A Blepharotomy and Liposuction like Susan Sarandon. Am I a Candidate? (photo)

A neck lift would be reasonable from your description and pictures, but a physical exam would be necessary to give an accurate answer in regard to your specific circumstance. Find a plastic surgeon who performs hundreds of facial procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Chin/neck liposuction is indeed possible at the age of 66, but frankly most patients at this age also need a neck lift to snug up the skin and muscle as well as eliminate jowls.  The only for sure way to tell if you need all this is to schedule a consult with a board certified plastic surgeon whom can hands on examine your chin/neck.  Costs vary widely from office to office but good chemistry and confidence with your surgeon is usually worth the extra money.  And finally, there is a tight feeling immediately after surgery because the tissues were actually tightened up.  However this feeling fades quickly in most patients over a week or two but rarely is "gagging".  Glad to help... 

Despite what Susan Sarendon may have had done, cervical (neck) liposuction alone in a 66 year old is likely to yield very disappointing results.  Based on the photos shown and typical examples I have seen in 66 year old patients in my practice, cervical obliquity is generally more related to platysmal (muscle) and skin laxity than fat excess.  More typically, I would recommend a Facelift for a 66 year old woman, which allows for repositioning of the jowl/ jawline, midface, and contouring of the neck.  Although many patients have a tight sensation in the neck for 6-12 weeks after the procedure, this invariably goes away with time.  Price of a Facelift will vary with geographic location and the individual Surgeon.  However, I would like you to consider three important points about Facelift when considering price: 1) A well performed facelift is likely to last 10 years.  On the other hand, quickly performed and less expensive procedures have a shelf life of 6-18 months. 2) Quality is remembered long after price is forgotten. 3) Very good Surgeons are much less likely to be inexpensive than mediocre ones are to be affordable.