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

Doctor Answers 11

Modern Facial Rejuvenation

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.

See the link below for more info.

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.

Best techniques for jowls and neck sagging

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. 

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
5.0 out of 5 stars 36 reviews

High-SMAS facelift candidate

When patients have significant changes of aging in the face, we perform a High-SMAS  lower face and neck lift for a comprehensive facial rejuvenation.  This involves tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, tightening the SMAS and  removing fatty deposits in the neck.  For more information  and many examples, please see the link and the video below 

William Portuese, MD
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 126 reviews

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

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.

Best Procedure for Jowls and Sagging Neck

In most cases facelift surgery remains the best approach for facial rejuvenation to eliminate jowls and a sagging neck. In some very thin individuals augmentation with fat or fillers can be beneficial. But remember if a treatment sounds too quick and easy it probably is. A mini procedure usually provides a mini result.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews


Agree with Dr Mayer below.New whizbang lies are sold every day. Best to avoid snake oil and have sound safe long lasting facelift in the hands of an experienced professional

Richard Sadove, MD
Gainesville Plastic Surgeon
4.8 out of 5 stars 18 reviews

Best treatment for jowls and sagging skin in 2016!

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. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 32 reviews

Neck and jowl correction

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.

James Shire, MD
Chattanooga Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Neck surgery

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

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 67 reviews

Old isn't necessarily bad

So the simple answer is it depends what needs tightening and ow much tighter it needs to be.Excess platysmal fat and very loose platysma needs a full neck exposure under the chin and fat removal, muscle suturing and platysma vertical tightening. Just a little sub mental fat needs liposuction. then of course there are all the degree of laxity in-between. Jowls are a separate issue which need to be addressed by elevating the mid face.Something you might be interested in as a new technique is thread lifting. These threads can be done as an outpatient under local and are effective for mild to moderate laxity in the face and neck. They are called silhouette and are a cost effective modern way to address your question.Hope that helps. 
Adam Goodwin

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.