I'm a 30 year old male, 5'11 and 180 lbs. What can I do about my sagging neck skin which makes me look overweight? (photos)
Doctor Answers 9
I'm a 30 year old male, 5'11 and 180 lbs. What can I do about my sagging neck skin which makes me look overweight?
Thank you for your question. An in person examination would be helpful to answer your question. Skin laxity and jowls are best corrected with a facelift. Other options include a neck lift, liposuction or kybella. Good candidates for kybella are also good candidates for liposuction. Patients with good skin tone and mild to moderate fullness will have good results. Consult with board certified plastic surgeon to discuss the best option for you.
Neck Improvement Options - Under Age 40
1.Amount of excess fat (needs lipo or direct removal).
2.Presence of Significant Platysmal Banding (requires playsmaplasy or Botox)
3.Amount of excess Skin and condition of your skin. For example younger age, darker skin colors and no large weight loss history means there will be better elasticity and therefore better post surgical contraction. In milder cases if not too much fat is present there will be enough skin shrinkage with just lipo alone. However for moderate and severe skin redundancy a neck lift or lower facelift (e.g.Lite Lift®, MACS and others),
is needed with or without lipo for best results. Mild to minimal skin tightening using non surgical means like the Sciton Laser SkinTyte procedure, Ultherapy or Thermage could also be considered.
4. Chin deficiency (without adequate chin support your neckline will suffer)
5.Presence of prominent Digastric Muscles or Submandibular gland fullness from laxity or enlargement (partial resection usually best solution)
In your particular case because you are only 30 years old, I would recommend liposuction alone as the first step, see how well you do with skin retraction and if not satisfied consider one of the treatments listed above.
30-Year Old with Sagging Neck Skin
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How do I address the excess fat in my neck?
The problem is not loose skin at all. We all have a different amount of natural fat in our necks. The best shaped necks look slim. There are other features, for example jaw shape, which contribute to the appearance of the neck, but the natural amount of fat in the neck is very important, and if you've got fat deposits then there is nothing you can do without some expert intervention.
You have natural neck fat, and fortunately it is fixable. It does very well with liposuction, which is ideal as a technique to correct unappealing natural fat deposits in those of normal weight.
It needs to be expertly done, with a fine cannula. In expert hands it is safe, and reliable. Your neck shape can be much improved.
There are other possible non surgical techniques for fat removal, but I think they are less reliable. Others might disagree with me on that, but that's what I would recommend to you.
I think you are in London. I suggest seeing Mr Chris Inglefield of London Bridge Plastic Surgery for a consultation. I know him well, he is an excellent surgeon and has the full range of surgical and non surgical treatments available to discuss with you.
If you see him. pass on my best wishes to him and all the best to you.