Effects of a neck lift vs. laser treatment of neck area. Any suggestions?

It is common for a primary (first) lower facelift and necklift to last somewhere between 8-12 years (on average), so it is possible that you are indeed a candidate for a second lift, especially if you feel that you have sagging skin under your jawbone.  I would ask that you take caution when it comes to laser treatments of the neck skin in particular.  The neck skin is much more prone to scarring and poor aesthetic outcome when compared to facial skin.  I have seen in my practice too many patients who have had neck laser treatments from other physicians who have permanently damaged neck skin.  Lasers and other non-invasive technology can be used safely on the neck, but typically the treatments need to be conservative and multiple.  If you go this route, be sure the doctor has plenty of experience in treating the neck in a non-invasive fashion.

Depending on the level of laxity, the effects of a neck lift will certainly outlast the effects of non-surgical treatments. 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 if you are a #candidate for #rejuvenating the neck. During an in-person 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.Your board certified plastic surgeon should evaluate both your anatomical features and aesthetic goals to suggest which procedure best suits your needs. In some cases there may be more than one option to choose from. If you are not a candidate at the time of your #consultation, your board surgeon can recommend non-surgical alternatives to improve your concern.

Nothing can beat a good neck lift to permanently tighten excess neck skin and clean up the jawline. Nonsurgical laser and ultrasound treatments may give some benefits, but they are not dramatic and must be repeated to keep the good results. A neck lift is a relatively noninvasive procedure compared with a full rhytidectomy and will give you a smoother, tighter neck plus a sharper, more youthful jawline. Results should last from five to eight years. You might also consider a touch-up facelift instead, as that will give an even more dramatic improvement that can last up to ten years. I hope this helps.

Thanks for asking.  At your age and 8 years after a facelift it is reasonable that you may need another facelift/necklift to tighten things up.  Many times the second lift is easier to undergo than the primary as less work may be required. Continue to discuss with your plastic surgeon or also others to review your candidacy.

It is so easy to undergo a good necklift under local and makes such a great improvement. Lasers to tighten skin of the neck are so disappointing and almost worthless in many cases.

If you are in need of a neck lift there is nothing that will replace the results.  I suggest you see an expert who does combination treatments to get the best outcome.  Dr. Emer.

If you had a previous facelift, it's possible that you may need a facelift as well as a neck lift. If your skin sags as much as you indicate, laser is unlikely to help. See a qualified surgeon for evaluation.

Hi Judith.  Thank you for your question. Photos would have been helpful, but nonetheless, generally speaking, a neck lift will last for years (like your facelift).  Laser treatments are tightening existing skin but as your skin ages, the effect will be lost, and so the treatments need to be repeated.  A surgical lift removes excess tissue and repositions tissue, the laser will address the quality of your skin and provide a shrink wrap effect, instead of true lifting.  Good luck!

Each individual's face and neck lift results will last different amounts of time.  It would be nice to say the a person's face and neck lift will last ten years but the reality is that the clock only stops ticking during surgery.  It then resumes immediately after the surgery is complete. Everyone clock ticks at a little different pace.  So someone that had advanced facial aging for their age may continue to age after surgery at a slightly more rapid pace.  Surgery only removes excess tissue and skin with some redraping but it doesn't actually treat the skin that remains behind.  Everyone's skin quality is different. So the best option is to visit with surgeon that has non surgical and surgical options. It is possible that a revision neck lift may need to be performed.  Or the remaining skin may need to be treated with non surgical options, such as ultherapy, Smartskin fractionated CO2 laser, or other lasers. Treatment should be individualized. Best of luck to you.

If your problem is excess skin of the neck then you need a facelift which includes the neck and lower cheek. Otherwise you will end up with a "pucker" of the skin if only the neck is done. See a very experienced facelift surgeon.