Do I Need a Neck Lift or Liposuction of the Neck? (photo)

It's best to begin by consulting with a surgeon in-person. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine what treatments will best rejuvenate your neck . Necklifts are designed to remove only deep grooves and #wrinkles, not fine ones. Smoothing out every tiny line in your face would leave you with an eerie, unnatural, and undesirable result. The goal should be to make your necklift look as natural as possible, simply turning back the clock a few years.  #Liposuction is often used during the neck lift if necessary. 
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.
If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend non-surgical alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

From your photo you look fairly young and like you have good skin elasticity, so liposuction would probably be the best choice. Neck lifts are appropriate for people who have excess sagging of their neck skin, while liposuction helps to remove excess subcutaneous fat. An examination by a board-certified facial plastic surgeon will help determine which procedure is best for you. I hope this helps.

Generally, a neck lift is needed when there is excess skin sag in the neck.  If you're younger than your mid-forties, you can generally get away with neck liposuction as the skin has enough elasticity to 'shrink wrap' back down.  After that age, skin begins to sag and a lift is required to tighten the skin in addition to removing the fat with liposuction.  Kybella has been recently introduced as a drug that can help with both if you're in your mid 40's to early 50's.