What are the newest and best procedures for jowls and neck sagging 2016, not from 2008?

As we age, the soft tissues of our face loosen and begin to descend, we loose volume (fat) in our face, and our skin begins to thin and become less elastic. In the mirror, we see loose, saggy skin, thick jowls, neckbands, and upper face hollowness. For younger patients that are not yet exhibiting these signs of aging, injectables and non-invasive skin tightening procedures such as skin peels are appropriate temporizing options. 



As we get older, however, excess skin begins to dominate the picture and non-invasive techniques become inadequate. Fortunately, the stigmata of ageing can be corrected with a neck and / or face-lift. These procedures can lift the soft tissue back into place, tighten the underlying muscle, and remove the excess saggy skin. 



The modern face and neck lift has evolved past "skin only" to focus on natural lift vectors, tightening and elevation of underlying support tissues of the face, and incorporating fat grafting to the face to restore the lost soft tissue volume. These procedures are often done though incisions that are hidden in front and behind the ear, under the chin, and within the hair.



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A detailed examination will help delineate the best surgical option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.

Great question! Without photos, it's hard to determine what would be the best treatment for you. I would recommend you seek an in-person consultation with a board certified face specialist. That being said, even with technological advances, the best procedure for your concerns would still be a face and necklift (rhytidectomy). A lower facelift is a great treatment for sagging jowls and to improve the contours of the neck.  The primary way this is accomplished is by removing excess skin and secondarily by elevating some of the deeper tissues. 
I hope this helps

There are many newer techniques and a Short Scar facelift along with a mid face lift can lead to a very natural rejuvenated appearance. For most patients, recovery from a regular facelift can vary widely and it really depends on which procedures they get done. It is best to talk to your surgeon because everybody has different techniques and recovery time is usually based on a number of factors. 
If we are just talking about a short scar facelift, this can typically be done in the office under local anesthesia. Usually there are no drains, no outside stitches, and patients can go out in public the same day, although I usually recommend they low for the first couple days. Most of the initial swelling is from the numbing medicine and your body absorbs it within the first 4-6 hours. Obviously the body heals with swelling and inflammation and usually that maxes out at two days and then starts getting better. Most of these patients take no pain medicine and usually feel very comfortable going out in public within a few days.  I usually call my patients the night of surgery and check on them the next day. If everything is fine the next day, I then let them shower and they do not need a dressing over their incisions. They can usually start using make up after a few days.  At the two week check up, I usually have people start working out and then after six weeks they can do whatever they want. I routinely tell people to take a few days to a week off work and to hide out but some people are very nervous especially celebrities and I usually tell them to hide out for two weeks. As with any scar on the human body, initially scars are red, hard and raised and it typically takes six months to a year for them to become a soft thin white line. Additionally with recovery, there're many things we do to expedite healing such as nerve blocks during surgery, oral supplements, skin care and scar therapy recommendations, lymphatic massage sessions that are included in our pricing.
I'd recommend not getting into the mindset of thinking the jowls will be 100% gone however with any facelift as this might lead to disappointment. It is always best to consider that an area will be improved. Looking for something to be completely gone sets up unrealistic expectations and will usually lead to disappointment after surgery. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature.
Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the jowls.
I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. 
I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.The best candidates for #LiteLift are non-smoking patients 35-60 years old with early changes of the lower face and the neck. But whose skin has elasticity with well defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic may also be a candidate for a Lite Lift™.

It is also possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result.

Thank you for your question. Laser-Assisted Weekend Necklift is an exciting new way to improve the look of your neck and jowl regions. This innovative procedure represents the marriage of three advanced techniques in facial plastic surgery: liposculpture, neck lifting, and laser resurfacing. The result is a natural-looking more youthful appearance that blends with the rest of your facial features. Always consult with a board certified facial plastic surgeon.

Best wishes,

Jowls and neck sagging are best improved with a Deep Plane Facelift. Although radiofrequency is an innovative approach to improve firmness in the neck area, it won't get rid of excessive sagging of the neck. A facelift is still a best option. 

The golden standard - is always a facelift/ neck lift. Very often, patient who seek "non-surgical" treatments of areas that really have to be addressed surgically, end up paying double the cost - because at the end non surgical treatments will do nothing and will not remove excess skin. Only surgery will.

Jows and excess skin are sti best removed with a facelift. There are every year "new fantastic treatments to avoid surgery". Many patients we see have spent thousands of dollars on mini procedures that did not do what they said! Look at live patients who are like you who have had both procedures and your decision should be simple. 

Without out a photo to see your situation no one can give you a good recommendation. Everyone should be evaluated as an individual! BEWARE of fads, advertisements, and "no down-time" options. If you need a lift noninvasive treatments are not a substitute. PLEASE consult with an experienced facial plastic surgeon who will be glad to discuss all your options.

Hello and thank you for your question. There are many new techniques available.  This answer truly depends on the cause of the neck sagging and jowls and your individual anatomy, which can only be assessed accurately with an in-person consultation.  Make sure you specifically look
at before and after pictures of real patients who have had neck surgery
performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon