Any alternatives to neck liposuction?

Your description regarding neck when you press your tongue to palate are highly unusual Tough to assess without photos and/or physical exam. Be sure to consult with a board certified plastic surgeon. Good luck!

Many things can contribute to your neck issue. Sometimes it is fat above the muscle, sometimes it also includes fat below the muscle( not treated by lipo), and sometimes it is muscle or skin issues. Best to be evaluated in person.

     Treatment of a double chin requires making an accurate assessment of the anatomy causing the condition. If there is redundant skin, or a relaxed platysma muscle, or a low positioned hyoid  or a recessive chin then liposuction of submental fat alone will not correct the condition. Procedures that may be needed to correct a double chin can range from non-surgical radiofrequency skin tightening such as the Venus Legacy or Sublime, minimally invasive SmartLipo Precision Tx, or open surgical platysmaplasty with or without skin excision (neck lift) or even possibly a genioplasty. Best to get opinions from several board-certified plastic surgeons who can show you before and after photos of patients with a situation similar to yours. Regards, Scott A. Brenman, M.D., F.A.C.S.Plastic & Reconstructive Surgery