift consultation your neck will be examined and you should be counseled about how much of a lift can be expected and what procedure would be best. In some cases when the bone and cartilage of the voicebox are low and positioned forward a very marginal lift can be achieved. Your photos actually suggest that you would be a good candidate but that would need to be confirmed during an in person consultation. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

When your jawline goes south, the treatment is a facelift, no matter what your age. In spite of its name. a facelift takes care of the cheeks, lower face and neck. A traditional SMAS facelift is generally overkill in someone your age. The MACS Facelift, however, was developed for people your age. That procedure and those developed from it undermine less, have a shorter incision, faster recovery and provides a more natural result. You appear to have extra fat in the area under the chin also. This can be suctioned at the time of the  to help improve the neck further.